Table 4 Suggested key points for non-invasive ventilation delivered by helmet
From: Clinical review: Helmet and non-invasive mechanical ventilation in critically ill patients
General recommendations |
Use helmet in case of long duration non-invasive ventilation |
Use helmet in case of face skin lesions |
Use helmet in case of major air leaks |
Use helmet in edentulous patients |
Use helmet if mask intolerance |
Avoid CPAP delivered by mechanical ventilator |
Promote inter-change between helmet and face mask during long treatment |
Frequent assessment of gas exchange in the first hours |
Continuous flow CPAP |
Use inspiratory gas flow >40 L/minute |
Pressure-support ventilation |
Apply higher PEEP and pressure support level (50% higher than those applied with face mask) |
Use the maximum pressurization rate |