11/19/2022 0 Comments Barotrauma traits![]() 9, 10 In our setting, treatment of the patients included conservative and corticosteroid therapy (based on inflammatory factors and the patient's general condition), and no specific antiviral therapy was used. Intubated patients were treated with the volume mode of ventilator following the ARDS guideline network. The COVID-19 diagnoses of all the patients in the study were confirmed by reverse-transcription polymerase chain reaction on specimens from nasopharyngeal swabs. This evidence was corroborated by a chest X-ray or computed tomography (CT) scan. Patients who were admitted to the ICU from Februto Jand who had evidence of BT were included in the study. This hospital is one of the most important centers for the treatment of patients with COVID-19 in Iran. #Barotrauma traits series#This retrospective case series was performed at Khorshid Hospital in Isfahan, Iran. The predisposing factors, side effects, and mortality rates were discussed. In this case series, we investigated patients with COVID-19 infection who were facing one of the complications of BT (e.g., pneumothorax, pneumomediastinum, or subcutaneous emphysema) during hospitalization with or without intubation. 7 Barotrauma has many different presentations, including pneumothorax, subcutaneous emphysema, pneumoperitoneum, pneumomediastinum or pneumopericardium, air embolization, tension lung cysts, and hyperinflated left lower lobe. High positive end-expiratory pressure (PEEP) with overdistention of the alveoli can lead to alveolar rupture and cause BT. Mechanical ventilation also has many complications, such as barotrauma (BT), which can increase mortality. 6 Different lung-protective strategies have been expressed in the ventilator settings of ARSD patients to reduce the mortality rate. 6 The WHO guidelines recommend immediate use of mechanical ventilation in patients with hypoxia, hypercapnia, respiratory fatigue, and disturbed level of consciousness. 4, 5 The most common complication in patients with COVID-19 is pneumonia, but other complications may also occur, such as acute respiratory distress syndrome (ARDS), sepsis, septic shock, and multiple organ failure. 4Ībout 15% of patients with COVID-19 infection develop moderate to severe forms that require hospitalization and respiratory support, and about 5% require intensive care unit (ICU) care and supportive treatments, such as intubation and ventilation. This test has high specificity but results in false negatives in some cases. 3 A positive polymerase chain reaction test for the virus on samples from nasopharyngeal swabs is a definitive diagnostic test for COVID-19. Abdominal pain, myalgia, diarrhea, sore throat, fatigue, and loss of smell are other possible symptoms. 2 This disease has very different manifestations at hospital admission, including fever, cough, and dyspnea. 1 The disease rapidly spread worldwide, causing more than 16 million infections and more than 600,000 reported deaths by July 31, 2020. On March 11, 2020, the World Health Organization (WHO) declared the novel coronavirus, namely severe acute respiratory syndrome coronavirus 2 disease, as a pandemic and global health emergency. The treatment team should increase their upervision on the ventilator setting, especially in the first week of intubation. High positive end-expiratory pressure, coinfection with bacterial pneumonia, and history of lung disease may affect BT incidence. Eight patients (61.53%) had a positive culture for Klebsiella pneumoniae. Half of them developed BT in the first 5 days of intubation. One patient developed BT before intubation. Among 103 patients with COVID-19 who were intubated, 13 patients (12.6%) had BT. The course of BT and its possible associated risk factors are descriptively presented. Medical records of the patients with COVID-19 and BT and hospitalized in the intensive care unit for 5 months were extracted. In this case series, the course of BT and its related risk factors were discussed in patients with COVID-19 who were admitted to the intensive care unit. Severe acute respiratory syndrome coronavirus 2 can cause pulmonary complications, such as increased risk of barotrauma (BT), but its prevalence and risk factors are not known. ![]()
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