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01-03-2023 | COVID-19 | What's New In Intensive Care

Helmet trials: resolving the puzzle

Authors: Yaseen M. Arabi, Bhakti K. Patel, Massimo Antonelli

Published in: Intensive Care Medicine | Issue 4/2023

Excerpt

Helmet noninvasive ventilation has been used in patients with acute hypoxemic respiratory failure for over two decades, and its use has increased during the coronavirus disease 19 (COVID-19) pandemic [1]. Compared with mask interface, the helmet interface has the advantage of delivering prolonged and uninterrupted treatment with higher levels of positive airway pressure [2]. Additionally, helmet use, compared with mask interface, is associated with less air leak, lower risk for skin injury, and lower aerosol generation [3, 4]. However, the use of helmet interface has not gained wide popularity because of the limited availability, increased cost, limited experience with its use, and the perceived intolerance of some patients to helmet interface due to claustrophobia. In this paper, we provide some insights into the differences in the design of three selected helmet trials to inform the interpretation of the findings [5‐7]. …

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Title: Helmet trials: resolving the puzzle
Authors: Yaseen M. Arabi
Bhakti K. Patel
Massimo Antonelli
Publication date: 01-03-2023
Publisher: Springer Berlin Heidelberg
Keywords: COVID-19
Non-Invasive Ventilation
Published in: Intensive Care Medicine / Issue 4/2023
Print ISSN: 0342-4642
Electronic ISSN: 1432-1238
DOI: https://doi.org/10.1007/s00134-023-07004-z

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Helmet trials: resolving the puzzle

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