Online ISSN: 2515-8260

Scoping Review of the Effectiveness of Noninvasive Ventilation in the Management of COVID-19 Patients

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Ahmad Alessa, Mahmoud Yassin, Dalya Abudawood, Abdullah Aloraini, Nawar Almuntashiri, Abdulaziz Fattani, Yousef Alanazi

Abstract

In 2020, COVID-19 caused a global pandemic that caused healthcare professionals to be on the frontline. Due to respiratory failures associated with this condition, strategies were needed to improve the respiration of patients diagnosed with COVID-19 disease. An intervention that was extensively adopted as a substitute for invasive ventilation is noninvasive ventilation (NIV). However, there is limited evidence on the effectiveness and safety of this intervention. The aim of this scoping review was to map the existing literature on the use of NIV for COVID-19 patients and identify gaps in knowledge. A systematic search using appropriate keywords was conducted on three selected electronic databases; PubMed, Cochrane Library, and CINAHL by two independent reviewers. After applying the inclusion and exclusion criteria, a total of 30 studies were used for the scoping review. Data was extracted from the studies and the results were presented and discussed. The results of the scoping review showed that some studies presented evidence that supported the effectiveness of NIV. However, some other studies could not provide strong evidence for the efficiency of NIV based on statistical grounds. Also, no negative consequences were identified from the studies regarding the use of NIV in managing patients with COVID-19. Hence, the findings from this study suggest that even though NIV improved the conditions of patients, more studies of high-level and high-quality ratings are needed to provide strong evidence regarding its efficiency.

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