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10.1136/bmjresp-2020-000621 http://scihub22266oqcxt.onion/10.1136/bmjresp-2020-000621 32624494!7337887!32624494     free     free     free Warning: file_get_contents(https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&id=32624494&cmd=llinks): Failed to open stream: HTTP request failed! 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Improved survival following ward-based non-invasive pressure support for severe hypoxia in a cohort of frail patients with COVID-19: retrospective analysis from a UK teaching hospital |pdf=|usr=}}{{32624494}} gab.com Text Improved survival following ward-based non-invasive pressure support for severe hypoxia in a cohort of frail patients with COVID-19: retrospective analysis from a UK teaching hospital JO: BMJ Open Respir Res http://www.kidney.de/pget.php?&tw=1&pmid=32624494 #FOAvip Since the outbreak of COVID-19 in China in December 2019, a pandemic has rapidly developed on a scale that has overwhelmed health services in a number of countries. COVID-19 has the potential to lead to severe hypoxia; this is usually the cause of death if it occurs. In a substantial number of patients, adequate arterial oxygenation cannot be achieved with supplementary oxygen therapy alone. To date, there has been no clear guideline endorsement of ward-based non-invasive pressure support (NIPS) for severely hypoxic patients who are deemed unlikely to benefit from invasive ventilation. We established a ward-based NIPS service for COVID-19 PCR-positive patients, with severe hypoxia, and in whom escalation to critical care for invasive ventilation was not deemed appropriate. A retrospective analysis of survival in these patients was undertaken. Twenty-eight patients were included. Ward-based NIPS for severe hypoxia was associated with a 50% survival in this cohort. This compares favourably with Intensive Care National Audit and Research Centre survival data following invasive ventilation in a less frail, less comorbid and younger population. These results suggest that ward-based NIPS should be considered as a treatment option in an integrated escalation strategy in all units managing respiratory failure secondary to COVID-19. Twit Text FOAVip Improved survival following ward-based non-invasive pressure support for severe hypoxia in a cohort of frail patients with COVID-19: retrospective analysis from a UK teaching hospital ????BMJ Open Respir Res http://www.kidney.de/pget.php?&tw=1&pmid=32624494 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=32624494 #FOAvip English Wikipedia <ref>{{Cite pmid|32624494}}</ref> Improved survival following ward-based non-invasive pressure support for severe hypoxia in a cohort of frail patients with COVID-19: retrospective analysis from a UK teaching hospital #MMPMID32624494 Burns GP; Lane ND; Tedd HM; Deutsch E; Douglas F; West SD; Macfarlane JG; Wiscombe S; Funston W BMJ Open Respir Res 2020[Jul]; 7 (1): ä PMID32624494show ga Since the outbreak of COVID-19 in China in December 2019, a pandemic has rapidly developed on a scale that has overwhelmed health services in a number of countries. COVID-19 has the potential to lead to severe hypoxia; this is usually the cause of death if it occurs. In a substantial number of patients, adequate arterial oxygenation cannot be achieved with supplementary oxygen therapy alone. To date, there has been no clear guideline endorsement of ward-based non-invasive pressure support (NIPS) for severely hypoxic patients who are deemed unlikely to benefit from invasive ventilation. We established a ward-based NIPS service for COVID-19 PCR-positive patients, with severe hypoxia, and in whom escalation to critical care for invasive ventilation was not deemed appropriate. A retrospective analysis of survival in these patients was undertaken. Twenty-eight patients were included. Ward-based NIPS for severe hypoxia was associated with a 50% survival in this cohort. This compares favourably with Intensive Care National Audit and Research Centre survival data following invasive ventilation in a less frail, less comorbid and younger population. These results suggest that ward-based NIPS should be considered as a treatment option in an integrated escalation strategy in all units managing respiratory failure secondary to COVID-19. |*Coronavirus Infections/epidemiology/physiopathology/therapy[MESH] |*Frailty/diagnosis/physiopathology/therapy[MESH] |*Pandemics[MESH] |*Pneumonia, Viral/epidemiology/physiopathology/therapy[MESH] |*Respiratory Care Units/methods/organization & administration[MESH] |*Respiratory Insufficiency/etiology/mortality/physiopathology/therapy[MESH] |Aged, 80 and over[MESH] |Betacoronavirus/isolation & purification[MESH] |COVID-19[MESH] |Continuous Positive Airway Pressure/*methods[MESH] |Female[MESH] |Geriatric Assessment/*methods[MESH] |Humans[MESH] |Lung/diagnostic imaging[MESH] |Male[MESH] |Outcome and Process Assessment, Health Care[MESH] |Oximetry/methods/statistics & numerical data[MESH] |Oxygen Consumption[MESH] |SARS-CoV-2[MESH] |Survival Analysis[MESH] |Tomography, X-Ray Computed/methods[MESH]Improved survival following ward-based non-invasive pressure support f(epmc).pdf DeepDyve Pubget Overpricing