Flowchart for non-invasive ventilation support in COVID-19 patients from a northern Italy Emergency Department

Intern Emerg Med. 2020 Aug;15(5):767-771. doi: 10.1007/s11739-020-02370-8. Epub 2020 May 20.

Abstract

With the rapid pandemic spread of the novel coronavirus (SARS-CoV2), Emergency Departments of affected countries are facing an increasing number of patients presenting with hypoxemic respiratory failure due to coronavirus disease 2019 (COVID-19). Providing mechanical support and endotracheal intubation can be challenging due to a number of patients larger than usual, often exceeding available resources. Considering the lack of recommendations available, we developed a flowchart to standardize the first approach to patients presenting to the Emergency Department with hypoxemic respiratory failure due to COVID-19.

Keywords: COVID-19; Continuous positive airways pressure; Hypoxemic respiratory failure; Non-invasive ventilation.

MeSH terms

  • Betacoronavirus
  • COVID-19
  • Coronavirus Infections / epidemiology
  • Coronavirus Infections / physiopathology
  • Coronavirus Infections / therapy*
  • Emergency Service, Hospital*
  • Guidelines as Topic*
  • Humans
  • Intubation, Intratracheal
  • Italy / epidemiology
  • Noninvasive Ventilation / methods*
  • Pandemics
  • Pneumonia, Viral / epidemiology
  • Pneumonia, Viral / physiopathology
  • Pneumonia, Viral / therapy*
  • SARS-CoV-2