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Noninvasive Ventilation in Severe Acute Respiratory Syndrome

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Noninvasive Mechanical Ventilation in High Risk Infections, Mass Casualty and Pandemics

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Abstract

Noninvasive ventilation (NIV) appears to decrease the need for tracheal intubation in viral pneumonia; however, for the highly transmissible diseases like SARS, its aerosolising potential was associated with the “super-spreading events”, endangering healthcare professionals (HCPs). Acute respiratory distress syndrome caused by SARS has also been treated successfully with NIV interventions. To date, no prospective studies are addressing the risk of SARS transmission to HCP in the setting of NIV application for acute respiratory failure and NIV has been assumed as a possible procedure during an epidemic. If SARS re-emerges, the current lack of evidence should not prevent the application of NIV in the best interest of the patient.

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Abbreviations

ALI:

Acute lung injury

ARDS:

Acute respiratory distress syndrome

ARF:

Acute respiratory failure

BiPAP:

Bi-level positive airway pressure

CPAP:

Continuous positive airway pressure

EPAP:

Expiratory positive airway pressure

ETI:

Endotracheal intubation

HCPs:

Healthcare professionals

IPAP:

Inspiratory positive airway pressure

NIV:

Noninvasive ventilation

OR:

Odds ratio

PPE:

Personal protection equipment

SARS:

Severe acute respiratory syndrome

SSE:

Super-spreading events

VAP:

Ventilator-associated pneumonia

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Author information

Authors and Affiliations

  1. Serviço de Pneumologia do Centro Hospitalar de Trás-os-Montes e Alto Douro, Vila Real, Portugal

    Ana Cláudia Pimenta & Bebiana Conde

Authors
  1. Ana Cláudia Pimenta
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  2. Bebiana Conde
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Editor information

Editors and Affiliations

  1. Intensive Care & Non Invasive Ventilatory Unit, Hospital Morales Meseguer, Murcia, Spain

    Antonio M. Esquinas

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Pimenta, A.C., Conde, B. (2023). Noninvasive Ventilation in Severe Acute Respiratory Syndrome. In: Esquinas, A.M. (eds) Noninvasive Mechanical Ventilation in High Risk Infections, Mass Casualty and Pandemics . Springer, Cham. https://doi.org/10.1007/978-3-031-29673-4_18

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  • DOI: https://doi.org/10.1007/978-3-031-29673-4_18

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-29672-7

  • Online ISBN: 978-3-031-29673-4

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