Combining O2 High Flow Nasal or Non-Invasive Ventilation with Cooperative Sedation to Avoid Intubation in Early Diffuse Severe Respiratory Distress Syndrome, Especially in Immunocompromised or COVID Patients?

This overview addresses the pathophysiology of the acute respiratory distress syndrome (ARDS; conventional vs. COVID), the use of oxygen high flow (HFN) vs. noninvasive ventilation (NIV; conventional vs. helmet) and a multi-modal approach to avoid endotracheal intubation (“intubation”): low normal t...

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Main Authors: Petitjeans Fabrice, Longrois Dan, Ghignone Marco, Quintin Luc
Format: Article
Language:English
Published: Sciendo 2024-10-01
Series:The Journal of Critical Care Medicine
Subjects:
Online Access:https://doi.org/10.2478/jccm-2024-0035
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author Petitjeans Fabrice
Longrois Dan
Ghignone Marco
Quintin Luc
author_facet Petitjeans Fabrice
Longrois Dan
Ghignone Marco
Quintin Luc
author_sort Petitjeans Fabrice
collection DOAJ
description This overview addresses the pathophysiology of the acute respiratory distress syndrome (ARDS; conventional vs. COVID), the use of oxygen high flow (HFN) vs. noninvasive ventilation (NIV; conventional vs. helmet) and a multi-modal approach to avoid endotracheal intubation (“intubation”): low normal temperature, cooperative sedation, normalized systemic and microcirculation, anti-inflammation, reduced lung water, upright position, lowered intra-abdominal pressure.
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series The Journal of Critical Care Medicine
spelling doaj-art-00e37a68411c4bbabf6f5d486b8744dc2025-02-10T13:25:54ZengSciendoThe Journal of Critical Care Medicine2393-18172024-10-0110429131510.2478/jccm-2024-0035Combining O2 High Flow Nasal or Non-Invasive Ventilation with Cooperative Sedation to Avoid Intubation in Early Diffuse Severe Respiratory Distress Syndrome, Especially in Immunocompromised or COVID Patients?Petitjeans Fabrice0Longrois Dan1Ghignone Marco2Quintin Luc3Department of Anesthesia-Critical Care, Hôpital d’Instruction des Armées Desgenettes, Lyon, FranceBichat-Claude Bernard and Louis Mourier Hospitals, Assistance Publique-Hôpitaux de Paris, Paris Cité University, Paris, FranceDepartment of Anesthesia-Critical Care, JF Kennedy North Hospital, W Palm Beach, Fl, USADepartment of Anesthesia-Critical Care, Hôpital d’Instruction des Armées Desgenettes, Lyon, FranceThis overview addresses the pathophysiology of the acute respiratory distress syndrome (ARDS; conventional vs. COVID), the use of oxygen high flow (HFN) vs. noninvasive ventilation (NIV; conventional vs. helmet) and a multi-modal approach to avoid endotracheal intubation (“intubation”): low normal temperature, cooperative sedation, normalized systemic and microcirculation, anti-inflammation, reduced lung water, upright position, lowered intra-abdominal pressure.https://doi.org/10.2478/jccm-2024-0035ardscovidself-induced lung injuryspontaneous breathingoxygen high flow nasal
spellingShingle Petitjeans Fabrice
Longrois Dan
Ghignone Marco
Quintin Luc
Combining O2 High Flow Nasal or Non-Invasive Ventilation with Cooperative Sedation to Avoid Intubation in Early Diffuse Severe Respiratory Distress Syndrome, Especially in Immunocompromised or COVID Patients?
The Journal of Critical Care Medicine
ards
covid
self-induced lung injury
spontaneous breathing
oxygen high flow nasal
title Combining O2 High Flow Nasal or Non-Invasive Ventilation with Cooperative Sedation to Avoid Intubation in Early Diffuse Severe Respiratory Distress Syndrome, Especially in Immunocompromised or COVID Patients?
title_full Combining O2 High Flow Nasal or Non-Invasive Ventilation with Cooperative Sedation to Avoid Intubation in Early Diffuse Severe Respiratory Distress Syndrome, Especially in Immunocompromised or COVID Patients?
title_fullStr Combining O2 High Flow Nasal or Non-Invasive Ventilation with Cooperative Sedation to Avoid Intubation in Early Diffuse Severe Respiratory Distress Syndrome, Especially in Immunocompromised or COVID Patients?
title_full_unstemmed Combining O2 High Flow Nasal or Non-Invasive Ventilation with Cooperative Sedation to Avoid Intubation in Early Diffuse Severe Respiratory Distress Syndrome, Especially in Immunocompromised or COVID Patients?
title_short Combining O2 High Flow Nasal or Non-Invasive Ventilation with Cooperative Sedation to Avoid Intubation in Early Diffuse Severe Respiratory Distress Syndrome, Especially in Immunocompromised or COVID Patients?
title_sort combining o2 high flow nasal or non invasive ventilation with cooperative sedation to avoid intubation in early diffuse severe respiratory distress syndrome especially in immunocompromised or covid patients
topic ards
covid
self-induced lung injury
spontaneous breathing
oxygen high flow nasal
url https://doi.org/10.2478/jccm-2024-0035
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