Skip to main content

Abstract

The prevalence of hypoxic respiratory failure in patients with COVID-19 has been reported in 19%. Recent reports from China showed that 4–13% of COVID-19 patients in these studies received noninvasive positive pressure ventilation (NIPPV), and that 2.3–12% required invasive mechanical ventilation. Although the true incidence of hypoxic respiratory failure in patients with COVID-19 is not clear, it appears that about 14% will develop severe disease requiring oxygen therapy, and 5% will require ICU admission and mechanical ventilation [1]. Some studies have shown that avoiding invasive mechanical ventilation (IMV) significantly decreases the risk of death [2, 3]. This is why choosing an optimal oxygen therapy device is very important for reducing the rates of IMV and mortality while also ensuring patients’ safety and comfort [4]. The CDC reported an overall case-fatality rate (CFR) of 2.3%, with a CFR of 14.8% in patients aged 80 years or older [1]. We must consider oxygen therapy if [4, 5]:

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 79.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 99.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 139.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Alhazzani W, Moller MH, Arabi YM, et al. Surviving sepsis campaign: guidelines on the management of critically ill adults with coronavirus disease 2019 (COVID-19). Crit Care Med. 2020;48:e440.

    Article  CAS  Google Scholar 

  2. Azevedo LC, Caruso P, Silva UV, et al. Outcomes for patients with cancer admitted to the ICU requiring ventilatory support: results from a prospective multicenter study. Chest. 2014;146(2):257–66.

    Article  Google Scholar 

  3. Azoulay E, Mokart D, Pène F, et al. Outcomes of critically ill patients with hematologic malignancies: prospective multicenter data from France and Belgium—a Groupe de Recherche Respiratoire en reanimation Onco-Hématologique study. J Clin Oncol. 2013;31(22):2810–8.

    Article  Google Scholar 

  4. Zhu Y, Yin H, Zhang R, et al. High-flow nasal cannula oxygen therapy versus conventional oxygen therapy in patients with acute respiratory failure: a systematic review and meta-analysis of randomized controlled trials. BMC Pulm Med. 2017;17:201.

    Article  Google Scholar 

  5. Cinesi C, Peñuelas O, Luján MI, et al. Recomendaciones de consenso respecto al soporte respiratorio no invasivo en el paciente adulto con insuficiencia respiratoria aguda secundaria a infección por SARS-CoV-2. Med Int. 2020; https://doi.org/10.1016/j.medin.2020.03.005.

  6. Brill S, Wedzicha J. Oxygen therapy in acute exacerbations of chronic obstructive pulmonary disease. Int J COPD. 2014;9:1241–52.

    Google Scholar 

  7. Masclans JR, Pérez-Terán P, Roca O. The role of high-flow oxygen therapy in acute respiratory failure. Med Int. 2015;39(8):505–15.

    CAS  Google Scholar 

  8. Frat JP, Thille AW, Mercat A, et al. High-flow oxygen through nasal cannula in acute hypoxemic respiratory failure. N Engl J Med. 2015;372:2185–96.

    Article  CAS  Google Scholar 

  9. Walter J, Corbridge T, Singer B. Invasive mechanical ventilation. South Med J. 2018 December;111(12):746–53.

    Article  Google Scholar 

  10. Patel BK, Wolfe KS, Pohlman AS, Hall JB, Kress JP. Effect of noninvasive ventilation delivered by helmet vs face mask on the rate of endotracheal intubation in patients with acute respiratory distress syndrome: a randomized clinical trial. JAMA. 2016;315:2435–41.

    Article  CAS  Google Scholar 

  11. Scala R. Challenges on non-invasive ventilation to treat acute respiratory failure in the elderly. BMC Pulm Med. 2016;16:150.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2020 The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Úbeda, A., Fernández, I. (2020). Escalation Therapy for ARFin Elderly Patient. In: Vargas, N., Esquinas, A.M. (eds) Covid-19 Airway Management and Ventilation Strategy for Critically Ill Older Patients. Springer, Cham. https://doi.org/10.1007/978-3-030-55621-1_12

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-55621-1_12

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-55620-4

  • Online ISBN: 978-3-030-55621-1

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics