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  • Writer's pictureAurika Savickaite

Research Papers About Non-invasive Ventilation Delivered via Helmet

Updated: Nov 18, 2022


Today, mask intolerance and discomfort still represent a major cause of NIPPV failure. And here is another reason why it can be.

This paper published significant upper airway findings for patients who used Face-Mask NIV or Helmet NIV.





Great article with a quick summary and key points for Helmet-based ventilation. Keep in mind that Helmet CPAP and Helmet PSV are often lumped together under the broad umbrella of Non-invasive ventilation.

1. Helmet CPAP therapy markedly improves oxygenation in COVID patients and the intubation rate is lower in patients treated with Helmet therapy than in those treated with HFNO

2. Helmet CPAP is a safe and effective treatment option for immunocompromised patients with ARF

3. Helmet CPAP benefited patients (non-COVID) rescued by nurses in the absence of any pharmacological intervention, implying that CPAP should be used as a first-line intervention even before standard medical treatment!



CONCLUSIONS: In the subjects with COPD with exacerbation, NAVA through a helmet improved comfort, triggering performance, and patient-ventilator synchrony compared with pressure support through a face mask.





Physiological Comparison of High Flow Nasal Cannula and Helmet Noninvasive Ventilation in Acute Hypoxemic Respiratory Failure
Association of Noninvasive Oxygenation Strategies With All-Cause Morality in Adults With Acute Hypoxemic Respiratory Failure
Forest Plots for the Association of Nonivasive Oxygenation Strategies With Study Outcomes
Role of Helmet Delivered Noninvasive Pressure Support Ventilation in COVID-19 Patients
Helmet CPAP to Treat Acute Hypoxemic Respiratory Failure in Patients with COVID-19
Flowchart for non-invasive ventilation support in COVID-19 patients from a northern Italy Emergency Department
American Journal of Respiratory and Critical Care Medicine
Critical Care
A Multiple-Center Survey on the Use in Clinical Practice of Noninvasive Ventilation as a First-Line Intervention for Acute Respiratory Distress Syndrome
Nonivasive Positive Pressure Ventilation Using a Helmet in Patients With Acute Exacerbation of Chronic Obstructive Pulmonary Disease
New Treatment of Acute Hypoxemic Respiratory Failure: Noninvasive Pressure Support Ventilation Delivered by Helmet - a Pilot Controlled Trial
Noninvasive Continuous Positive Airway Pressure Ventilation Using a New Helmet Interface: A Case-Control Prospective Pilot Study
Niv Through the Helmet Can Be Used as First-Line Intervention for Early Mild and Moderate ARDS: An Unproven Idea Thinking out of the Box
Helmet CPAP vs. Oxygen Therapy in Severe Hypoxemic Respiratory Failure Due to Pneumonia
Continuous Positive Airway Pressure Delivered with a helmet: Effects on carbon dioxide rebreathing
CPAP Devices for Emergency Prehospital Use: A Bench Study
Intensive and Critical Care Nursing
The Lancet
Helmet CPAP to Treat Acute Hypoxemic Respiratory Failure in Patients with COVID-19: A Management Strategy Proposal

Aurika Savickaite RN, BSN - Rush University College of Nursing


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