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A Journal on Anesthesiology, Resuscitation, Analgesia and Intensive Care

Official Journal of the Italian Society of Anesthesiology, Analgesia, Resuscitation and Intensive Care
Indexed/Abstracted in: Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 2,036

Frequency: Monthly

ISSN 0375-9393

Online ISSN 1827-1596


Minerva Anestesiologica 2008 November;74(11):651-6


The use of helmets to deliver non-invasive continuous positive airway pressure in hypoxemic acute respiratory failure

Bellani G. 1,2, Patroniti N. 1,2, Greco M. 1,2, Foti G. 2, Pesenti A. 1,2

1 Department of Experimental Medicine, University of Milan-Bicocca, Monza, Italy;
2 Department of Perioperative Medicine and Intensive Care, San Gerardo Hospital, Monza, Italy

Non-invasive continuous positive airway pressure (CPAP) is a useful tool for managing patients with acute respiratory failure. The head helmet is a relatively novel interface that is as effective as the traditionally employed face-mask in delivering CPAP and can possibly be characterized as better for the patient’s tolerance and, consequently, a longer duration of treatment. This review focuses on the main properties of the helmet and the issues related to its use, as shown by the physiological and bench studies. Clinical experience, both personal and reported in the literature, for the treatment of both cardiogenic and non-cardiogenic pulmonary edema is reviewed as well.

language: English


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