Indian Journal of Critical Care Medicine

Register      Login

SEARCH WITHIN CONTENT

FIND ARTICLE

Volume / Issue

Online First

Archive
Related articles

VOLUME 25 , ISSUE 2 ( February, 2021 ) > List of Articles

CASE REPORT

Dual Oxygen Therapy in COVID-19 Patient: A Method to Improve Oxygenation

Ajeet Kumar, Kunal Singh

Keywords : Acute hypoxemic respiratory failure (AHRF), COVID-19, Noninvasive ventilation

Citation Information : Kumar A, Singh K. Dual Oxygen Therapy in COVID-19 Patient: A Method to Improve Oxygenation. Indian J Crit Care Med 2021; 25 (2):231-233.

DOI: 10.5005/jp-journals-10071-23725

License: CC BY-NC 4.0

Published Online: 22-02-2021

Copyright Statement:  Copyright © 2021; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Approximately 5–6% of patients diagnosed to have COVID-19 infection present with severe hypoxemia requiring invasive ventilation or non-invasive ventilation (NIV). Additional oxygen to patients on NIV can be given by nasal prong or by connecting oxygen tubing directly to the O2 pick-off port of the NIV mask or by connecting oxygen tubing to the single-limb circuit in between ventilator and patient. Dual oxygen therapy improves oxygenation in COVID-19 patients on NIV. This method may make the patient more comfortable, increase tolerance to NIV, increase the usefulness of NIV for moderate and severe COVID-19 acute respiratory distress syndrome (ARDS).


PDF Share
  1. Yang X, Yu Y, Xu J, Shu H, Xia J, Liu H, et al. Clinical course and outcomes of critically ill patients with SARS-CoV-2 pneumonia in Wuhan, China: a single-centered, retrospective, observational study. Lancet Respir Med 2020;8(5):475–481. DOI: 10.1016/S2213-2600(20)30079-5.
  2. Rochwerg B, Brochard L, Elliott MW, Hess D, Hill NS, Nava S, et al. Official ERS/ATS clinical practice guidelines: noninvasive ventilation for acute respiratory failure. Eur Respir J 2017;50(2):1602426. DOI: 10.1183/13993003.02426-2016.
  3. Liu X, Liu X, Xu Y, Xu Z, Huang Y, Chen S, et al. Ventilatory ratio in hypercapnic mechanically ventilated patients with COVID-19 associated ARDS. Am J Respir Crit Care Med 2020;201(10):1297–1299. DOI: 10.1164/rccm.202002-0373LE.
  4. Kumar A, Kumar L, Sinha C, Kumar N, Bhadani UK. Dual oxygen therapy in patient on bilevel positive airway pressure prevented invasive mechanical ventilation. Indian J Crit Care Med 2017;21(9):604–606. DOI: 10.4103/ijccm.IJCCM_199_17.
  5. Wan Y, Shang J, Graham R, Baric RS, Li F. Receptor recognition by the novel coronavirus from Wuhan: an analysis based on decade-long structural studies of SARS coronavirus. J Virol 2020 2020;94(7):e00127-20. DOI: 10.1128/JVI.00127-20.
  6. Schettino GP, Chatmongkolchart S, Hess DR, Kacmarek R. Position of exalation port and mask design affect CO2 rebreathing during non-invasive positive pressure ventilation. Crit Care Med 2003;31(8):2178–2182. DOI: 10.1097/01.CCM.0000081309.71887.E9.
  7. Gonzalez J, Sharshar T, Hart N, Chadda K, Raphae l JC, Lofaso F. Air leaks during mechanical ventilation as a cause of persistent hypercapnia in neuromuscular disorders. Intensive Care Med 2003;29:596–602. DOI: 10.1007/s00134-003-1659-5.
  8. Taccone P, Hess D, Caironi P, Bigatello LM. Continuous positive airway pressure delivered with a “helmet”: effects on carbon dioxide rebreathing. Crit Care Med 2004;32(10):2090–2096. DOI: 10.1097/01.ccm.0000142577.63316.c0.
  9. Gattinoni L, Coppola S, Cressoni M, Busana M, Rossi S, Chiumello D. COVID-19 does not lead to a “typical” acute respiratory distress syndrome. Am J Respir Crit Care Med 2020;201(10):1299–1300. DOI: 10.1164/rccm.202003-0817LE.
  10. Frat JP, Ragot S, Coudroy R, Constantin JM, Girault C, Prat G, et al. Predictors of intubation in patients with acute hypoxemic respiratory failure treated with a noninvasive oxygenation strategy. Crit Care Med 2018;46(2):208–215. DOI: 10.1097/CCM.0000000000002818.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.