Article Text

Download PDFPDF

Case for continuing community NIV and CPAP during the COVID-19 epidemic
  1. Jillian G Baker1,2,
  2. Milind Sovani2
  1. 1 School of Life Sciences, University of Nottingham, Nottingham, UK
  2. 2 Department of Respiratory Medicine, Nottingham University Hospitals NHS Trust, Nottingham, UK
  1. Correspondence to Professor Jillian G Baker, School of Life Sciences, University of Nottingham, Nottingham NG7 2RD, UK; Jillian.Baker{at}nottingham.ac.uk

Statistics from Altmetric.com

Dear Editor,

Recent clinical guidelines regarding the use of home non-invasive ventilation (NIV) and continuous positive airway pressure (CPAP) during the COVID-19 epidemic have tried to balance the risks of stopping NIV or CPAP against the unknown potential risk of increased aerosol-related transmission to family and carers.1 2 We read with interest views put forward by Barker et al 3 but feel that wider aspects need consideration, and for NIV and CPAP separately.

NIV use: NIV is primarily used for those with previous, or at risk from, hypercapnic respiratory failure (neuromuscular disorders, chest wall deformity, obesity or underlying lung disease, for example, COPD). Stopping home NIV risks the return of symptoms (lethargy, headache, dyspnoea and confusion), increased patient and family anxiety and precipitating life-threatening acute hypercapnia, which is likely to result in hospital admission, patient exposure to …

View Full Text

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

Linked Articles