Skip to main content

Main menu

  • Home
  • Our journals
    • Clinical Medicine
    • Future Healthcare Journal
  • Subject collections
  • About the RCP
  • Contact us

Clinical Medicine Journal

  • ClinMed Home
  • Content
    • Current
    • Ahead of print
    • Archive
  • Author guidance
    • Instructions for authors
    • Submit online
  • About ClinMed
    • Scope
    • Editorial board
    • Policies
    • Information for reviewers
    • Advertising

User menu

  • Log in

Search

  • Advanced search
RCP Journals
Home
  • Log in
  • Home
  • Our journals
    • Clinical Medicine
    • Future Healthcare Journal
  • Subject collections
  • About the RCP
  • Contact us
Advanced

Clinical Medicine Journal

clinmedicine Logo
  • ClinMed Home
  • Content
    • Current
    • Ahead of print
    • Archive
  • Author guidance
    • Instructions for authors
    • Submit online
  • About ClinMed
    • Scope
    • Editorial board
    • Policies
    • Information for reviewers
    • Advertising

Respiratory advice for the non-respiratory physician in the time of COVID-19

Jonathan Bennett, Mohammmed Munavvar, Paul Walker and Gerrard Phillips
Download PDF
DOI: https://doi.org/10.7861/clinmed.2020-0188
Clin Med May 2020
Jonathan Bennett
ABritish Thoracic Society, London, UK
Roles: chair
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Mohammmed Munavvar
BBritish Thoracic Society, London, UK
Roles: president
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Paul Walker
CBritish Thoracic Society, London, UK
Roles: treasurer
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Gerrard Phillips
DFederation of Royal Colleges of Physicians of the UK, London, UK
Roles: executive medical director
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • For correspondence: gerrard.phillips@dchft.nhs.uk
  • Article
  • Figures & Data
  • Info & Metrics
Loading

Article Figures & Data

Figures

  • Tables
  • Fig 1.
    • Download figure
    • Open in new tab
    • Download powerpoint
    Fig 1.

    SPACES poster for ward display.

  • Fig 2.
    • Download figure
    • Open in new tab
    • Download powerpoint
    Fig 2.

    Example of a local management aid: escalation of respiratory support decision aid. Developed by S Knapp, L Walker, J Parker and M Steiner for University Hospitals, Leicester. CPAP = continuous positive airway pressure, NIV = non-invasive ventilation, RF = respiratory failure, RR = respiratory rate.

  • Fig 3.
    • Download figure
    • Open in new tab
    • Download powerpoint
    Fig 3.

    Example of a local management aid: use of oxygen therapy for adult inpatients during COVID-19 pandemic – clinical guidance to help ensure efficient usage of oxygen. Developed by S Knapp, L Walker, J Parker and M Steiner for University Hospitals, Leicester. CPAP = continuous positive airway pressure, EoL = end of life, NIV = non-invasive ventilation.

Tables

  • Figures
    • View popup
    Box 1:

    Glossary of terms

    Continuous positive airway pressure (CPAP) – the additional pressure applied to the lungs (alveoli) above atmospheric pressure throughout the respiratory cycle. This applies a single, fixed pressure throughout inspiration and expiration, which does not vary, via a tightly fitted nasal or whole face mask to the spontaneously breathing, conscious patient without the need for intubation and sedation. This is not a form of ventilation
    High-flow nasal cannula oxygen therapy (HFNCO) – this is an oxygen supply system capable of delivering up to 100% humidified and heated oxygen at a flow rate of up to 60 liters per minute via nasal cannulae
    Non-invasive ventilation (NIV) – this delivers mechanically supported breaths via a tightly fitted nasal or whole face mask to the spontaneously breathing, conscious patient without the need for intubation and sedation. The patient usually triggers the inspiratory cycle. Expiration is passive, by elastic recoil. The pressure delivered varies during the respiratory cycle, being higher in inspiration than expiration. This is a form of ventilation
    IPAP – Inspiratory positive airway pressure, the inspiratory pressure set on the non- invasive ventilator
    EPAP – Expiratory positive airway pressure, the expiratory pressure set on the non-invasive ventilator
    Positive end expiratory pressure (PEEP) – the additional pressure applied to the lungs (alveoli) above atmospheric pressure at the end of expiration
    Vacuum-insulated evaporator (VIE) – the common method for hospital storage of liquid oxygen. The inner shell is of stainless steel and is separated from the outer carbon shell by a vacuum. The contents are at a pressure of 700–1000 KPa and a temperature of −160 C to −180 C (the critical temperature for oxygen is −118 C)
Back to top
Previous articleNext article

Article Tools

Download PDF
Article Alerts
Sign In to Email Alerts with your Email Address
Citation Tools
Respiratory advice for the non-respiratory physician in the time of COVID-19
Jonathan Bennett, Mohammmed Munavvar, Paul Walker, Gerrard Phillips
Clinical Medicine May 2020, 20 (3) 251-255; DOI: 10.7861/clinmed.2020-0188

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
Share
Respiratory advice for the non-respiratory physician in the time of COVID-19
Jonathan Bennett, Mohammmed Munavvar, Paul Walker, Gerrard Phillips
Clinical Medicine May 2020, 20 (3) 251-255; DOI: 10.7861/clinmed.2020-0188
del.icio.us logo Digg logo Reddit logo Twitter logo CiteULike logo Facebook logo Google logo Mendeley logo
  • Tweet Widget
  • Facebook Like
  • Google Plus One

Jump to section

  • Article
    • ABSTRACT
    • Introduction
    • Fundamentals of care: some specific points
    • The importance of early recognition of deterioration
    • Ceilings of care
    • Safe working practices
    • Oxygen practice
    • Proning
    • Patients with airways disease
    • Nutrition
    • Research programmes
    • Closing remarks
    • Acknowledgements
    • References
  • Figures & Data
  • Info & Metrics

Related Articles

  • No related articles found.
  • PubMed
  • Google Scholar

Cited By...

  • Respiratory failure and non-invasive respiratory support during the covid-19 pandemic: an update for re-deployed hospital doctors and primary care physicians
  • COVID-19: the physician's response in the first phase
  • Google Scholar

More in this TOC Section

  • Perspective: Vitamin D supplementation prevents rickets and acute respiratory infections when given as daily maintenance but not as intermittent bolus: implications for COVID-19
  • Admission COVID-19 clinical risk assessment for guiding patient placement and diagnostic testing strategy
  • Contact tracing for SARS-CoV-2: what can be learned from other conditions?
Show more COVID-19 rapid report

Similar Articles

Navigate this Journal

  • Journal Home
  • Current Issue
  • Ahead of Print
  • Archive

Related Links

  • ClinMed - Home
  • FHJ - Home
clinmedicine Footer Logo
  • Home
  • Journals
  • Contact us
  • Advertise
HighWire Press, Inc.

Follow Us:

  • Follow HighWire Origins on Twitter
  • Visit HighWire Origins on Facebook

Copyright © 2021 by the Royal College of Physicians