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Neumología y cirugía de tórax
versión impresa ISSN 0028-3746
Resumen
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 06-Dic-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.
Palabras llave : Barotrauma; invasive mechanical ventilation; pneumomediastinum; pneumothorax; COVID-19.
