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10.1016/j.pulmoe.2020.04.013 http://scihub22266oqcxt.onion/10.1016/j.pulmoe.2020.04.013 32362507!7183996!32362507     free     free     free Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 243.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 243.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 243.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 243.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534       Pulmonology 2020 ; 26 (4): 213-220 Nephropedia Template TP {{tp|p=32362507|t=2020. COVID-19 pandemic and non invasive respiratory management: Every Goliath needs a David An evidence based evaluation of problems |pdf=|usr=}}{{32362507}} gab.com Text COVID-19 pandemic and non invasive respiratory management: Every Goliath needs a David An evidence based evaluation of problems JO: Pulmonology http://www.kidney.de/pget.php?&tw=1&pmid=32362507 #FOAvip BACKGROUND AND AIM: The war against Covid-19 is far from won. This narrative review attempts to describe some problems with the management of Covid-19 induced acute respiratory failure (ARF) by pulmonologists. METHODS: We searched the following databases: MEDLINE, EMBASE, Cochrane Central Register of Controlled Trials and reviewed the references of retrieved articles for additional studies. The search was limited to the terms: Covid-19 AND: acute respiratory distress syndrome (ARDS), SARS, MERS, non invasive ventilation (NIV), high flow nasal cannula (HFNC), pronation (PP), health care workers (HCW). RESULTS: Protection of Health care workers should be paramount, so full Personal Protective Equipment and Negative pressure rooms are warranted. HFNC alone or with PP could be offered for mild cases (PaO2/FiO2 between 200-300); NIV alone or with PP may work in moderate cases (PaO2/FiO2 between 100-200). Rotation and coupled (HFNC/NIV) strategy can be beneficial. A window of opportunity of 1-2h is advised. If PaO2/FIO2 significantly increases, Respiratory Rate decreases with a relatively low Exhaled Tidal Volume, the non-invasive strategy could be working and intubation delayed. CONCLUSION: Although there is a role for non-invasive respiratory therapies in the context of COVID-19 ARF, more research is still needed to define the balance of benefits and risks to patients and HCW. Indirectly, non invasive respiratory therapies may be of particular benefit in reducing the risks to healthcare workers by obviating the need for intubation, a potentially highly infectious procedure. Twit Text FOAVip COVID-19 pandemic and non invasive respiratory management: Every Goliath needs a David An evidence based evaluation of problems ????Pulmonology http://www.kidney.de/pget.php?&tw=1&pmid=32362507 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=32362507 #FOAvip English Wikipedia <ref>{{Cite pmid|32362507}}</ref> COVID-19 pandemic and non invasive respiratory management: Every Goliath needs a David An evidence based evaluation of problems #MMPMID32362507 Winck JC; Ambrosino N Pulmonology 2020[Jul]; 26 (4): 213-220 PMID32362507show ga BACKGROUND AND AIM: The war against Covid-19 is far from won. This narrative review attempts to describe some problems with the management of Covid-19 induced acute respiratory failure (ARF) by pulmonologists. METHODS: We searched the following databases: MEDLINE, EMBASE, Cochrane Central Register of Controlled Trials and reviewed the references of retrieved articles for additional studies. The search was limited to the terms: Covid-19 AND: acute respiratory distress syndrome (ARDS), SARS, MERS, non invasive ventilation (NIV), high flow nasal cannula (HFNC), pronation (PP), health care workers (HCW). RESULTS: Protection of Health care workers should be paramount, so full Personal Protective Equipment and Negative pressure rooms are warranted. HFNC alone or with PP could be offered for mild cases (PaO2/FiO2 between 200-300); NIV alone or with PP may work in moderate cases (PaO2/FiO2 between 100-200). Rotation and coupled (HFNC/NIV) strategy can be beneficial. A window of opportunity of 1-2h is advised. If PaO2/FIO2 significantly increases, Respiratory Rate decreases with a relatively low Exhaled Tidal Volume, the non-invasive strategy could be working and intubation delayed. CONCLUSION: Although there is a role for non-invasive respiratory therapies in the context of COVID-19 ARF, more research is still needed to define the balance of benefits and risks to patients and HCW. Indirectly, non invasive respiratory therapies may be of particular benefit in reducing the risks to healthcare workers by obviating the need for intubation, a potentially highly infectious procedure. |*Health Personnel[MESH] |*Respiratory Protective Devices[MESH] |Acute Disease[MESH] |Betacoronavirus[MESH] |COVID-19[MESH] |Cannula[MESH] |Continuous Positive Airway Pressure/instrumentation/methods[MESH] |Coronavirus Infections/*therapy/transmission[MESH] |Humans[MESH] |Infectious Disease Transmission, Patient-to-Professional/prevention & control[MESH] |Influenza A Virus, H1N1 Subtype[MESH] |Influenza, Human/therapy[MESH] |Intubation, Intratracheal[MESH] |Noninvasive Ventilation/instrumentation/*methods[MESH] |Pandemics[MESH] |Patient Positioning/*methods[MESH] |Personal Protective Equipment[MESH] |Physical Therapy Modalities[MESH] |Pneumonia, Viral/*therapy/transmission[MESH] |Prone Position[MESH] |Respiration, Artificial[MESH] |Respiratory Distress Syndrome/*therapy[MESH] |Respiratory Insufficiency/*therapy[MESH] |Respiratory Therapy[MESH] |SARS-CoV-2[MESH] |Severe Acute Respiratory Syndrome/therapy[MESH]COVID-19 pandemic and non invasive respiratory management: Every Golia(epmc).pdf DeepDyve Pubget Overpricing