Safe spontaneous breathing with helmet noninvasive ventilation in acute hypoxemic respiratory failure
Helmet NIV may offer a valuable strategy for noninvasive management of hypoxemic patients, particularly when applied early, for prolonged periods, and with settings aimed at minimizing injurious inflation in moderate-to-severe (PaO 2 /FiO 2 < 200 mmHg) cases. Interface peculiarities affecting patient-ventilator interaction may constitute key differences with facemask NIV for prevention of injurious inflation patterns. Ongoing trials will clarify whether these physiological advantages improve clinical outcomes.
Authors
- Bruno L. Ferreyro (ORCID: https://orcid.org/0000-0001-7485-3741)
- Massimo Antonelli (ORCID: https://orcid.org/0000-0003-3007-1670)
- Tommaso Rosà (ORCID: https://orcid.org/0000-0002-0624-8328)
- Luca S. Menga (ORCID: https://orcid.org/0000-0003-0672-3544)
- Domenico Luca Grieco (ORCID: https://orcid.org/0000-0002-4557-6308)
Institutions
- Università Cattolica del Sacro Cuore (IT)
- St. Michael's Hospital (CA)
- University Health Network (CA)
- University of Toronto (CA)
- Agostino Gemelli University Polyclinic (IT)
- St Michael’s Hospital (IE)
- Sinai Health System (CA)
Publication Details
- Journal
- Current Opinion in Critical Care
- Published
- 2025-11-19
- DOI
- https://doi.org/10.1097/mcc.0000000000001345
- Primary Topic
- Respiratory Support and Mechanisms
- Type
- article
- Field-Weighted Citation Impact
- 0.00