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      The use of head helmets to deliver noninvasive ventilatory support: a comprehensive review of technical aspects and clinical findings

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          Abstract

          A helmet, comprising a transparent hood and a soft collar, surrounding the patient’s head can be used to deliver noninvasive ventilatory support, both as continuous positive airway pressure and noninvasive positive pressure ventilation (NPPV), the latter providing active support for inspiration. In this review, we summarize the technical aspects relevant to this device, particularly how to prevent CO 2 rebreathing and improve patient–ventilator synchrony during NPPV. Clinical studies describe the application of helmets in cardiogenic pulmonary oedema, pneumonia, COVID-19, postextubation and immune suppression. A section is dedicated to paediatric use. In summary, helmet therapy can be used safely and effectively to provide NIV during hypoxemic respiratory failure, improving oxygenation and possibly leading to better patient-centred outcomes than other interfaces.

          Supplementary Information

          The online version contains supplementary material available at 10.1186/s13054-021-03746-8.

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          Effect of Noninvasive Ventilation Delivered by Helmet vs Face Mask on the Rate of Endotracheal Intubation in Patients With Acute Respiratory Distress Syndrome: A Randomized Clinical Trial.

          Bhakti K Patel, Krysta S Wolfe, Anne Pohlman … (2016)
          Noninvasive ventilation (NIV) with a face mask is relatively ineffective at preventing endotracheal intubation in patients with acute respiratory distress syndrome (ARDS). Delivery of NIV with a helmet may be a superior strategy for these patients.
          Article 0 comments Cited 217 times – based on 0 reviews     Review now
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            Protecting healthcare workers from SARS-CoV-2 infection: practical indications

            Martina Ferioli, Cecilia Cisternino, Valentina Leo … (2020)
            The World Health Organization has recently defined the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection a pandemic. The infection, that may cause a potentially very severe respiratory disease, now called coronavirus disease 2019 (COVID-19), has airborne transmission via droplets. The rate of transmission is quite high, higher than common influenza. Healthcare workers are at high risk of contracting the infection particularly when applying respiratory devices such as oxygen cannulas or noninvasive ventilation. The aim of this article is to provide evidence-based recommendations for the correct use of “respiratory devices” in the COVID-19 emergency and protect healthcare workers from contracting the SARS-CoV-2 infection.
            Article 0 comments Cited 194 times – based on 0 reviews     Review now
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              Effect of Helmet Noninvasive Ventilation vs High-Flow Nasal Oxygen on Days Free of Respiratory Support in Patients With COVID-19 and Moderate to Severe Hypoxemic Respiratory Failure: The HENIVOT Randomized Clinical Trial

              Domenico Luca Grieco, Luca S. Menga, Melania Cesarano … (2021)
              High-flow nasal oxygen is recommended as initial treatment for acute hypoxemic respiratory failure and is widely applied in patients with COVID-19.
              Article 0 comments Cited 181 times – based on 0 reviews     Review now
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                Author and article information

                Contributors
                Giacomo Bellani:
                ORCID: http://orcid.org/0000-0002-3089-205X
                giacomo.bellani1@unimib.it
                Journal
                Journal ID (nlm-ta): Crit Care
                Title: Critical Care
                Publisher: BioMed Central (London )
                ISSN (Print): 1364-8535
                ISSN (Electronic): 1466-609X
                Publication date (Electronic): 8 September 2021
                Publication date PMC-release: 8 September 2021
                Publication date Collection: 2021
                Volume: 25
                Electronic Location Identifier: 327
                Affiliations
                [1 ]GRID grid.415025.7, ISNI 0000 0004 1756 8604, ASST Monza, San Gerardo Hospital, ; Monza, Italy
                [2 ]GRID grid.7563.7, ISNI 0000 0001 2174 1754, Department of Medicine and Surgery, , University of Milan-Bicocca, ; Via Cadore 48, Monza, MB Italy
                Author information
                http://orcid.org/0000-0002-3089-205X
                Article
                Publisher ID: 3746
                DOI: 10.1186/s13054-021-03746-8
                PMC ID: 8424168
                PubMed ID: 34496927
                SO-VID: 5abc05e9-3785-43a4-9678-fcaa7775f9a2
                Copyright © © The Author(s) 2021
                License:

                Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.

                History
                Date received : 7 June 2021
                Date accepted : 20 August 2021
                Categories
                Subject: Review
                Custom metadata
                issue-copyright-statement © The Author(s) 2021

                ScienceOpen disciplines: Emergency medicine & Trauma
                Keywords: noninvasive ventilation,helmets,covid-19,acute respiratory distress syndrome,continuous positive airway pressure
                Data availability:
                ScienceOpen disciplines: Emergency medicine & Trauma
                Keywords: noninvasive ventilation, helmets, covid-19, acute respiratory distress syndrome, continuous positive airway pressure

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