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.