The hood, also called helmet, has been used for treating patients since the 1990’s, mainly in Europe. Use of the hood across the world increased during 2020 when the COVID-19 pandemic hit. There is years of research to support the clinical benefits of using a hood for CPAP or NIV
The latest research
Helmet noninvasive support for acute hypoxemic respiratory failure: rationale, mechanism of action and bedside application. Cesarano, M., Greico, D.L., Michi, T. et al. Ann. Intensive Care 12, 94 (2022).
- This is a narrative review of 100 studies discussing the physiological rationale for using hoods to treat hypoxemic patients
- Using a hood for NIV improved oxygenation and lowered inspiratory effort compared with HFNC. Also, compared with the HFNC, using the hood for NIV was associated with a lower rate of endotracheal intubation (30% vs 51%)
- When compared with facemask NIV, using the hood for NIV showed significant reduction in patients needing endotracheal intubation (18% vs 61%) and improved mortality rates, shortened ICU stays and increased ventilator-free days
More Research Papers
- The use of head helmets to deliver noninvasive ventilatory support: a comprehensive review of technical aspects and clinical findings. - Coppadoro, A., Zago, E., Pavan, F. et al. Crit Care 25, 327 (2021).
- Non-invasive ventilation for COVID-19 patients. The Recovery RS trail. St Emlyn’s. - S. Carly. St.Emlyn’s. Aug 20, 2021.
- Neurally-Adjusted Ventilatory Assist for Non-Invasive Helmet Ventilation via a Helmet in Subjects with COPD Exacerbation: A Physiologic Study - Longhini, F., Liu, L., Pan, C. et al. Respiratory Care 64 (5), 582-589 (2019).
- Helmet CPAP to treat hypoxic pneumonia outside the ICU: an observational study during the COVID-19 outbreak. - Coppadoro, A., Benini, A., Fruscio, R. et al. Crit Care 25, 80 (2021).
- Physiological Comparison of High-Flow Nasal Cannual and Helmet Noninvasive Ventilation in Acute Hypoxemic Respiratory Failure. - Greico, D.L., Menga, L.S., Raggi, V. et al. Am J Respir Crit Care Med. 201(3), 303-312 (2020).
- Association of Noninvasive Oxygenation Strategies With All-Cause Mortality in Adults With Acute Hypoxemic Respiratory Failure: A Systematic Review and Meta-analysis. - Ferreyro BL, Angriman F, Munshi L, et al. JAMA 324(1):57–67 (2020).
- Effect of noninvasive ventilation delivered by helmet vs face mask on the rate of endotracheal intubation in patients with acute respiratory distress syndrome: a randomised clinical trial
- Patel, B.K., Wolfe, K.S., Pohlman, A.S. et al. JAMA. 315: 2435-2441 (2016)
- Phenotypes of patients with COVID-19 who have a positive clinical response to helmet noninvasive ventilation - Grieco, D.L., Menga, L.S., Cesarano, M. et al. Am J Respir Crit Care Med. 205:360-4 (2022)
- A comparison of noninvasive positive-pressure ventilation and conventional mechanical ventilation in patients with acute respiratory failure - Antonelli, M., Conti, G., Rocco, M. et al. N Eng J Med 339;429-35 (1998)
WHO supports using hood in COVID-19 patients
The World Health Organisation have listed the hood as one of the recommended treatment option in their 2022 WHO Clinical Care for Severe Acute Respiratory Infection Toolkit, and their Clinical Management of COVID-19 Guidelines.
Education is important to us and so is supporting health care professionals to feel confident in using a Suzy Hood. Using a hood to treat a patient is a team effort. SouthMED are knowledgeable and can offer great support to health care professionals and their teams. Support needs may vary, so please contact us to discuss what is right for you.
Helmet-based ventilation (HBV)
For online learning where you can work through the course at your own speed and at a time that suits you, Helmet Based Ventilation Website offers and outstanding and thorough course. Aurika Savickaite, RN, MSN, will take you through 6 modules covering the who, what, when, where, why and how of using CPAP and NIV via a Hood.