| COVID-19 is new type of virus that infects respiratory system (1). Every patient with acute severe respiratory disorder should be managed in the Intensive Care Unit (ICU) based on the recommendation of the Surviving Sepsis Campaign panel (2). About 19% of patients infected by COVID-19 suffer from hypoxic respiratory failure, and approximately 14% will develop severe infection, who require oxygen therapy, and 5% will require mechanical ventilation and ICU admission (3-4). A study revealed that among the 52 patients with a severe COVID-19 infection, 67% had acute respiratory distress syndrome (ARDS), 63.5%, 42%, and 56% took high-flow nasal cannula (HFNC), invasive mechanical ventilation, and noninvasive mechanical ventilation, respectively (5). |