Does the use of a diving mask adapted for non-invasive ventilation in hypoxemic acute respiratory failure in individuals with and without COVID-19 increase the PaO2/FiO2 ratio? A randomized clinical trial
Non-invasive ventilation (NIV) can be used in acute hypoxemic respiratory failure (AHRF); however, verifying the best interface for its use needs to be evaluated in the COVID-19 pandemic scenario. To evaluate the behavior of the PaO2/FiO2 ratio in patients with AHRF with and without COVID-19 underg...
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| Format: | Article |
| Language: | English |
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PAGEPress Publications
2023-05-01
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| Series: | Monaldi Archives for Chest Disease |
| Subjects: | |
| Online Access: | https://monaldi-archives.org/index.php/macd/article/view/2512 |
| _version_ | 1827941861562515456 |
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| author | Sônia Elvira dos Santos Marinho Dulciane Nunes Paiva Guacyra Magalhães Pires Bezerra Thayse Neves dos Santos Silva Cláudia Regina Oliveira de Paiva Lima Maria Cristina Falcão Raposo Patrícia Érika de Melo Marinho |
| author_facet | Sônia Elvira dos Santos Marinho Dulciane Nunes Paiva Guacyra Magalhães Pires Bezerra Thayse Neves dos Santos Silva Cláudia Regina Oliveira de Paiva Lima Maria Cristina Falcão Raposo Patrícia Érika de Melo Marinho |
| author_sort | Sônia Elvira dos Santos Marinho |
| collection | DOAJ |
| description |
Non-invasive ventilation (NIV) can be used in acute hypoxemic respiratory failure (AHRF); however, verifying the best interface for its use needs to be evaluated in the COVID-19 pandemic scenario. To evaluate the behavior of the PaO2/FiO2 ratio in patients with AHRF with and without COVID-19 undergoing NIV with the conventional orofacial mask and the adapted diving mask. This is a randomized clinical trial in which patients were allocated into four groups: Group 1: COVID-19 + adapted mask (n=12); Group 2: COVID-19 + conventional orofacial mask (n=12); Group 3: non-COVID + adapted mask (n= 2); and Group 4: non-COVID + conventional orofacial mask (n=12]. The PaO2/FiO2 ratio was obtained 1, 24 and 48 h after starting NIV and the success of NIV was evaluated. This study followed the norms of the CONSORT Statement and registered in the Brazilian Registry of Clinical Trials, under registration RBR – 7xmbgsz. Both the adapted diving mask and the conventional orofacial mask increased the PaO2/FiO2 ratio. The interfaces differed in terms of the PaO2/FiO2 ratio in the first hour [309.66 (11.48) and 275.71 (11.48), respectively] (p=0.042) and 48 h [365.81 (16.85) and 308.79 (18.86), respectively] (p=0.021). NIV success was 91.7% in groups 1, 2 and 3, and 83.3% in Group 4. No adverse effects related to interfaces or NIV were observed. NIV through the conventional orofacial mask interfaces and the adapted diving mask was effective in improving the PaO2/FiO2 ratio, however, the adapted mask presented a better PaO2/FiO2 ratio during use. There was no significant difference between interfaces regarding NIV failure.
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| first_indexed | 2024-03-13T09:50:01Z |
| format | Article |
| id | doaj.art-ed2e3af41f3544f9ad4b3023084e1602 |
| institution | Directory Open Access Journal |
| issn | 1122-0643 2532-5264 |
| language | English |
| last_indexed | 2024-03-13T09:50:01Z |
| publishDate | 2023-05-01 |
| publisher | PAGEPress Publications |
| record_format | Article |
| series | Monaldi Archives for Chest Disease |
| spelling | doaj.art-ed2e3af41f3544f9ad4b3023084e16022023-05-24T18:12:53ZengPAGEPress PublicationsMonaldi Archives for Chest Disease1122-06432532-52642023-05-0110.4081/monaldi.2023.2512Does the use of a diving mask adapted for non-invasive ventilation in hypoxemic acute respiratory failure in individuals with and without COVID-19 increase the PaO2/FiO2 ratio? A randomized clinical trialSônia Elvira dos Santos Marinho0Dulciane Nunes Paiva1Guacyra Magalhães Pires Bezerra2Thayse Neves dos Santos Silva3Cláudia Regina Oliveira de Paiva Lima4Maria Cristina Falcão Raposo5Patrícia Érika de Melo Marinho6Post-Graduation Program in Physical Therapy, Physical Therapy Department, Federal Universidade Federal de Pernambuco, Recife, PernambucoDepartment of Physical Education and Health, Universidade