Research Article

Non-Invasive Mechanical Ventilation in Acute Respiratory Failure: Helmet Interface

Abstract

Background: Non-invasive mechanical ventilation is one of the most used organ support measures in critical care medicine. Hemet interface has been implemented in everyday practice at ICUs later than classic means of delivery for NIV including face mask. We used helmet interface for first time at ICU and recorded CPAP setting and outcome.
Methods: Helmet was used for 9 patients and any complication or side effects were recorded. Also nurses first experience of using the helmet has recorded in a survey.
Results: No skin lesion, vomiting, and air leaking were recorded. Also none of the patients complained about claustrophobia, dyspnea, pain, or feeling hot while the helmet was in use. In addition, nursing was easier while using a helmet than it was with face mask.
Conclusion: The overall first time use of helmet interface in our department gave us a positive feedback, but more data need to be collected for more effective way of applying  NIV and specifically helmet interface.

[1] Keenan SP, Sinuff T, Burns KE, Muscedere J, Kutsogiannis J, Mehta S, et al. Clinical practice guidelines for the use of noninvasive positive-pressure ventilation and noninvasive continuous positive airway pressure in the acute care setting. CMAJ. 2011;183(3):E195-214.
[2] Brochard L, Isabey D, Harf A, Lemaire F. [Non-invasive ventilation in acute respiratory insufficiency in chronic obstructive bronchopneumopathy]. Rev Mal Respir. 1995;12(2):111-7.
[3] Raoof S, Nava S, Carpati C, Hill NS. High-Flow, Noninvasive Ventilation and Awake (Nonintubation) Proning in Patients With Coronavirus Disease 2019 With Respiratory Failure. Chest. 2020; 158(5):1992-2002.
[4] Liu Q, Lu H, Shan M, Wang W, Zhu C, Chen R, et al. [Non-invasive ventilation with helmet in patients with respiratory failure caused by acute exacerbation of chronic obstructive pulmonary disease]. Zhonghua Wei Zhong Bing Ji Jiu Yi Xue. 2020; 32(1):14-19.
[5] Antonelli M, Pennisi MA, Pelosi P, Gregoretti C, Squadrone V, Rocco M, et al. Noninvasive positive pressure ventilation using a helmet in patients with acute exacerbation of chronic obstructive pulmonary disease: a feasibility study. Anesthesiology. 2004; 100(1): 16-24.
Files
IssueVol 8 No 4 (2022): Autumn QRcode
SectionResearch Article(s)
DOI https://doi.org/10.18502/aacc.v8i4.10176
Keywords
Non-invasive mechanical ventilation Helmet Covid-19 Acute respiratory failure
Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
1.
Sadrossadat SS. Non-Invasive Mechanical Ventilation in Acute Respiratory Failure: Helmet Interface. Arch Anesth & Crit Care. 2022;8(4):295-297.