https://doi.org/10.4081/monaldi.2023.2510

Biphasic cuirass ventilation in the escalation of non-invasive ventilation in COVID-19: Case report and review

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Vol. 93 No. 4 (2023)
Published: January 19, 2023
Prolonged noninvasive ventilation, biphasic cuirass ventilation, withdrawal, mask intolerance, COVID
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Authors

Joana Almeida Borges
joana.p.a.borges@gmail.com
https://orcid.org/0000-0002-7445-8669
Pulmonology Department, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal.
Antonio M. Esquinas
Intensive Care Unit, Hospital Morales Meseguer, Murcia, Spain.

Ventilatory alternatives to prolong noninvasive ventilation in COVID-19 patients are attractive and poorly understood. New devices to deliver negative noninvasive ventilation as biphasic cuirass ventilation (BCV) have been introduced. BCV device assist in spontaneous breathing and support ventilation. We describe a case of the combination of BCV with high-flow nasal oxygenation (HFNO) in the treatment of a COVID-19 pneumonia patient that required prolonged NIV leading to face mask intolerance, ventilator dependency secondary to residual lung fibrosis and respiratory muscular weakness. BCV provides an efficient non-invasive approach in de-escalation of therapy and weaning of prolonged NIV.

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How to Cite

Almeida Borges, Joana, and Antonio M. Esquinas. 2023. “Biphasic Cuirass Ventilation in the Escalation of Non-Invasive Ventilation in COVID-19: Case Report and Review”. Monaldi Archives for Chest Disease 93 (4). https://doi.org/10.4081/monaldi.2023.2510.
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