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Mandal M, Mazza M, Esquinas AM. High-flow nasal oxygen in severe COVID-19 pneumonia and tocilizumab. Infect Dis Now 2022; 52:324-325. [PMID: 35537687 PMCID: PMC9077897 DOI: 10.1016/j.idnow.2022.04.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2022] [Accepted: 04/29/2022] [Indexed: 11/01/2022]
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Saini AS, Meredith S, Esquinas AM, Mina BA. HFNC and non-invasive ventilation: effects on alveolar recruitment-overdistention. ERJ Open Res 2022; 8:00127-2022. [PMID: 35769421 PMCID: PMC9234439 DOI: 10.1183/23120541.00127-2022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2022] [Accepted: 04/06/2022] [Indexed: 11/05/2022] Open
Abstract
We have read with great interest a study recently published in ERJ Open Research that analysed the ability of high-flow nasal cannula (HFNC) and noninvasive ventilation (NIV) to induce pulmonary expansion in acute hypoxaemic respiratory failure [1]. We would like to congratulate Artaud-Macariet al. [1] for their interesting observation using end-expiratory electrical lung impedance as a measuring tool. NIV certainly affects both dependent and non-dependent lung regions, which could increase tidal volume (VT) to >9.5 mL per kg predicted body weight and potentially exacerbate acute hypoxaemic respiratory failure. The authors concluded that, compared to NIV, HFNC contributes to lower risk of overdistension and fewer deleterious effects on global and regional VT, because the end-expiratory electrical lung impedance does not increase in non-dependent regions. Other studies, however, argue that HFNC may have similar negative effects to NIV, supported by four well-known determinants, as follows. Both high-flow nasal cannula and noninvasive ventilation are subject to pulmonary complicationshttps://bit.ly/3jFCSG9
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Di Costanzo D, Meredith S, Mina B, Esquinas AM. Insights About the Human-Centered Design Analysis as a Tool to Improving Patients' Tolerance with Non-Invasive Ventilation. CHRONIC OBSTRUCTIVE PULMONARY DISEASES (MIAMI, FLA.) 2022; 9:274-276. [PMID: 35397200 PMCID: PMC9166330 DOI: 10.15326/jcopdf.2022.0295] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
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Karim HMR, Bhakta P, Esquinas AM, Bithal PK. High-flow nasal cannula oxygenation for awake craniotomy in patients with obesity: looking beyond oxygenation. Anesth Pain Med (Seoul) 2022; 17:245. [PMID: 35538656 PMCID: PMC9091675 DOI: 10.17085/apm.22153] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2022] [Accepted: 04/07/2022] [Indexed: 11/25/2022] Open
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Fiorentino G, Hadda V, Mazza M, Esquinas AM. Awake Prone Position During Noninvasive Ventilation in COVID-19: Doubts Need Addressal. Respir Care 2022; 67:500-501. [PMID: 35338099 PMCID: PMC9994012 DOI: 10.4187/respcare.09992] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
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56
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De Giorgi F, Greco P, Spadaro S, Scutiero G, Mari M, Santi E, Carnevale A, Ferraresi A, Marangoni E, Volta CA, Esquinas AM, Scaramuzzo G. Recurrent pneumothorax after cesarean delivery in the critically ill pregnant with severe COVID-19 ARDS: a case report. EUROPEAN REVIEW FOR MEDICAL AND PHARMACOLOGICAL SCIENCES 2022; 26:1765-1769. [PMID: 35302229 DOI: 10.26355/eurrev_202203_28247] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
OBJECTIVE Few data are available on the ICU management and on the possible respiratory complications of invasively ventilated pregnant patients affected by COVID-19 pneumonia, especially in the early phase of pregnancy. Tension pneumothorax has been previously described as a rare cause of respiratory failure after delivery, but its occurrence in the postpartum of COVID-19 patient has not been reported yet. We hereby describe the ICU management of a 23rd gestational week pregnant woman who underwent invasive mechanical ventilation, prone positioning, and cesarean delivery during her ICU stay for COVID-19 related pneumonia. Moreover, we focused on the occurrence and management of recurrent tension pneumothorax after the cesarean delivery. CASE REPORT A 23rd gestational week pregnant woman was admitted to the ICU for a COVID-19 bilateral pneumonia and underwent invasive mechanical ventilation and prone positioning. Cesarean delivery was planned during the ICU stay, while the patient was receiving invasive mechanical ventilation. After delivery, the patient experienced a recurrent pneumothorax that required the positioning of multiple chest drains. CONCLUSIONS In pregnant critically ill COVID-19 patients, mechanical ventilation management is particularly challenging, especially in the postpartum period. Prone positioning is feasible and can improve oxygenation and respiratory system compliance, while tension pneumothorax must be suspected if the respiratory function suddenly deteriorates after delivery.
