Table 3.
General Management of COVID-19 Using Ventilatory Support (N= 502)*
Characteristics | Values |
---|---|
Initial flow setting of HFNC | |
● Below 30 L/m | 90 (17.9%) |
● From 30 to 45 L/m | 150 (29.9%) |
● More than 45 L/m | 80 (15.9%) |
Use of humidification with HFNC | 309 (61.6%) |
NIV modes | |
|
161 (32.1%) |
|
204 (40.6%) |
|
43 (8.6%) |
|
19 (3.8%) |
NIV interfaces frequently used | |
|
192 (38.2%) |
|
67 (13.3%) |
|
19 (3.8%) |
|
154 (30.7%) |
IMV modes | |
● APRV | 39 (7.8%) |
● PC | 175 (34.9%) |
● PRVC | 107 (21.3%) |
● VC | 181 (36.1%) |
Humidifier type used with IMV | |
● Heated circuit | 135 (26.9%) |
● HEPA | 11 (2.2%) |
● HME | 356 (70.9%) |
Ventilation strategy used in IMV | |
● Low VT ventilation (VT: 4–8 ml/kg of predicted body) | 481 (96%) |
● Higher VT ventilation (VT>8 ml/kg of predicted body weigh) | 20 (4%) |
PEEP strategy | |
● Lower PEEP (PEEP levels <10 cm H2O) | 182 (36.3%) |
● Higher PEEP (PEEP levels >10 cm H2O) | 320 (63.7%) |
Use of prone with IMV | 430 (85.7%) |
Prone duration | |
|
74 (14.7%) |
|
243 (48.4%) |
● >16 hours/day | 116 (23.1%) |
Reasons for not proning | |
● Limited resources | 61 (12.2%) |
● Lack of staff training | 71 (14.9%) |
● Complications | 67 (13.3%) |
● Not indicated | 64 (12.7%) |
Tried awake prone positioning | 232 (46.2%) |
Frequent use of nitric oxide | 61 (12.2%) |
Use inhaled pulmonary vasodilator | 191 (38%) |
Use of recruitment manoeuvres | 349 (69.5%) |
Recruitment manoeuvres used | |
● Stepwise PEEP adjustment | 214 (42.6%) |
● Inspiratory hold | 146 (29.1%) |
Use of (VV) ECMO | 97 (19.3%) |
Use of systemic corticosteroids | 323 (64.3%) |
Note: *All percentages are expressed corresponding to the total number of respondents.
Abbreviations: APRV, airway pressure release ventilation; BIPAP, bilevel positive airway pressure; CPAP/PS, continuous positive airway pressure/pressure support; HME, heat and moisture exchanger; HEPA, high-efficiency particulate air; PEEP, positive end-expiratory pressure; PC, pressure control; PRVC, pressure regulated volume control; Vt, tidal volume; VV, venovenous; VC, volume control.