Ventilation Techniques and Risk for Transmission of Coronavirus Disease, Including COVID-19
Authors: Bram Rochwerg, Holger J. Schünemann, Eli A. Akl
Journal: Annals of Internal Medicine (2020)

Letters17 November 2020Ventilation Techniques and Risk for Transmission of Coronavirus Disease, Including COVID-19FREEBram Rochwerg, MD, MSc, Holger J. Schünemann, MD, PhD, MSc, and Eli A. Akl, MD, MPH, PhDBram Rochwerg, MD, MScMcMaster University, Hamilton, Ontario, Canada (B.R., H.J.S.)Search for more papers by this author, Holger J. Schünemann, MD, PhD, MScMcMaster University, Hamilton, Ontario, Canada (B.R., H.J.S.)Search for more papers by this author, and Eli A. Akl, MD, MPH, PhDAmerican University of Beirut Medical Center, Beirut, Lebanon (E.A.A.)Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/L20-1179 SectionsAboutVisual AbstractPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail IN RESPONSE:Although we agree that terminology is important, these definitions are more ambiguous than Mr. Sorbello acknowledges. Continuous positive airway pressure and high-flow nasal cannula do not provide positive pressure to augment tidal volumes. However, they do provide positive end expiratory pressure, and some still refer to them as “ventilation.” Similarly, many use the acronym IMV to indicate invasive mechanical ventilation, but we understand that it is also used for intermittent mandatory ventilation. Until a consensus is reached on the use of these terms and acronyms, the most prudent approach is probably to be as explicit as possible whenever ventilation and oxygenation approaches are being discussed in order to avoid miscommunication. These issues were discussed extensively with our international contributors, including expert intensivists who contributed to this systematic review. Although there were differences in opinion, the terminology used represented overall consensus among the group. Comments 0 Comments Sign In to Submit A Comment Author, Article, and Disclosure InformationAuthors: Bram Rochwerg, MD, MSc; Holger J. Schünemann, MD, PhD, MSc; Eli A. Akl, MD, MPH, PhDAffiliations: McMaster University, Hamilton, Ontario, Canada (B.R., H.J.S.)American University of Beirut Medical Center, Beirut, Lebanon (E.A.A.)Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M20-2306. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoVentilation Techniques and Risk for Transmission of Coronavirus Disease, Including COVID-19 Holger J. Schünemann , Joanne Khabsa , Karla Solo , Assem M. Khamis , Romina Brignardello-Petersen , Amena El-Harakeh , Andrea Darzi , Anisa Hajizadeh , Antonio Bognanni , Anna Bak , Ariel Izcovich , Carlos A. Cuello-Garcia , Chen Chen , Ewa Borowiack , Fatimah Chamseddine , Finn Schünemann , Gian Paolo Morgano , Giovanna E.U. Muti-Schünemann , Guang Chen , Hong Zhao , Ignacio Neumann , Jan Brozek , Joel Schmidt , Layal Hneiny , Leila Harrison , Marge Reinap , Mats Junek , Nancy Santesso , Rayane El-Khoury , Rebecca Thomas , Robby Nieuwlaat , Rosa Stalteri , Sally Yaacoub , Tamara Lotfi , Tejan Baldeh , Thomas Piggott , Yuan Zhang , Zahra Saad , Bram Rochwerg , Dan Perri , Eddy Fan , Florian Stehling , Imad Bou Akl , Mark Loeb , Paul Garner , Stephen Aston , Waleed Alhazzani , Wojciech Szczeklik , Derek K. Chu , and Elie A. Akl Ventilation Techniques and Risk for Transmission of Coronavirus Disease, Including COVID-19 Joseph G. Sorbello Metrics Cited byClinical characteristics, management, and prevention of coronavirus disease 2019Increased D-dimer is associated with disease progression and increased mortality in Turkish COVID-19 patientsThe optimal management of the patient with COVID‐19 pneumonia: HFNC, NIV/CPAP or mechanical ventilation?A novel intubation prediction model for patients hospitalized with COVID-19: the OTO-COVID-19 scoring model新型コロナウイルス感染症―治療戦略とワクチンについて―Noninvasive ventilation in patients with COVID-19 from the perspective of the risk of contamination: a narrative reviewAirway Management in Critical Settings 17 November 2020Volume 173, Issue 10 Page: 860 Keywords Continuous positive airway pressure COVID-19 Disclosure Intermittant mandatory ventilation Positive end expiratory pressure Systematic reviews Tidal volume Ventilators ePublished: 17 November 2020 Issue Published: 17 November 2020 Copyright & PermissionsCopyright © 2020 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...