Comparison of the clinical outcomes of non-invasive ventilation by helmet vs facemask in patients with acute respiratory distress syndrome

<p dir="ltr">The main aim of this study is to compare the use of non-invasive ventilation (NIV) via helmet versus face mask where different interfaces and masks can apply NIV. However, some of the limitations of the NIV face mask were air leak, face mask intolerance, and requirement...

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Main Author: Mohamad Y. Khatib (11659459) (author)
Other Authors: Mohamed Z. Peediyakkal (21259718) (author), Moustafa S. Elshafei (11659426) (author), Hani S. Elzeer (21259721) (author), Dore C. Ananthegowda (11659444) (author), Muhsen A. Shahen (21259724) (author), Wael I. Abdaljawad (14778481) (author), Karimulla S. Shaik (14777197) (author), Nevin Kannappilly (14777149) (author), Ahmed S. Mohamed (11659456) (author), Ahmed A. Soliman (21259727) (author), Abdulqadir J. Nashwan (11659453) (author)
Published: 2021
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author Mohamad Y. Khatib (11659459)
author2 Mohamed Z. Peediyakkal (21259718)
Moustafa S. Elshafei (11659426)
Hani S. Elzeer (21259721)
Dore C. Ananthegowda (11659444)
Muhsen A. Shahen (21259724)
Wael I. Abdaljawad (14778481)
Karimulla S. Shaik (14777197)
Nevin Kannappilly (14777149)
Ahmed S. Mohamed (11659456)
Ahmed A. Soliman (21259727)
Abdulqadir J. Nashwan (11659453)
author2_role author
author
author
author
author
author
author
author
author
author
author
author_facet Mohamad Y. Khatib (11659459)
Mohamed Z. Peediyakkal (21259718)
Moustafa S. Elshafei (11659426)
Hani S. Elzeer (21259721)
Dore C. Ananthegowda (11659444)
Muhsen A. Shahen (21259724)
Wael I. Abdaljawad (14778481)
Karimulla S. Shaik (14777197)
Nevin Kannappilly (14777149)
Ahmed S. Mohamed (11659456)
Ahmed A. Soliman (21259727)
Abdulqadir J. Nashwan (11659453)
author_role author
dc.creator.none.fl_str_mv Mohamad Y. Khatib (11659459)
Mohamed Z. Peediyakkal (21259718)
Moustafa S. Elshafei (11659426)
Hani S. Elzeer (21259721)
Dore C. Ananthegowda (11659444)
Muhsen A. Shahen (21259724)
Wael I. Abdaljawad (14778481)
Karimulla S. Shaik (14777197)
Nevin Kannappilly (14777149)
Ahmed S. Mohamed (11659456)
Ahmed A. Soliman (21259727)
Abdulqadir J. Nashwan (11659453)
dc.date.none.fl_str_mv 2021-01-29T09:00:00Z
dc.identifier.none.fl_str_mv 10.1097/md.0000000000024443
dc.relation.none.fl_str_mv https://figshare.com/articles/journal_contribution/Comparison_of_the_clinical_outcomes_of_non-invasive_ventilation_by_helmet_vs_facemask_in_patients_with_acute_respiratory_distress_syndrome/28944596
dc.rights.none.fl_str_mv CC BY 4.0
info:eu-repo/semantics/openAccess
dc.subject.none.fl_str_mv Biomedical and clinical sciences
Clinical sciences
acute respiratory distress syndrome
coronavirus disease
facemask
helmet
non-invasive ventilation
dc.title.none.fl_str_mv Comparison of the clinical outcomes of non-invasive ventilation by helmet vs facemask in patients with acute respiratory distress syndrome
dc.type.none.fl_str_mv Text
Journal contribution
info:eu-repo/semantics/publishedVersion
text
contribution to journal
description <p dir="ltr">The main aim of this study is to compare the use of non-invasive ventilation (NIV) via helmet versus face mask where different interfaces and masks can apply NIV. However, some of the limitations of the NIV face mask were air leak, face mask intolerance, and requirement of high positive end expiratory pressure, which could be resolved with the use of the helmet NIV. NIV facemask will be applied as per the facial contour of the patient. NIV helmet is a transparent hood and size will be measured as per the head size. Both groups will have a standard protocol for titration of NIV.</p><p dir="ltr">Patients aged more than 18 years old and diagnosed with acute respiratory distress syndrome as per Berlin definition will be enrolled in the study after signing the informed consent. Subjects who met the inclusion criteria will receive 1 of the 2 interventions; blood gases, oxygenation status [Po2/Fio2] will be monitored in both groups. The time of intubation will be the main comparison factor among the 2 groups. The primary and secondary outcomes will be measured by the number of patients requiring endotracheal intubation after application of helmet device, Improvement of oxygenation defined as PaO2/FiO2 ≥ 200 or increase from baseline by 100, duration of mechanical ventilation via an endotracheal tube, intensive care unit length of stay, death from any cause during hospitalization at the time of enrolment, need for proning during the hospital stay, intensive care unit mortality, and the degree to which overt adverse effects of a drug can be tolerated by a patient including feeding tolerance.</p><h2>Other Information</h2><p dir="ltr">Published in: Medicine<br>License: <a href="http://creativecommons.org/licenses/by/4.0" target="_blank">http://creativecommons.org/licenses/by/4.0</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1097/md.0000000000024443" target="_blank">https://dx.doi.org/10.1097/md.0000000000024443</a></p>