de Santa Cruz do Sul, Santa Cruz do Sul, Rio Grande do SulHospital Regional Dr. Valdomiro Ferreira, Intensive Care Unit, Caruaru, PernambucoRehabilitation Center, Hospital Otávio de Freitas, Recife, PernambucoStatistical Department, Universidade Federal de Pernambuco, Recife, PernambucoStatistical Department, Universidade Federal de Pernambuco, Recife, PernambucoPost-Graduation Program in Physical Therapy, Physical Therapy Department, Federal Universidade Federal de Pernambuco, Recife, Pernambuco Non-invasive ventilation (NIV) can be used in acute hypoxemic respiratory failure (AHRF); however, verifying the best interface for its use needs to be evaluated in the COVID-19 pandemic scenario. To evaluate the behavior of the PaO2/FiO2 ratio in patients with AHRF with and without COVID-19 undergoing NIV with the conventional orofacial mask and the adapted diving mask. This is a randomized clinical trial in which patients were allocated into four groups: Group 1: COVID-19 + adapted mask (n=12); Group 2: COVID-19 + conventional orofacial mask (n=12); Group 3: non-COVID + adapted mask (n= 2); and Group 4: non-COVID + conventional orofacial mask (n=12]. The PaO2/FiO2 ratio was obtained 1, 24 and 48 h after starting NIV and the success of NIV was evaluated. This study followed the norms of the CONSORT Statement and registered in the Brazilian Registry of Clinical Trials, under registration RBR – 7xmbgsz. Both the adapted diving mask and the conventional orofacial mask increased the PaO2/FiO2 ratio. The interfaces differed in terms of the PaO2/FiO2 ratio in the first hour [309.66 (11.48) and 275.71 (11.48), respectively] (p=0.042) and 48 h [365.81 (16.85) and 308.79 (18.86), respectively] (p=0.021). NIV success was 91.7% in groups 1, 2 and 3, and 83.3% in Group 4. No adverse effects related to interfaces or NIV were observed. NIV through the conventional orofacial mask interfaces and the adapted diving mask was effective in improving the PaO2/FiO2 ratio, however, the adapted mask presented a better PaO2/FiO2 ratio during use. There was no significant difference between interfaces regarding NIV failure. https://monaldi-archives.org/index.php/macd/article/view/2512non-invasive ventilationadapted diving maskSARS-CoV-2CPAPNIVartificial breathing |
| spellingShingle | Sônia Elvira dos Santos Marinho Dulciane Nunes Paiva Guacyra Magalhães Pires Bezerra Thayse Neves dos Santos Silva Cláudia Regina Oliveira de Paiva Lima Maria Cristina Falcão Raposo Patrícia Érika de Melo Marinho Does the use of a diving mask adapted for non-invasive ventilation in hypoxemic acute respiratory failure in individuals with and without COVID-19 increase the PaO2/FiO2 ratio? A randomized clinical trial Monaldi Archives for Chest Disease non-invasive ventilation adapted diving mask SARS-CoV-2 CPAP NIV artificial breathing |
| title | Does the use of a diving mask adapted for non-invasive ventilation in hypoxemic acute respiratory failure in individuals with and without COVID-19 increase the PaO2/FiO2 ratio? A randomized clinical trial |
| title_full | Does the use of a diving mask adapted for non-invasive ventilation in hypoxemic acute respiratory failure in individuals with and without COVID-19 increase the PaO2/FiO2 ratio? A randomized clinical trial |
| title_fullStr | Does the use of a diving mask adapted for non-invasive ventilation in hypoxemic acute respiratory failure in individuals with and without COVID-19 increase the PaO2/FiO2 ratio? A randomized clinical trial |
| title_full_unstemmed | Does the use of a diving mask adapted for non-invasive ventilation in hypoxemic acute respiratory failure in individuals with and without COVID-19 increase the PaO2/FiO2 ratio? A randomized clinical trial |
| title_short | Does the use of a diving mask adapted for non-invasive ventilation in hypoxemic acute respiratory failure in individuals with and without COVID-19 increase the PaO2/FiO2 ratio? A randomized clinical trial |
| title_sort | does the use of a diving mask adapted for non invasive ventilation in hypoxemic acute respiratory failure in individuals with and without covid 19 increase the pao2 fio2 ratio a randomized clinical trial |
| topic | non-invasive ventilation adapted diving mask SARS-CoV-2 CPAP NIV artificial breathing |
| url | https://monaldi-archives.org/index.php/macd/article/view/2512 |
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