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Use of non-invasive ventilation in acute respiratory failure due to SARS-CoV-2 pneumonia: typing of patients and choice of respiratory support, the role of internal medicine

机译:由于SARS-COV-2肺炎,在急性呼吸衰竭中使用非侵入性通气:患者的打字和呼吸支持的选择,内科的作用

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The use of non-invasive ventilation (NIV) during de novo acute hypoxemic respiratory failure is not recommended by the guidelines because NIV does not improve the prognosis. With the advent of the new coronavirus, many cases of acute hypoxemic respiratory failure associated with the infection (severe acute respiratory infection) have been observed: data are missing regarding the use of NIV in this particular clinical condition, but a correct typing of patients based on different clinical, pathophysiological and radiological characteristics, could help in prognostic stratification and choice of respiratory support (invasive versus non-invasive). During NIV in these patients, particular attention is paid to the possibility of environmental dissemination of the virus, and consequently, adequate technical precautions are taken.
机译:在De Novo急性低氧呼吸呼吸衰竭期间使用非侵入性通风(NIV),不推荐通过指导方针建议,因为NIV没有提高预后。随着新冠状病毒的出现,已经观察到许多与感染(严重急性呼吸道感染)相关的急性低氧呼吸衰竭的病例:在这种特殊临床状况中使用NIV的数据缺失,但是基于患者的正确键入在不同的临床,病理生理学和放射性特征上,可以有助于预后分层和呼吸载体的选择(侵入性与非侵入性)。在这些患者中,在这些患者中,特别注意病毒环境传播的可能性,因此,采取了充分的技术预防措施。

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