Just the Facts: What are the roles of oxygen escalation and noninvasive ventilation in COVID-19?

CJEM. 2020 Sep;22(5):587-590. doi: 10.1017/cem.2020.396.

Abstract

A 37-year-old female presents with cough, fever, dyspnea, and myalgias for five days after recent contact with a family member with confirmed 2019 coronavirus disease (COVID-19). Her vital signs include T 38.3° C, HR 108, BP 118/70 mm Hg, RR 26 breaths per minute, and oxygen saturation 67% on room air. She is not in respiratory distress currently and is protecting her airway. Her chest X-ray reveals bilateral airspace opacities. You plan to immediately intervene and address her hypoxia.

Keywords: Airway; COVID-19; critical care; emergency medicine.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Adult
  • Airway Management / methods
  • COVID-19
  • Canada
  • Coronavirus Infections / diagnosis
  • Coronavirus Infections / therapy*
  • Emergency Service, Hospital / statistics & numerical data
  • Female
  • Humans
  • Noninvasive Ventilation / methods*
  • Oxygen / blood*
  • Oxygen Consumption / physiology
  • Oxygen Inhalation Therapy / methods*
  • Pandemics
  • Pneumonia, Viral / diagnosis
  • Pneumonia, Viral / therapy*
  • Risk Assessment
  • Role
  • Severe Acute Respiratory Syndrome / diagnosis
  • Severe Acute Respiratory Syndrome / therapy*
  • Treatment Outcome
  • Vital Signs

Substances

  • Oxygen