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Clinical Consensus Recommendations Regarding Non-Invasive Respiratory Support in the Adult Patient with Acute Respiratory Failure Secondary to SARS-CoV-2 infection.
Rev Esp Anestesiol Reanim (Engl Ed). 2020 May; 67(5):261-270.RE

Abstract

Coronavirus disease 2019 (COVID-19) is a respiratory tract infection caused by a newly emergent coronavirus, that was first recognized in Wuhan, China, in December 2019. Currently, the World Health Organization (WHO) has defined the infection as a global pandemic and there is a health and social emergency for the management of this new infection. While most people with COVID-19 develop only mild or uncomplicated illness, approximately 14% develop severe disease that requires hospitalization and oxygen support, and 5% require admission to an intensive care unit. In severe cases, COVID-19 can be complicated by the acute respiratory distress syndrome (ARDS), sepsis and septic shock, and multiorgan failure. This consensus document has been prepared on evidence-informed guidelines developed by a multidisciplinary panel of health care providers from four Spanish scientific societies (Spanish Society of Intensive Care Medicine [SEMICYUC], Spanish Society of Pulmonologists [SEPAR], Spanish Society of Emergency [SEMES], Spanish Society of Anesthesiology, Reanimation, and Pain [SEDAR]) with experience in the clinical management of patients with COVID-19 and other viral infections, including SARS, as well as sepsis and ARDS. The document provides clinical recommendations for the noninvasive respiratory support (noninvasive ventilation, high flow oxygen therapy with nasal cannula) in any patient with suspected or confirmed presentation of COVID-19 with acute respiratory failure. This consensus guidance should serve as a foundation for optimized supportive care to ensure the best possible chance for survival and to allow for reliable comparison of investigational therapeutic interventions as part of randomized controlled trials.

Authors+Show Affiliations

Dirección General de Asistencia Sanitaria, Servicio Murciano de Salud. Director del Máster Oficial en Medicina de Urgencias y Emergencias, Murcia, España.Servicio de Medicina Intensiva y Grandes Quemados, Hospital Universitario de Getafe. CIBER de Enfermedades Respiratorias, CIBERES, Getafe, Madrid, España.Servicio de Neumología, Hospital de Sabadell, Corporació Parc Taulí, Universitat Autònoma de Barcelona. Centro de Investigación Biomédica en Red (CIBERES), Sabadell, Barcelona, España. Electronic address: mlujan@tauli.cat.Unidad Funcional de Sueño, Hospital Universitario ARaba. OSI araba, Vitoria-Gasteiz, España.Servicio de Neumología, Hospital San Pedro de Alcántara. CIBER de Enfermedades Respiratorias (CIBERES). Instituto Universitario de Investigación Biosanitaria de Extremadura (INUBE), Cáceres, España.Servicio de Anestesia, Cuidados Críticos Quirúrgicos y Dolor, Hospital Universitario Puerta de Hierro, Madrid, España.Servicio de Urgencias, Unidad de Corta Estancia y Hospitalización a Domicilio, Hospital General de Alicante, Instituto de Investigación Sanitaria y Biomédica de Alicante (ISABIAL-Fundación FISABIO), Alicante, España.Jefe Asociado de Neumología, responsable de la UCIR, Hospital Universitario Fundación Jiménez Díaz. CIBERES, REVA, EMDOS, Madrid, España.Servei de Pneumologia, Institut Clínic de Respiratori, Hospital Clínic de Barcelona, IDIBAPS, CibeRes (CB06/06/0028), Universitat de Barcelona, Barcelona, España.Servicio de Urgencias, Hospital Royo Villanova, Zaragoza, España.Servicio de Urgencias, Parc Taulí Hospital Universitari, Sabadell, Barcelona, España.Servicio de Urgencias, Hospital General de Villarrobledo, Villarrobledo, Albacete, España.Médico de Emergencias GUETS, SESCAM. Coordinador docente Eliance, España.Médico Adjunto de Urgencias, Hospital Ramón y Cajal, Madrid, España.Unidad de Sueño y Ventilación, Neumología, Hospital Universitario Marqués de Valdecilla, IDIVAL, Universidad de Cantabria, Santander, España.Servei de Pneumologia, Hospital Universitari de Bellvitge, Hospitalet de Llobregat, Barcelona, España.Unidad del Sueño, Neumología, Hospital Universitario de Guadalajara, Guadalajara, España.Servicio de Medicina Intensiva, Hospital Universitari Son Llàtzer, Palma de Mallorca, España.Servei de Medicina Intensiva, Hospital de Sant Joan Despí Moisès Broggi, Hospital General d'Hospitalet, Sant Joan Despí, Barcelona, España.Servicio de Medicina Intensiva, Hospital Universitario Virgen de la Salud, Toledo, España.Área de Críticos, Corporació Sanitària i Universitària Parc Taulí. CIBER Enfermedades Respiratorias (CIBERES). Instituto de Salud Carlos III, Sabadell, Barcelona, España.Servicio de Medicina Intensiva, Hospital Universitario Vall d'Hebron, Institut de Recerca Vall d'Hebron, Universitat Autònoma de Barcelona. Ciber Enfermedades Respiratorias (CIBERES), Instituto de Salud Carlos III, Barcelona, España.Servicio de Medicina Intensiva, Hospital Universitario Vall d'Hebron, Shock, Organ Dysfunction and Resuscitation Research Group, Vall d'Hebron Institut de Recerca. CIBER de Enfermedades Respiratorias, CIBERES, Barcelona, España.Servicio de Anestesia y Reanimación, Hospital Universitario Puerta de Hierro, Madrid, España.Jefe de Sección Área de Cuidados Intensivos Quirúrgicos, Servicio de Anestesia y Cuidados Intensivos, Hospital Clínic, Barcelona, España.

