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Do not use a steroid nebulisers, instead use inhaled or oral steroids for the management of people with co-existing asthma or COPD and COVID-19 as you would normally do for viral exacerbation of ...
Evidencias COVID-19
National COVID-19 Clinical Evidence Task Force
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ver más ... 2020Consider using venovenous extracorporeal membrane oxygenation (VV ECMO) if available, or referring the patient to an ECMO centre, in mechanically ventilated adults with COVID-19 and refractory ...
Evidencias COVID-19
National COVID-19 Clinical Evidence Task Force
Extracorporeal membrane oxygenation (ECMO) is a form of life support that removes blood from the body via large cannulae, oxygenates and removes carbon dioxide from the blood external to the patient, and then returns the blood to the body. Venovenous (VV) ECMO provides oxygenation support for the lungs only, while venoarterial (VA) ECMO supports the heart and lungs. Due to the resource-intensive nature of ECMO and the need for experienced centres, healthcare workers and infrastructure, ECMO ...
ver más ... 2020Consider prone positioning for adults with COVID-19 and respiratory symptoms who are receiving any form of supplemental oxygen therapy and have not yet been intubated.
Evidencias COVID-19
National COVID-19 Clinical Evidence Task Force
Positioning the patient in a face-down (prone) position may help to open up (recruit) collapsed alveoli and improve oxygen levels in the blood. When positioning a patient in prone, ensure it is used with caution and close monitoring of the patient. Patients who are deteriorating should be considered for early endotracheal intubation and invasive mechanical ventilation.
ver más ... 2020Consider prone positioning for mechanically ventilated adults with COVID-19 and hypoxaemia despite optimising ventilation.
Evidencias COVID-19
National COVID-19 Clinical Evidence Task Force
Positioning the patient in a face-down (prone) position may help to open up (recruit) collapsed alveoli and improve oxygen levels in the blood.
ver más ... 2020Do not use staircase or stepwise (incremental positive end-expiratory pressure) recruitment manoeuvres , if recruitment manoeuvres are used.
Evidencias COVID-19
National COVID-19 Clinical Evidence Task Force
Patients receiving respiratory support are at an increased risk of lung injury. Recruitment manoeuvres are used to open up (‘recruit’) collapsed alveoli and are a common element of an ‘open lung approach’ to protect the lungs during mechanical ventilation. The manoeuvres use a sustained increase in airway pressure to re-open collapsed alveoli. Types of manoeuvres include: prolonged high continuous positive airway pressure; progressive incremental increases in positive end-expiratory ...
ver más ... 2020