Τίτλος:
COVID-19 ARDS: Points to Be Considered in Mechanical Ventilation and
Weaning
Γλώσσες Τεκμηρίου:
Αγγλικά
Περίληψη:
The COVID-19 disease can cause hypoxemic respiratory failure due to
ARDS, requiring invasive mechanical ventilation. Although early studies
reported that COVID-19-associated ARDS has distinctive features from
ARDS of other causes, recent observational studies have demonstrated
that ARDS related to COVID-19 shares common clinical characteristics and
respiratory system mechanics with ARDS of other origins. Therefore,
mechanical ventilation in these patients should be based on strategies
aiming to mitigate ventilator-induced lung injury. Assisted mechanical
ventilation should be applied early in the course of mechanical
ventilation by considering evaluation and minimizing factors associated
with patient-inflicted lung injury. Extracorporeal membrane oxygenation
should be considered in selected patients with refractory hypoxia not
responding to conventional ventilation strategies. This review
highlights the current and evolving practice in managing mechanically
ventilated patients with ARDS related to COVID-19.
Συγγραφείς:
Kondili, Eumorfia
Makris, Demosthenes
Georgopoulos, Dimitrios
and Rovina, Nikoletta
Kotanidou, Anastasia
Koutsoukou, Antonia
Περιοδικό:
International Journal of Person-Centered Medicine
Λέξεις-κλειδιά:
COVID-19; lung injury; mechanical ventilation; weaning
