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Non-invasive respiratory support (NIRS) in the management of COVID-19: A synthesis of systematic reviews

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Hill, James Edward ORCID: 0000-0003-1430-6927, Hebatalla, Abdelaal, Hamer, Oliver ORCID: 0000-0002-9631-0032, Gomez, Katalin Ujhelyi, Harrison, Joanna ORCID: 0000-0001-8963-7240 and Bongers, Thomas (2023) Non-invasive respiratory support (NIRS) in the management of COVID-19: A synthesis of systematic reviews. British Journal of Cardiac Nursing . ISSN 1749-6403

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Official URL: https://doi.org/10.12968/bjca.2022.0060

Abstract

Hospitalised patients with COVID-19 often require oxygen because of the increased risk of hypoxia, and one of the main treatment goals is to avoid mechanical ventilation where possible. Non-invasive respiratory support such as high-flow nasal oxygen, bi-level positive airway pressure and continuous positive airway pressure appear to be clinical alternatives. However, further research is needed to assess the effectiveness of non-invasive respiratory support and its varying modes as a treatment for COVID-19 within a diverse population. This commentary aims to critically appraise three reviews concerning the use of non-invasive respiratory support in patients with COVID-19 and expand upon the findings with regards to clinical practice.

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