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Mazza M, Di Costanzo D, Esquinas AM. Respiratory rate index utility in high-flow nasal cannula oxygen therapy in COVID-19 pneumonia; what are the perfect boundaries? Respir Investig 2022; 60:612. [PMID: 35396194 PMCID: PMC8960153 DOI: 10.1016/j.resinv.2022.02.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/22/2022] [Accepted: 02/25/2022] [Indexed: 10/27/2022]
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Gómez-Ríos MÁ, Casans-Francés R, Abad-Gurumeta A, Esquinas AM. Use of the video laryngoscopy in intensive care units. Med Intensiva 2022; 46:61-62. [PMID: 34991876 DOI: 10.1016/j.medine.2020.04.014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/02/2020] [Accepted: 04/25/2020] [Indexed: 06/14/2023]
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Notaro S, Karim HMR, Esquinas AM. Methodological Insight to the High-Flow Nasal Cannula Oxygenation in Elderly Undergoing Endoscopic Retrograde Cholangiopancreatography. Dig Dis Sci 2022; 67:4593-4595. [PMID: 35394593 PMCID: PMC8992402 DOI: 10.1007/s10620-022-07479-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/16/2022] [Accepted: 03/04/2022] [Indexed: 12/09/2022]
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Esquinas AM, Bhattacharya D, Mandal M. Mechanical Ventilation in COVID-19 Patients: a question from Age to Frailty. Aging Dis 2022; 14:256-257. [PMID: 37008046 PMCID: PMC10017142 DOI: 10.14336/ad.2022.0819] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/22/2022] [Accepted: 08/19/2022] [Indexed: 11/18/2022] Open
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Karim HMR, Araújo MJ, Esquinas AM. Noninvasive ventilation duration as an outcome predictor in acute exacerbation of COPD and respiratory failure: The saga continues. CANADIAN JOURNAL OF RESPIRATORY THERAPY : CJRT = REVUE CANADIENNE DE LA THERAPIE RESPIRATOIRE : RCTR 2021; 57:147. [PMID: 34761102 PMCID: PMC8555524 DOI: 10.29390/cjrt-2021-069] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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Alhamad BR, Esquinas AM. High Flow Nasal Cannula in Pediatric Intensive Care Unit: Still an Open Question [Letter]. Pediatric Health Med Ther 2021; 12:519-520. [PMID: 34849048 PMCID: PMC8627321 DOI: 10.2147/phmt.s344374] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/14/2021] [Accepted: 11/02/2021] [Indexed: 11/23/2022] Open
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Sarmet M, Dorça A, Zeredo JL, Esquinas AM. Letter to the Editor regarding "Dysphagia in non-intubated patients affected by COVID-19 infection". Eur Arch Otorhinolaryngol 2021; 279:537-538. [PMID: 34559271 PMCID: PMC8475437 DOI: 10.1007/s00405-021-07100-0] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/14/2021] [Accepted: 09/16/2021] [Indexed: 12/17/2022]
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Sarc I, Ziherl K, Esquinas AM. FIO2 , PaO2 , or Else - What Matters in Noninvasive Ventilation in Stable COPD? Respir Care 2021; 66:1368-1370. [PMID: 34301861 PMCID: PMC9994369 DOI: 10.4187/respcare.08560] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
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Gonçalves G, Saeed H, Abdelrahim ME, Harb HS, Madney YM, Eng K, Karim HMR, El-Khatib M, Mina B, Skoczyński S, Sarc I, Caldeira V, Cabral SM, Cabrita B, Guia M, Duan J, Barjaktarevic I, Fiorentino G, Piervincenzi E, Köksal G, Sarin SO, Papadakos PJ, Bayrakci B, Hadda V, Laier-Groeneveld G, Burns KEA, Scala R, Alcaraz AC, Esquinas AM. Non-invasive ventilation in patients with an altered level of consciousness. A clinical review and practical insights. Adv Respir Med 2021; 88:233-244. [PMID: 32706107 DOI: 10.5603/arm.2020.0110] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/27/2020] [Revised: 05/09/2020] [Accepted: 05/12/2020] [Indexed: 11/25/2022]
Abstract
Non-invasive ventilation has gained an increasingly pivotal role in the treatment of acute hypoxemic and/or hypercapnic respira-tory failure and offers multiple advantages over invasive mechanical ventilation. Some of these advantages include the preserva-tion of airway defense mechanisms, a reduced need for sedation, and an avoidance of complications related to endotracheal intubation. Despite its advantages, non-invasive ventilation has some contraindications that include, among them, severe encephalopathy. In this review article, the rationale, evidence, and drawbacks of the use of noninvasive ventilation in the context of hypercapnic and non-hypercapnic patients with an altered level of consciousness are analyzed.
