NYMC Faculty Publications

A COVID-19 Conundrum: Obstructive Sleep Apnea (OSA) and Noninvasive Ventilation (NIV)

DOI

10.1213/ANE.0000000000004998

Journal Title

Anesthesia and Analgesia

First Page

317

Last Page

317

Document Type

Response or Comment

Publication Date

8-1-2020

Department

Anesthesiology

Keywords

Betacoronavirus, COVID-19, Continuous Positive Airway Pressure, Coronavirus Infections, Humans, Noninvasive Ventilation, Pandemics, Pneumonia, Viral, SARS-CoV-2, Sleep Apnea, Obstructive

Disciplines

Anesthesiology | Infectious Disease | Medicine and Health Sciences | Sleep Medicine

Abstract

The challenges imposed by the coronavirus disease 2019 (COVID-19) pandemic become amplified in the setting of nonintubated patients with obstructive sleep apnea. Unlike the closed system that characterizes an intubated patient attached to a respiratory circuit, noninvasive ventilatory support threatens an increased risk of permeating the clinical workspace with airborne viral particles. Patients with sleep apnea may mandatorily require noninvasive ventilation strategies to see them through a respiratory illness. In this infographic, the considerations and general principles of managing noninvasive ventilation in such a scenario are outlined. The reader is encouraged to review the article in its entirety for a full depth of understanding

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