Diving mask adapted for non-invasive ventilation and prone position in a patient with severe covid-19: case report

Autores

  • Litiele Evelin Wagner Fisioterapeuta residente do Hospital Santa Cruz (HSC), Santa Cruz do Sul, Rio Grande do Sul, RS. http://orcid.org/0000-0002-3727-5732
  • Kemberly Godoy Basegio Enfermeira residente do Hospital Santa Cruz (HSC), Santa Cruz do Sul, Rio Grande do Sul, RS.
  • Carlos Fernando Drumond Dornelles Médico emergencista do Hospital Santa Cruz – HSC (HSC), Santa Cruz do Sul, Rio Grande do Sul, RS.
  • Rafael Foernges Médico Especialista em Medicina Intensiva pela Irmandade Santa Casa de Misericórdia de Porto Alegre, Rio Grande do Sul, RS.
  • Mari Ângela Gaedke Docente do Departamento de Ciências da Saúde da Universidade de Santa Cruz do Sul (UNISC), Santa Cruz do Sul, Rio Grande do Sul, RS.
  • Andréa Lúcia Gonçalves da Silva Docente do Departamento de Ciências da Saúde da Universidade de Santa Cruz do Sul (UNISC), Santa Cruz do Sul, Rio Grande do Sul, RS.
  • Dulciane Nunes Paiva Docente do Programa de Pós-Graduação Stricto Sensu em Promoção em Saúde da Universidade de Santa Cruz do Sul (UNISC), Santa Cruz do Sul, Rio Grande do Sul, RS.

DOI:

https://doi.org/10.17058/reci.v10i3.15402

Palavras-chave:

Coronavirus infections, respiratory insufficiency, noninvasive ventilation, pronation, Anticoagulants

Resumo

Justification and objectives: In the search of strategies to treat acute respiratory failure caused by COVID-19, non-invasive ventilation (NIV) and the use of prone position in spontaneous breathing appear. The objective is to present the case of a patient with severe COVID-19 admitted to an intensive care unit (ICU) who used an adapted diving mask, which is configured as an innovative interface for NIV, and the prone position. Methods: Case report of a hospitalized patient diagnosed with COVID-19 who underwent early NIV by means of an adapted diving mask and the prone position during spontaneous breathing for 8 hours at night and 6 hours in the day. Results: Female patient, 56 years old, systemic arterial hypertension and obesity, with dry cough, odynophagia, fatigue and severe dyspnea on admission. Chest tomography with bilateral ground-glass opacities. Non-invasive ventilation was instituted 1-2.75 times/day, for 40-60 minutes, with positive pressure at the end of expiration of 8 (7.25-8.00) cmH2O and support pressure of 5.5 (4.00 -6.00) cmH2O. Air leaks of 6 to 30%, with good tolerance. The prone position during spontaneous breathing resulted in increased peripheral oxygen saturation and reduced respiratory discomfort 30 minutes later. Conclusion: The association of the use of NIV with an adapted diving mask and prone position during spontaneous breathing proved to be effective in preventing the orotracheal intubation of a patient with severe COVID-19, emphasizing the importance of the proposed intervention.

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Biografia do Autor

Litiele Evelin Wagner, Fisioterapeuta residente do Hospital Santa Cruz (HSC), Santa Cruz do Sul, Rio Grande do Sul, RS.

Fisioterapeuta residente do Hospital Santa Cruz (HSC), Santa Cruz do Sul, Rio Grande do Sul, RS.

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Publicado

2020-08-07

Como Citar

Wagner, L. E., Basegio, K. G., Dornelles, C. F. D., Foernges, R., Gaedke, M. Ângela, da Silva, A. L. G., & Paiva, D. N. (2020). Diving mask adapted for non-invasive ventilation and prone position in a patient with severe covid-19: case report. Revista De Epidemiologia E Controle De Infecção, 10(3). https://doi.org/10.17058/reci.v10i3.15402

Edição

v. 10 n. 3 (2020)

Seção

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Licença

Copyright (c) 2020 Litiele Evelin Wagner, Kemberly Godoy Basegio, Carlos Fernando Drumond Dornelles, Rafael Foernges, Mari Ângela Gaedke, Andréa Lúcia Gonçalves da Silva, Dulciane Nunes Paiva

Creative Commons License
Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.

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