Abstract

For patients with acute respiratory failure with suspected COVID-19 or with confirmed COVID-19, the strategy and tactics...

Highlights

  • For patients with acute respiratory failure with suspected COVID-19 or with confirmed COVID-19, the strategy and tactics of respiratory therapy and respiratory support do not differ significantly from those for parenchymal acute respiratory failure of any genesis [1,2]

  • The strategy and tactics of choosing methods of respiratory support and correction of parameters of mechanical ventilation in severe acute respiratory failure caused by a new viral infection COVID-19 is, in principle, similar to those in ARDS caused by direct damaging factors [3,4,5,6]

  • Our experience with non-invasive respiratory support (NIV) has shown that most patients undergoing NIV tolerate this procedure relatively well at the initial stage

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Summary

Introduction

For patients with acute respiratory failure with suspected COVID-19 or with confirmed COVID-19, the strategy and tactics of respiratory therapy and respiratory support do not differ significantly from those for parenchymal acute respiratory failure of any genesis (community-acquired bacterial or viral pneumonia, nosocomial, including respirator-associated pneumonia, ARDS) [1,2]. With the development of parenchymal acute respiratory failure and with mild ARDS of any etiology, it is advisable to use non-invasive respiratory support (NIV) methods. The development of modern medical technologies has made it possible to widely introduce various NIV methods into clinical practice It is used at different stages of the treatment of respiratory failure of various origins: to reduce the frequency of intubation, for treatment as an alternative to invasive ventilation, at the stage of stopping ventilation (the possibility of earlier extubating), after extubating (reducing the frequency of reintubation and resumption of mechanical ventilation) [10,11]. 8) high risk of aspiration of the contents of the oral cavity and stomach

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