The use of ELMO helmets for the treatment of patients with COVID-19: experience report

Authors

  • Adriano da Costa Belarmino
  • Cleiton Machado Pinho
  • Maria Eunice Nogueira Galeno Rodrigues
  • Alisson Salatiek Ferreira de Freitas
  • Larissa Alves Cunha
  • Antonio Rodrigues Ferreira Júnior

DOI:

https://doi.org/10.26694/reufpi.v12i1.3670

Keywords:

Nursing Care, Patient Care Team, Interdisciplinary Placement, COVID-19

Abstract

Objective: to describe nurses' experience with the use of the ELMO helmet for the treatment of patients with COVID-19. Methods: experience report in an emergency care unit located in a metropolitan city of Ceará, Brazil, in the period from March 15 to June 22, 2021. Content Analysis was used for organization and analysis through references in the area. Results: the potentialities of care during the ELMO helmet use were observed, such as a decrease in indications for orotracheal intubation, improvement in respiratory distress, and decrease in morbidity, but also weaknesses such as diminished patient-healthcare professional communication, need for careful evaluation of the time of use and patient response, risk of psychological instability, and risk of broncho-aspiration; moreover, health teams collaborative aspects such as increased intra-team communication, effective interaction, and greater decision-making were registered. Conclusion: important results in treating COVID-19 can result from the use of this tool; however, there is a need for strict monitoring in order to avoid major respiratory complications as well as physical and psychological sequelae from the wearing of ELMO.

References

World Health Organization. WHO Coronavirus Dashboard. [Internet]. DOI: https://covid19.who.int/

Campos GWS. O pesadelo macabro da Covid-19 no Brasil: entre negacionismos e desvarios. Trab Educ Saude. [Internet] 2020; 18(3):e00279111. DOI:https://doi.org/10.1590/1981-7746-sol00279

Belarmino AC, Rodrigues MENG, Anjos SJSB, Ferreira Júnior AR. Collaborative practices from health care teams to face the covid-19 pandemic. Rev Bras Enferm. [Internet]. 2020; 73 (Suppl 2):e20200470. DOI:https://doi.org/10.1590/0034-7167-2020-0470

Rali AS, Howard C, Miller R, Morgan C K, Mejia D, Sabo J, Herlihy JP, et al. Helmet CPAP revisited in COVID-19 pneumonia: A case series. Can J RespirTher. [Internet]. 2020; 56: 32–34. DOI:https://doi.org/10.29390/cjrt-2020-019

Tomaz BS, Gomes GC, Lino JA, Menezes DGA, Soares JB, Furtado V, et al. ELMO, a new helmet interface for CPAP to treat COVID-19-related acute hypoxemic respiratory failure outside the ICU: a feasibility study.J Bras Pneumol. [Internet]. 2022; 48(1):e20210349. DOI:https://dx.doi.org/10.36416/1806-3756/e20210349

Ball L , RobbaC, Herrmann J, Gerard SE, XinY, PigatiM, et al.Early versus late intubation in COVID-19 patients failing helmet CPAP: A quantitative computed tomography study.RespirPhysiolNeurobiol. [Internet].2022;30:103889. DOI:https://doi.org/10.1016/j.resp.2022.103889

Minayo MCS. O desafio do conhecimento: pesquisa qualitativa em saúde. 14ª ed. São Paulo: Hucitec; 2014.

Nowell LS, Norris JM, White DE, Moules NJ.Thematic Analysis: Striving to Meet

the Trustworthiness Criteria. Int J Qual Methods.[Internet].2017;16:1-13. DOI:https://doi.org/10.1177/1609406917733847

Tong A, Sainsbnury P, Criag J. Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. International J Qual Health Care. [Internet]. 2007;19(6):349-57. DOI:https://doi.org/10.1093/intqhc/mzm042

Radovanovic D, Rizzi M, Pini S, Saad M, Chiumello DA, Santus P. Helmet CPAP to treat acute hypoxemic respiratory failure in patients with covid-19: a management strategy proposal. J Clin Med. [Internet]. 2020; 9: 1191. DOI: https://doi.org/10.3390/jcm9041191

Amirfarzana H, Ceredab M, Gaultonb TG, Leissnerc KB, Cortegianid A, Schumanna R. et al. Use ofHelmet CPAP in COVID-19 – A practicalreview. Pulmonology. [Internet]. 2020; 1596:1-10. DOI:https://doi.org/10.1016/j.pulmoe.2021.01.008

Escola de saúde Pública do Ceará. Manual de Referência do ELMO – Capacete de respiração assistida não invasiva com pressão positiva contínua nas vias aéreas. [Internet]. DOI:https://www.esmaltec.com.br/wordpress/wpcontent/uploads/2021/01/Manual_Elmo_1.1_JAN2021.pdf

Privitera D, Capsoni N, Mazzone A, Airoldi C, Angaroni L, Pierotti F et al.Nursing evaluation during treatment with helmet continuous positive airway pressure in patients with respiratory failure due to COVID-19 pneumonia: A case series. Aust Crit Care [Internet]. 2022; 35:46e51. DOI: https://doi.org/10.1016/j.aucc.2021.10.001

Sociedade Brasileira de Farmácia Hospitalar (SBRAFH). Levantamento nacional sobre o

abastecimento de medicamentos e produtos para a saúde durante o enfrentamento da

pandemia pela COVID‑19. [Internet]. DOI: https://bit.ly/3ify1ZB

Waltom V, Hogden A, Long JC, Johnson JK, Greenfield D. How Do Interprofessional Healthcare Teams Perceive the Benefits and Challenges of Interdisciplinary Ward Rounds.J Multi DiscipHealthc.[Internet]. 2019; 12: 1023–1032. DOI: https://doi.org/10.2147/JMDH.S226330

Chua WL, Ooi SL, Chan GWH, Lau TC, Liaw SY. The effect of a sepsis interprofessional education using virtual patient telesimulation on sepsis team care in clinical practice: mixed methods study J Med Internet Res. [Internet]. 2022; 24(4):e35058. DOI: https://doi.org/10.2196/35058

Lee DD, Teper MH, Chartier LB, Crump S, Ma M, Parotto M, et al. Experiences of healthcare providers with a novel emergency response intubation team during COVID‑19.CJEM. [Internet]. 2022; 24:185–194. DOI: https://doi.org/10.1007/s43678-021-00248-y

Girundi C, Aveiro MC, Uchôa-Figueiredo LR. Education for interprofessional care: redefining health practices in pandemic times. Interface (Botucatu). [Internet]. 2021; 25 (Supl. 1): e210034. DOI: https://doi.org/10.1590/interface.210034

Published

2023-12-21

How to Cite

1.
Belarmino A da C, Pinho CM, Rodrigues MENG, Freitas ASF de, Cunha LA, Ferreira Júnior AR. The use of ELMO helmets for the treatment of patients with COVID-19: experience report. Rev Enferm UFPI [Internet]. 2023 Dec. 21 [cited 2024 Dec. 22];12(1). Available from: https://periodicos.ufpi.br/index.php/reufpi/article/view/3670

Issue

Section

Relato de Experiência

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