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Neumología y cirugía de tórax
Print version ISSN 0028-3746
Abstract
BOLIVAR-RODRIGUEZ, Martín Adrián et al. Barotrauma and mechanical ventilation in critically ill patients COVID-19. Neumol. cir. torax [online]. 2021, vol.80, n.1, pp.62-67. Epub Dec 06, 2021. ISSN 0028-3746. https://doi.org/10.35366/99457.
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.
Keywords : Barotrauma; invasive mechanical ventilation; pneumomediastinum; pneumothorax; COVID-19.
