Is continuous positive airway pressure (CPAP) a new standard of care for type 1 respiratory failure in COVID-19 patients? A retrospective observational study of a dedicated COVID-19 CPAP service



Nightingale, Rebecca, Nwosu, Nneka, Kutubudin, Farheen, Fletcher, Tom, Lewis, Joe ORCID: 0000-0002-3837-5188, Frost, Frederick ORCID: 0000-0002-3902-6502, Haigh, Kathryn ORCID: 0000-0003-1901-7315, Robinson, Ryan, Kumar, Ayesha, Jones, Gareth
et al (show 7 more authors) (2020) Is continuous positive airway pressure (CPAP) a new standard of care for type 1 respiratory failure in COVID-19 patients? A retrospective observational study of a dedicated COVID-19 CPAP service. BMJ open respiratory research, 7 (1).

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Abstract

The aim of this case series is to describe and evaluate our experience of continuous positive airway pressure (CPAP) to treat type 1 respiratory failure in patients with COVID-19. CPAP was delivered in negative pressure rooms in the newly repurposed infectious disease unit. We report a cohort of 24 patients with type 1 respiratory failure and COVID-19 admitted to the Royal Liverpool Hospital between 1 April and 30 April 2020. Overall, our results were positive; we were able to safely administer CPAP outside the walls of a critical care or high dependency unit environment and over half of patients (58%) avoided mechanical ventilation and a total of 19 out of 24 (79%) have survived and been discharged from our care.

Item Type: Article
Depositing User: Symplectic Admin
Date Deposited: 17 Jul 2020 09:27
Last Modified: 04 Jun 2021 00:15
DOI: 10.1136/bmjresp-2020-000639
Related URLs:
URI: https://livrepository.liverpool.ac.uk/id/eprint/3094330