Box 1.

Key learning points from continuous positive airway pressure service provision

  • CPAP can be used for type 1 respiratory failure due to COVID-19 pneumonia on a suitably adapted medical ward with novel solutions to enable safe monitoring.

  • In a negative pressure area with appropriate equipment, CPAP can be administered in an environment that minimises risk to staff.

  • Side rooms can be rapidly converted to negative pressure zones for AGPs using temporally installed ventilation equipment.

  • The use of relatively simple ventilation devices normally reserved for domiciliary CPAP can help reduce the hospital oxygen demand when compared with pressure valve-based CPAP options.

  • Close collaboration between medical specialties with support from critical care can enable the rapid development of new services in an unconventional setting.

  • AGP = aerosol generating procedure; CPAP = continuous positive airway pressure.