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COVID-19 Articles: Infographic

A COVID-19 Conundrum: Obstructive Sleep Apnea (OSA) and Noninvasive Ventilation (NIV)

Woo, Jacqueline; Weber, Garret MD; Nathan, Naveen MD

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doi: 10.1213/ANE.0000000000004998
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The challenges imposed by the coronavirus disease 2019 (COVID-19) pandemic become amplified in the setting of nonintubated patients with obstructive sleep apnea. Unlike the closed system that characterizes an intubated patient attached to a respiratory circuit, noninvasive ventilatory support threatens an increased risk of permeating the clinical workspace with airborne viral particles. Patients with sleep apnea may mandatorily require noninvasive ventilation strategies to see them through a respiratory illness. In this infographic, the considerations and general principles of managing noninvasive ventilation in such a scenario are outlined. The reader is encouraged to review the article in its entirety for a full depth of understanding.

ARDS indicates acute respiratory distress syndrome; BMI, body mass index; COVID-19, coronavirus disease 2019; PPE, personal protective equipment.


1. Suen C, Hui D, Memtsoudis S, et al.Obstructive sleep apnea, obesity and non-invasive ventilation: considerations during the COVID-19 pandemic. Anesth Analg. 2020;131:318–322.
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