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Fiorentino G, Esquinas AM, Piervincenzi E. Insights About Prone and Lateral Positioning in Spontaneously Breathing Patients With COVID-19 Pneumonia Undergoing Noninvasive Helmet CPAP Treatment. Chest 2021; 159:2506-2507. [PMID: 34099135 PMCID: PMC8175939 DOI: 10.1016/j.chest.2020.12.058] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/26/2020] [Revised: 12/08/2020] [Accepted: 12/10/2020] [Indexed: 11/04/2022] Open
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Mandal M, Bhattacharya D, Esquinas AM. Diaphragm and Lung Ultrasound Indices in Prediction of Outcome of Weaning from Mechanical Ventilation in Pediatric Intensive Care Unit: Correspondence. Indian J Pediatr 2021; 88:627. [PMID: 33394297 DOI: 10.1007/s12098-020-03575-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/13/2020] [Accepted: 11/18/2020] [Indexed: 11/30/2022]
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68
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Gómez-Ríos MÁ, Gómez-Ríos D, Xu Z, Esquinas AM. Airway management in obese patients. Braz J Anesthesiol 2021; 71:305-306. [PMID: 33958183 PMCID: PMC9373674 DOI: 10.1016/j.bjane.2020.12.017] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/03/2020] [Revised: 11/29/2020] [Accepted: 12/08/2020] [Indexed: 11/16/2022] Open
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Bhakta P, Reazaul Karim HM, Mandal M, O'Brien B, Esquinas AM. Barotrauma in covid - Causes and consequences. Ann Med Surg (Lond) 2021; 64:102189. [PMID: 33688428 PMCID: PMC7931731 DOI: 10.1016/j.amsu.2021.102189] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2021] [Accepted: 02/17/2021] [Indexed: 11/06/2022] Open
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Karim HMR, Esquinas AM. Our insight about Mukhtar et al.'s outcome of non-invasive ventilation in COVID-19 critically ill patients. Anaesth Crit Care Pain Med 2021; 40:100781. [PMID: 33197639 PMCID: PMC7664590 DOI: 10.1016/j.accpm.2020.09.012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/13/2020] [Revised: 09/24/2020] [Accepted: 09/24/2020] [Indexed: 02/05/2023]
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71
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Tetiker S, Türktan M, Esquinas AM. Predictors of survival after prolonged weaning from mechanical ventilation. J Crit Care 2020; 63:269. [PMID: 33279334 DOI: 10.1016/j.jcrc.2020.11.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/08/2020] [Accepted: 11/19/2020] [Indexed: 11/26/2022]
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72
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Karim HMR, Bhakta P, O'Brien B, Esquinas AM. Despite Its Association With Less Postoperative Respiratory Failure, the Superiority of Sugammadex Over Neostigmine Remains Questionable. Anesth Analg 2020; 131:e78-e79. [PMID: 33031672 DOI: 10.1213/ane.0000000000004862] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
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73
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Madney YM, Esquinas AM, Saeed H, Harb HS, Abdelrahim MEA. Improving the Safety of High-Flow Therapies in the Management of Patients With COVID-19. Chest 2020; 158:1788-1789. [PMID: 33036099 PMCID: PMC7533713 DOI: 10.1016/j.chest.2020.06.040] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/29/2020] [Accepted: 06/06/2020] [Indexed: 12/12/2022] Open
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Harb HS, Saeed H, Madney YM, Abdelrahman MA, Osama H, Esquinas AM, Abdelrahim ME. Update efficacy of aerosol therapy with noninvasive ventilator approach (non-invasive ventilation and nasal high flow). J Drug Deliv Sci Technol 2020. [DOI: 10.1016/j.jddst.2020.101922] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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75
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Karim HMR, Bhakta P, Esquinas AM. An enquiry to Choi et al.'s surgical outcome and prognosis of lung cancer in patients with chronic lung disease. Eur J Cardiothorac Surg 2020; 59:ezaa298. [PMID: 32986809 DOI: 10.1093/ejcts/ezaa298] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/10/2020] [Accepted: 07/18/2020] [Indexed: 11/12/2022] Open
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