%0 Journal Article %A Rebecca Nightingale %A Nneka Nwosu %A Farheen Kutubudin %A Tom Fletcher %A Joe Lewis %A Frederick Frost %A Kathryn Haigh %A Ryan Robinson %A Ayesha Kumar %A Gareth Jones %A Deborah Brown %A Michael Abouyannis %A Mike Beadsworth %A Peter Hampshire %A Stephen Aston %A Manish Gautam %A Hassan Burhan %T Is continuous positive airway pressure (CPAP) a new standard of care for type 1 respiratory failure in COVID-19 patients? A retrospective observational study of a dedicated COVID-19 CPAP service %D 2020 %R 10.1136/bmjresp-2020-000639 %J BMJ Open Respiratory Research %P e000639 %V 7 %N 1 %X The aim of this case series is to describe and evaluate our experience of continuous positive airway pressure (CPAP) to treat type 1 respiratory failure in patients with COVID-19. CPAP was delivered in negative pressure rooms in the newly repurposed infectious disease unit. We report a cohort of 24 patients with type 1 respiratory failure and COVID-19 admitted to the Royal Liverpool Hospital between 1 April and 30 April 2020. Overall, our results were positive; we were able to safely administer CPAP outside the walls of a critical care or high dependency unit environment and over half of patients (58%) avoided mechanical ventilation and a total of 19 out of 24 (79%) have survived and been discharged from our care. %U https://bmjopenrespres.bmj.com/content/bmjresp/7/1/e000639.full.pdf