Non-invasive ventilation using a novel ventilator and non-vented full-face mask for patients with respiratory failure during the COVID-19 pandemic: Report of three cases

Takuma Minami; Shinichi Kai; Tomoharu Tanaka; Isao Ito; Genta Kato; Miki Nagao; Hiroshi Date; Toyohiro Hirai; Shigeru Ohtsuru; Kazuo Chin

doi:10.1016/j.resinv.2022.03.005

Non-invasive ventilation using a novel ventilator and non-vented full-face mask for patients with respiratory failure during the COVID-19 pandemic: Report of three cases

Respir Investig. 2022 Jul;60(4):607-611. doi: 10.1016/j.resinv.2022.03.005. Epub 2022 Apr 6.

Authors

Takuma Minami¹, Shinichi Kai², Tomoharu Tanaka², Isao Ito³, Genta Kato⁴, Miki Nagao⁵, Hiroshi Date⁶, Toyohiro Hirai³, Shigeru Ohtsuru⁷, Kazuo Chin⁸

Affiliations

¹ Department of Primary Care and Emergency Medicine, Kyoto University Graduate School of Medicine, 54 Kawahara-cho, Shogoin, Sakyo-ku, Kyoto 606-8507, Japan; Department of Respiratory Medicine, Kyoto University Graduate School of Medicine, 54 Kawahara-cho, Shogoin, Sakyo-ku, Kyoto 606-8507, Japan.
² Department of Anesthesia, Kyoto University Hospital, 54 Kawahara-cho, Shogoin, Sakyo-ku, Kyoto 606-8507, Japan.
³ Department of Respiratory Medicine, Kyoto University Graduate School of Medicine, 54 Kawahara-cho, Shogoin, Sakyo-ku, Kyoto 606-8507, Japan.
⁴ Solutions Center for Health Insurance Claims, Kyoto University Hospital, 54 Kawahara-cho, Shogoin, Sakyo-ku, Kyoto 606-8507, Japan.
⁵ Department of Clinical Laboratory Medicine, Kyoto University Graduate School of Medicine, 54 Kawahara-cho, Shogoin, Sakyo-ku, Kyoto 606-8507, Japan.
⁶ Department of Thoracic Surgery, Kyoto University Graduate School of Medicine, 54 Kawahara-cho, Shogoin, Sakyo-ku, Kyoto 606-8507, Japan.
⁷ Department of Primary Care and Emergency Medicine, Kyoto University Graduate School of Medicine, 54 Kawahara-cho, Shogoin, Sakyo-ku, Kyoto 606-8507, Japan.
⁸ Department of Sleep Medicine and Respiratory Care, Division of Sleep Medicine, Department of Internal Medicine, Nihon University School of Medicine, 30-1 Ohyaguchi kami-cho, Itabashi-ku, Tokyo, 173-8610, Japan; Center for Genomic Medicine, Kyoto University Graduate School of Medicine, 54 Kawahara-cho, Shogoin, Sakyo-ku, Kyoto 606-8507, Japan. Electronic address: chin.kazuo@nihon-u.ac.jp.

Abstract

The Japanese government's latest manual on COVID-19 management mentions non-invasive ventilation (NIV). Before this version, we experienced three cases in which COVID-19 was a concern. Each case had one of the following conditions: obesity hypoventilation syndrome, amyotrophic lateral sclerosis, acute heart failure with acute kidney injury with hypercapnia. The guidelines indicate that patients with these diseases are good candidates for NIV. NIV was used in a negative pressure room with staff in personal protective equipment. We describe the use of NIV instruments with anti-viral filters and a non-vented mask, including a new NIV machine for COVID-19 respiratory care.

Keywords: Continuous positive airway pressure; High flow nasal cannula; Non-invasive positive pressure ventilation; Obstructive sleep apnea.

Publication types

Case Reports

MeSH terms

COVID-19*
Humans
Masks
Noninvasive Ventilation*
Pandemics
Respiratory Insufficiency* / etiology
Respiratory Insufficiency* / therapy
Ventilators, Mechanical