Health

As I have experienced, and from the few studies I have read, the effects with BiPAP is quite uncertain for patients with ARDS, though I never have treated Covid-patients before. This is of course for those patients that doesn't require intubation, but with BiPAP modes, I suspect the RR is too high for the bi-level modes to be useful. My experiences are that the patients (and staff) gets too much disturbance from the machines alarms for high respiratory rate, and since the effect on tidal volumes might be so small at that point, maybe the doctor will use CPAP mode for higher comfort and compliance for a sick patient.

The critical thing for us in the staff is rather that vented masks is dangerous though it spreads the virus more extensively with CPAP/BiPAP, so you have to use a non-vented mask with filter and a swivel instead.


(Sorry for bad english, I hope you understand what you mean, I'm swedish)