The use of non-invasive ventilation in COVID-19: A systematic review. (May 2021)

• Record Type: Journal Article
• Authors: Wang, Zhufeng; Wang, Yingzhi; Yang, Zhaowei; Wu, Hongkai; Liang, Jingyi; Liang, Hanwen; Lin, Huimin; Chen, Ruchong; Ou, Younger; Wang, Fengyan; Wang, Yuan; Wang, Yan; Luo, Weizhan; Li, Naijian; Li, Zhengtu; Xie, Jiaxing; Jiang, Mei; Li, Shiyue
• Is Part Of: International journal of infectious diseases. Volume 106(2021)
• Page Start: 254
• Page End: 261
• Publication Date: 2021-05
• Subjects: AGREE Appraisal of Guidelines for Research and Evaluation -- BiPAP bilevel positive airway pressure -- COVID-19 coronavirus disease 2019 -- CPAP continuous positive airway pressure -- FiO2 fraction of inspired oxygen -- GRADE Grading of Recommendations Assessment, Development and Evaluation -- ICC intraclass correlation coefficient -- ICU intensive care unit -- NI-CPAP non-invasive continuous positive airway pressure -- NIPPV nasal intermittent positive pressure ventilation -- NIV non-invasive ventilation -- PaCO2 partial pressure of carbon dioxide in artery -- PEEP positive end-expiratory pressure -- PPE personal protective equipment -- PRISMA Preferred Reporting Items for Systematic Reviews and Meta-Analyses -- SpO2 peripheral oxygen saturation -- ARIR & AIFI Italian Association of Respiratory Physiotherapists & Italian Association of Physiotherapists, Respiratory physiotherapy in patients with COVID-19 infection in acute setting: a position paper of the Italian Association of Respiratory Physiotherapists -- ASID Australasian Society for Infectious Diseases, Interim guidelines for the clinical management of COVID-19 in adults -- BTS British Thoracic Society, Use of acute NIV in patients hospitalized with suspected or confirmed COVID-19 infection -- BTS (guidance) British Thoracic Society, Respiratory support of patients on medical wards -- CCCGWG COVID-19 Clinical Care Guidance Working Group, Clinical management of patients with moderate to severe COVID-19 — interim guidance -- CTS & CACP Chinese Thoracic Society & Chinese Association of Chest Physicians, Guidance for the management of adult patients with coronavirus disease 2019 -- ICSI Intensive Care Society of Ireland, Guidance document for the intensive care management of the adult patient with confirmed or suspected COVID-19 -- Indian CDC Indian Centers for Disease Control and Prevention, Guidelines on clinical management of severe acute respiratory illness (SARI) in suspect/confirmed novel coronavirus (nCoV) cases -- INMI National Institute for Infectious Diseases, National Institute for the Infectious Diseases "L. Spallanzani", IRCCS, Recommendations for COVID-19 clinical management -- ITS & IRS Italian Thoracic Society & Italian Respiratory Society, Managing the respiratory care of patients with COVID-19 -- NCCET National COVID-19 Clinical Evidence Taskforce, Australian guidelines for the clinical care of people with COVID-19 -- NHC & SATCM National Health Commission & State Administration of Traditional Chinese Medicine, Diagnosis and treatment protocol for novel coronavirus pneumonia (Trial version 7) -- NHS (critical care) National Health Service, Clinical guide for the management of critical care for adults with COVID-19 during the coronavirus pandemic -- NHS (NIV) National Health Service, Guidance for the role and use of non-invasive respiratory support in adult patients with COVID-19 (confirmed or suspected) -- NHS (management) National Health Service, Clinical management of persons admitted to hospital with suspected COVID-19 infection -- NIH National Institutes of Health, Coronavirus disease 2019 (COVID-19) treatment guidelines -- PAHO Pan American Health Organization, Guidelines for critical care of seriously ill adult patients with coronavirus (COVID-19) in the Americas -- PCS Pakistan Chest Society, COVID-19 management guidelines -- SIAARTI & EAMS Società Italiana di Anestesia Analgesia Rianimazione e Terapia Intensiva & European Airway Management Society, The Italian coronavirus disease 2019 outbreak: recommendations from clinical practice -- SIMIT Lombardy Section of the Italian Society of Infectious and Tropical Diseases, Guidelines for the treatment of people with COVID-19 disease, edition 2.0, 13 March 2020 -- SSC Surviving Sepsis Campaign, Guidelines on the management of critically ill adults with coronavirus disease 2019 (COVID-19) -- SSICM Swiss Society of Intensive Care Medicine, Recommendations for the admission of patients with COVID-19 to intensive care and intermediate care units (ICUs and IMCUs) -- Kluge et al. German recommendations for critically ill patients with COVID-19 -- Thomas et al. Physiotherapy management for COVID-19 in the acute hospital setting: recommendations to guide clinical practice -- WHO World Health Organization, Clinical management of severe acute respiratory infection (SARI) when COVID-19 disease is suspected: interim guidance v. 1.2 -- WHO-toolkit World Health Organization, Clinical care for severe acute respiratory infection: toolkit — COVID-19 adaptation; COVID-19 -- Non-invasive ventilation -- Respiratory failure -- Guidelines -- AGREE II; Communicable diseases -- Periodicals; Communicable Diseases -- Periodicals; Communicable diseases; Periodicals; Electronic journals; 616.9
• DOI: 10.1016/j.ijid.2021.03.078
• Languages: English
• ISSNs: 1201-9712

Abstract

Highlights: The findings may augment knowledge of management strategies for COVID-19. Developers should follow guideline development standards. More attention should be paid to the impact of non-invasive ventilation. Abstract: Objective: Guidelines from different regions on the use of non-invasive ventilation in COVID-19 have generally been inconsistent. The aim of this systematic review was to appraise the quality and availability of guidelines, and whether non-invasive ventilation in the early stages of the pandemic is of importance. Design and method: Databases, including PubMed, Web of Science, and Cochrane Library, as well as websites of international organizations and gray literature, were searched up to June 23, 2020. The reference lists of eligible papers were also hand-searched. Results: A total of 26 guidelines met the inclusion criteria. According to the Appraisal of Guidelines for Research and Evaluation (AGREE) II instrument, the guidelines' methodological quality was low. Among six domains, Rigour of Development and Editorial Independence were of the lowest quality. Given the lack of evidence from randomized clinical trials and the great variation between different regions, recommendations for non-invasive ventilation have generated considerable debate regarding the early stages of COVID-19. Conclusions: Improving the methodological quality of the guidelines should be a goal with regard to future pandemics. Additionally, better-designed randomized clinical trials are needed to resolve contradictions regarding the impact of non-invasive ventilation. PROSPERO registration number: CRD42020198410.