Barotrauma and mechanical ventilation in critically ill patients covid-19

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Abstract

Manifestations of SARS-CoV-2 pneumonia can rapidly progress to acute respiratory failure and acute respiratory distress syndrome that should receive timely ventilatory support invasive mechanical ventilation. Barotrauma is a complication that should be considered in this type of patient due to the risk of worsening the clinical course, increasing mortality risk. The mechanism of how barotrauma occurs in COVID-19 patient is related to lung damage associated with mechanical ventilation and structural changes caused by COVID-19 complications. Worldwide evidence on therapeutic management on barotrauma in COVID-19 patient is limited. Clinical evolution should be monitored due to the possibility of cardiovascular and respiratory complications, which must be resolved in a timely manner. The objective of this review is to inform about the current knowledge described in literature of this complication in COVID-19 patients, its incidence, pathophysiology, diagnosis, treatment and prognosis. Conclusions: Barotrauma presentation frequency increases in COVID-19 infected patients. Clinical manifestations can be nonspecific, so the diagnosis should have high suspicion. There is little evidence to date of pulmonary sequelae associated with barotrauma in these patients.

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Bolívar-Rodríguez, M. A., Martínez-Nava, J. C., Pamanes-Lozano, A., Cázarez-Aguilar, M. A., Quiroga-Arias, V. E., & Bolívar-Corona, A. (2021). Barotrauma and mechanical ventilation in critically ill patients covid-19. Neumologia y Cirugia de Torax(Mexico), 80(1), 62–67. https://doi.org/10.35366/99457

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