Body Mass Index and Risk of Intubation and Death in SARS-CoV-2 infection. Airway Pressures and Early Barotrauma in Patients with Acute Lung Injury and Acute Respiratory Distress Syndrome.
Published by Informa UK Limited, trading as Taylor & Francis Group on behalf of Greater Baltimore Medical Center.Įisner MD, Thompson BT, Schoenfeld D, et al. These findings suggest a need for more data and randomized studies to establish appropriate ventilator management strategies for patients with lung injury associated with COVID-19.ĬOVID-19 barotrauma intubation obesity. Patients who developed barotrauma were also noted to be intubated for a significantly longer duration (16.52 days) as compared to their non-barotrauma counterparts. Conclusion: Rate of barotrauma in COVID-19 intubated patients was noted to be 19% in our study, which is on par with the rate of ventilator-induced barotrauma with the previous SARS virus-associated ARDS, and higher than that of the general population with ARDS. The overall mortality rate was noted to be 92% amongst intubated patients. Fourteen out of 19 patients (73%) with barotrauma were intubated for 10 or more days with a median of 16.52 days. The average BMI of patients with barotrauma was 32.06 kg/m 2 with an average age of 56.84 years and 9 patients being classified as obese (BMI ≥30 kg/m 2). Results: Ninteen out of the 100 included patients developed barotrauma as defined by radiographic evidence of pneumothorax, pneumomediastinum or subcutaneous emphysema. Data were collected for a total of 3 months from electronic health records on patient's age, sex, BMI, incidence of barotrauma, total length of intubation and outcome.
BAROTRAUMA BTE DOWNLOAD SERIES
Methods: Retrospective observation case series of patients with SARS-CoV-2 infection who were intubated in the ICU. We attempt to determine the incidence of barotrauma in intubated patients with SARS-CoV-2 infection. Background: Ventilator-induced Barotrauma is a complication of intubation that is associated with high driving pressures and positive end-expiratory pressure use.
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