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Controversies and challenges in respiratory medicine
COVID-19: community CPAP and NIV should be stopped unless medically necessary to support life
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Dear Editor,
Data from the severe acute respiratory syndrome coronavirus 1 (SARS-CoV-1) outbreak suggest high viral load at the time of transmission is associated with worse clinical outcomes.1 Non-invasive ventilation (NIV), including CPAP, is currently listed by the WHO as a high-risk aerosol-generating procedure putting healthcare workers at risk and necessitates the use of personal protective equipment.2 3
The current UK guidance does not account for high-dose viral transmission risk to family and carers in patients using community NIV and CPAP for treatment of chronic respiratory disease, especially obstructive sleep apnoea.
National Health Service …
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