COVID-19
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Individuals over the age of 18 years with type I respiratory failure with a suspected or confirmed diagnosis of pneumonia caused by COVID-19 who meet all of the following criteria: Adequate level of consciousness, In oxygen therapy with FiO2 ranging from 45% to 81%, with worsening oxygen flow. PaO2 / FIO2 <200 mmHg, PaCO2 equal to or less than 50 mmHg, Peripheral oxygen saturation (SpO2) <93% with an offer greater than 6 l/min, Relative contraindication of severe H; Hemodynamic stability
Exclusion criteria
Exclusion criteria: Patients who do not meet the inclusion criteria, who exhibit any absolute contraindication to the use of non-invasive mechanical ventilation and/or who exhibit the following conditions: Previous diagnosis of chronic obstructive pulmonary disease (COPD) with chronic CO2 retention or with its clinical characteristics according to the II Brazilian Consensus on Chronic Obstructive Pulmonary Disease of 2004, Tracheostomy, patients with proportional therapy criteria (palliatives), patients in circulatory shock, hypoxemia not related to viral pneumonia, patients with severe signs of hypoxemia: the central cyanosis; the lowered level of consciousness or severe psychomotor agitation; the FR > 35 and SpO2 < 80%.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| It is expected that the use of NIV (Non-invasive mechanical ventilation) will reduce the length of stay by 30%. | — |
Secondary
| Measure | Time frame |
|---|---|
| Borg Scale Reduction by 50%;Arterial blood gases are expected to remain at values ??between pH 7.35 and 7.45.;A 30% reduction in respiratory rate is expected.;Heart Rate is expected to remain at normal values ??between 70 to 90 bpm. | — |
Countries
Brazil