Barotrauma may be a specially relevant concern in COVID-19 ventilated patients
DOI:
https://doi.org/10.25751/rspa.20882Keywords:
Artificial respiration, respiratory insufficiency, barotrauma, COVID-19Abstract
Invasive mechanical ventilation plays a key role in the management of respiratory failure induced by SARS-CoV-2 infection. Patients with COVID-19 have been associated with need for both long periods of ventilation and higher pressures applied to a often damaged lung parenchyma. These features may prompt an increased risk of lung injury, namely barotrauma, even when a lung protective ventilation strategy is applied. We report a case of a COVID-19 ventilated patient who developed several barotrauma related complications that ultimately led to death.
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References
2. Network ARDS. Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome. N Engl J Med. 2000;342(18):1301–8.
3. Anzueto A, Vivar FF, Brochard L, Tobin MJ, David CM, Empaire GD, et al. Incidence , risk factors and outcome of barotrauma in mechanically ventilated patients. 2004;58:612–9.
4. Georgeann McGuinness, Zhan C, Rosenberg N, Azour L, Wickstrom M, Mason DM, et al. High Incidence of Barotrauma in Patients with COVID-19 Infection on Invasive Mechanical Ventilation. Radiology. 2020.
5. Gattinoni L, Marini JJ, Collino F, Maiolo G, Rapetti F, Tonetti T, et al. The future of mechanical ventilation: Lessons from the present and the past. Crit Care. 2017;21(1):1–11.
6. Gattinoni L, Chiumello D, Caironi P, Busana M, Romitti F, Brazzi L, et al. COVID-19 pneumonia: different respiratory treatments for different phenotypes? Intensive Care Med [Internet]. 2020;6–9.
7. Xu Z, Shi L, Wang Y, Zhang J, Huang L, Zhang C, et al. Pathological findings of COVID-19 associated with acute respiratory distress syndrome. Lancet Respir Med [Internet]. 2020;8(4):420–2.
8. Magro C, Mulvey JJ, Berlin D, Nuovo G, Salvatore S, Harp J, et al. Complement associated microvascular injury and thrombosis in the pathogenesis of severe COVID-19 infection : A report of five cases. Transl Res. 2020;
9. Frazer JS, Tyrynis Everden AJ. Emerging patterns of hypercoagulability associated with critical COVID-19: A review. Trends Anaesth Crit Care. 2020.
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