eu_rights_str_mv openAccess
id Manara2_34165c8ab171d9678a82198e11eba341
identifier_str_mv 10.1097/md.0000000000024443
network_acronym_str Manara2
network_name_str Manara2
oai_identifier_str oai:figshare.com:article/28944596
publishDate 2021
repository.mail.fl_str_mv
repository.name.fl_str_mv
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rights_invalid_str_mv CC BY 4.0
spelling Comparison of the clinical outcomes of non-invasive ventilation by helmet vs facemask in patients with acute respiratory distress syndromeMohamad Y. Khatib (11659459)Mohamed Z. Peediyakkal (21259718)Moustafa S. Elshafei (11659426)Hani S. Elzeer (21259721)Dore C. Ananthegowda (11659444)Muhsen A. Shahen (21259724)Wael I. Abdaljawad (14778481)Karimulla S. Shaik (14777197)Nevin Kannappilly (14777149)Ahmed S. Mohamed (11659456)Ahmed A. Soliman (21259727)Abdulqadir J. Nashwan (11659453)Biomedical and clinical sciencesClinical sciencesacute respiratory distress syndromecoronavirus diseasefacemaskhelmetnon-invasive ventilation<p dir="ltr">The main aim of this study is to compare the use of non-invasive ventilation (NIV) via helmet versus face mask where different interfaces and masks can apply NIV. However, some of the limitations of the NIV face mask were air leak, face mask intolerance, and requirement of high positive end expiratory pressure, which could be resolved with the use of the helmet NIV. NIV facemask will be applied as per the facial contour of the patient. NIV helmet is a transparent hood and size will be measured as per the head size. Both groups will have a standard protocol for titration of NIV.</p><p dir="ltr">Patients aged more than 18 years old and diagnosed with acute respiratory distress syndrome as per Berlin definition will be enrolled in the study after signing the informed consent. Subjects who met the inclusion criteria will receive 1 of the 2 interventions; blood gases, oxygenation status [Po2/Fio2] will be monitored in both groups. The time of intubation will be the main comparison factor among the 2 groups. The primary and secondary outcomes will be measured by the number of patients requiring endotracheal intubation after application of helmet device, Improvement of oxygenation defined as PaO2/FiO2 ≥ 200 or increase from baseline by 100, duration of mechanical ventilation via an endotracheal tube, intensive care unit length of stay, death from any cause during hospitalization at the time of enrolment, need for proning during the hospital stay, intensive care unit mortality, and the degree to which overt adverse effects of a drug can be tolerated by a patient including feeding tolerance.</p><h2>Other Information</h2><p dir="ltr">Published in: Medicine<br>License: <a href="http://creativecommons.org/licenses/by/4.0" target="_blank">http://creativecommons.org/licenses/by/4.0</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1097/md.0000000000024443" target="_blank">https://dx.doi.org/10.1097/md.0000000000024443</a></p>2021-01-29T09:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.1097/md.0000000000024443https://figshare.com/articles/journal_contribution/Comparison_of_the_clinical_outcomes_of_non-invasive_ventilation_by_helmet_vs_facemask_in_patients_with_acute_respiratory_distress_syndrome/28944596CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/289445962021-01-29T09:00:00Z
spellingShingle Comparison of the clinical outcomes of non-invasive ventilation by helmet vs facemask in patients with acute respiratory distress syndrome
Mohamad Y. Khatib (11659459)
Biomedical and clinical sciences
Clinical sciences
acute respiratory distress syndrome
coronavirus disease
facemask
helmet
non-invasive ventilation
status_str publishedVersion
title Comparison of the clinical outcomes of non-invasive ventilation by helmet vs facemask in patients with acute respiratory distress syndrome
title_full Comparison of the clinical outcomes of non-invasive ventilation by helmet vs facemask in patients with acute respiratory distress syndrome
title_fullStr Comparison of the clinical outcomes of non-invasive ventilation by helmet vs facemask in patients with acute respiratory distress syndrome
title_full_unstemmed Comparison of the clinical outcomes of non-invasive ventilation by helmet vs facemask in patients with acute respiratory distress syndrome
title_short Comparison of the clinical outcomes of non-invasive ventilation by helmet vs facemask in patients with acute respiratory distress syndrome
title_sort Comparison of the clinical outcomes of non-invasive ventilation by helmet vs facemask in patients with acute respiratory distress syndrome
topic Biomedical and clinical sciences
Clinical sciences
acute respiratory distress syndrome
coronavirus disease
facemask
helmet
non-invasive ventilation