Pub Type(s)

Practice Guideline

Language

eng spa

PubMed ID

32307151

Citation

Cinesi Gómez, C, et al. "Clinical Consensus Recommendations Regarding Non-Invasive Respiratory Support in the Adult Patient With Acute Respiratory Failure Secondary to SARS-CoV-2 Infection." Revista Espanola De Anestesiologia Y Reanimacion, vol. 67, no. 5, 2020, pp. 261-270.
Cinesi Gómez C, Peñuelas Rodríguez Ó, Luján Torné ML, et al. Clinical Consensus Recommendations Regarding Non-Invasive Respiratory Support in the Adult Patient with Acute Respiratory Failure Secondary to SARS-CoV-2 infection. Rev Esp Anestesiol Reanim (Engl Ed). 2020;67(5):261-270.
Cinesi Gómez, C., Peñuelas Rodríguez, Ó., Luján Torné, M. L., Egea Santaolalla, C., Masa Jiménez, J. F., García Fernández, J., Carratalá Perales, J. M., Heili-Frades, S. B., Ferrer Monreal, M., de Andrés Nilsson, J. M., Lista Arias, E., Sánchez Rocamora, J. L., Garrote, J. I., Zamorano Serrano, M. J., González Martínez, M., Farrero Muñoz, E., Mediano San Andrés, O., Rialp Cervera, G., Mas Serra, A., ... Ferrando Ortola, C. (2020). Clinical Consensus Recommendations Regarding Non-Invasive Respiratory Support in the Adult Patient with Acute Respiratory Failure Secondary to SARS-CoV-2 infection. Revista Espanola De Anestesiologia Y Reanimacion, 67(5), 261-270. https://doi.org/10.1016/j.redar.2020.03.006
Cinesi Gómez C, et al. Clinical Consensus Recommendations Regarding Non-Invasive Respiratory Support in the Adult Patient With Acute Respiratory Failure Secondary to SARS-CoV-2 Infection. Rev Esp Anestesiol Reanim (Engl Ed). 2020;67(5):261-270. PubMed PMID: 32307151.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Clinical Consensus Recommendations Regarding Non-Invasive Respiratory Support in the Adult Patient with Acute Respiratory Failure Secondary to SARS-CoV-2 infection. AU - Cinesi Gómez,C, AU - Peñuelas Rodríguez,Ó, AU - Luján Torné,M L, AU - Egea Santaolalla,C, AU - Masa Jiménez,J F, AU - García Fernández,J, AU - Carratalá Perales,J M, AU - Heili-Frades,S B, AU - Ferrer Monreal,M, AU - de Andrés Nilsson,J M, AU - Lista Arias,E, AU - Sánchez Rocamora,J L, AU - Garrote,J I, AU - Zamorano Serrano,M J, AU - González Martínez,M, AU - Farrero Muñoz,E, AU - Mediano San Andrés,O, AU - Rialp Cervera,G, AU - Mas Serra,A, AU - Hernández Martínez,G, AU - de Haro López,C, AU - Roca Gas,O, AU - Ferrer Roca,R, AU - Romero Berrocal,A, AU - Ferrando Ortola,C, Y1 - 2020/04/16/ PY - 2020/4/21/pubmed PY - 2020/5/22/medline PY - 2020/4/21/entrez KW - Aerosol-generating procedures KW - Control de infección. KW - High-flow nasal therapy KW - Infection control KW - Non-invasive mechanical ventilation KW - Procedimientos generadores de aerosoles KW - Terapia nasal de alto flujo KW - Ventilación mecánica no invasiva SP - 261 EP - 270 JF - Revista espanola de anestesiologia y reanimacion JO - Rev Esp Anestesiol Reanim (Engl Ed) VL - 67 IS - 5 N2 - Coronavirus disease 2019 (COVID-19) is a respiratory tract infection caused by a newly emergent coronavirus, that was first recognized in Wuhan, China, in December 2019. Currently, the World Health Organization (WHO) has defined the infection as a global pandemic and there is a health and social emergency for the management of this new infection. While most people with COVID-19 develop only mild or uncomplicated illness, approximately 14% develop severe disease that requires hospitalization and oxygen support, and 5% require admission to an intensive care unit. In severe cases, COVID-19 can be complicated by the acute respiratory distress syndrome (ARDS), sepsis and septic shock, and multiorgan failure. This consensus document has been prepared on evidence-informed guidelines developed by a multidisciplinary panel of health care providers from four Spanish scientific societies (Spanish Society of Intensive Care Medicine [SEMICYUC], Spanish Society of Pulmonologists [SEPAR], Spanish Society of Emergency [SEMES], Spanish Society of Anesthesiology, Reanimation, and Pain [SEDAR]) with experience in the clinical management of patients with COVID-19 and other viral infections, including SARS, as well as sepsis and ARDS. The document provides clinical recommendations for the noninvasive respiratory support (noninvasive ventilation, high flow oxygen therapy with nasal cannula) in any patient with suspected or confirmed presentation of COVID-19 with acute respiratory failure. This consensus guidance should serve as a foundation for optimized supportive care to ensure the best possible chance for survival and to allow for reliable comparison of investigational therapeutic interventions as part of randomized controlled trials. SN - 2341-1929 UR - https://www.unboundmedicine.com/medline/citation/32307151/Clinical_Consensus_Recommendations_Regarding_Non_Invasive_Respiratory_Support_in_the_Adult_Patient_with_Acute_Respiratory_Failure_Secondary_to_SARS_CoV_2_infection_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0034-9356(20)30078-5 DB - PRIME DP - Unbound Medicine ER -