Pelosi P, Severgnini P, Aspesi M, Gamberoni C, Chiumello D, Fachinetti C, Introzzi L, Antonelli M, Chiaranda M. Eur J Emerg Med. 2003 Jun;10(2):79-86.
Early review of the use of NIV and the helmet interface in the emergency department and in the pre-hospital setting. Authors concluded that the helmet 'can extend the application of non-invasive positive pressure ventilation in different categories of patients with respiratory failure'.
Link to abstract.
Antonelli M, Conti G, Pelosi P, Gregoretti C, Pennisi MA, Costa R, Severgnini P, Chiaranda M, Proietti R. Crit Care Med. 2002 Mar;30(3):602-8
Prospective clinical pilot investigation on 33 patients treated with noninvasive pressure support ventilation (NPSV) delivered by helmet. Each patient was matched with two controls with ARF treated with NPSV via a facial mask. Primary end points were improvement of gas exchange, need for endotracheal intubation and the complications related to NPSV. Both groups improved oxygenation after NPSV, less patients failed NPSV and were intubated in the helmet group and less complications occured, while longer continuous application of the tecnique was possible. Authors concluded that NPSV by helmet successfully treated hypoxemic ARF, with better tolerance and fewer complications than facial mask NPSV.
Link to abstract.