Synopsis: A total of 83 patients with acute respiratory distress syndrome requiring at least 8 hours of noninvasive ventilation were randomized to continue noninvasive ventilation using a traditional facemask interface or changed to a helmet interface. Subjects in the helmet group had lower rates of intubation (18.2 vs. 61.5%; P<0.001) and lower in-hospital mortality (27.3% vs. 48.7%; P=0.004).
Source: Patel BK, Wolfe KS, Pohlman AS, et al. Effect of noninvasive ventilation delivered by helmet versus face mask on the rate of endotracheal intubation in patients with acute respiratory distress syndrome. JAMA. 2016;315:2435–2441.