BACKGROUND: The aim was to describe the incidence and risk factors of barotrauma in patients with the Coronavirus disease 2019 (COVID-19) on invasive mechanical ventilation, during the outbreak in our region (Lombardy, Italy). METHODS: The study was an electronic survey open from March 27th to May 2nd, 2020. Patients with COVID-19 who developed barotrauma while on invasive mechanical ventilation from 61 hospitals of the COVID-19 Lombardy Intensive Care Unit network were involved. RESULTS: The response rate was 38/61 (62%). The incidence of barotrauma was 145/2041 (7.1%; 95 degrees Ai-CI: 6.1-8.3%). Only a few cases occurred with ventilatory settings that may be considered non-protective such as a plateau airway pressure >35 cmH(2)O (2/113 [2%]), a driving airway pressure >15 cmH(2)O (30/113 [27%]), or a tidal volume >8 mL/kg of ideal body weight and a plateau airway pressure >30 cmH(2)O (12/134 [9%]). CONCLUSIONS: Within the limits of a survey, patients with COVID-19 might be at high risk for barotrauma during invasive (and allegedly lung-protective) mechanical ventilation.

Barotrauma in mechanically-ventilated patients with coronavirus disease 2019 : a survey of 38 hospitals in Lombardy, Italy / A. Protti, M. Greco, M. Filippini, A.M. Vilardo, T. Langer, M. Villa, F. Frutos-Vivar, A. Santini, P.F. Caruso, S. Spano, A. Anzueto, G. Citerio, G. Bellani, G. Foti, R. Fumagalli, A. Pesenti, G. Grasselli, M. Cecconi. - In: MINERVA ANESTESIOLOGICA. - ISSN 0375-9393. - 87:2(2020 Dec), pp. 193-198. [10.23736/S0375-9393.20.15002-8]

Barotrauma in mechanically-ventilated patients with coronavirus disease 2019 : a survey of 38 hospitals in Lombardy, Italy

Pesenti, Antonio;Grasselli, Giacomo;
2020-12

Abstract

BACKGROUND: The aim was to describe the incidence and risk factors of barotrauma in patients with the Coronavirus disease 2019 (COVID-19) on invasive mechanical ventilation, during the outbreak in our region (Lombardy, Italy). METHODS: The study was an electronic survey open from March 27th to May 2nd, 2020. Patients with COVID-19 who developed barotrauma while on invasive mechanical ventilation from 61 hospitals of the COVID-19 Lombardy Intensive Care Unit network were involved. RESULTS: The response rate was 38/61 (62%). The incidence of barotrauma was 145/2041 (7.1%; 95 degrees Ai-CI: 6.1-8.3%). Only a few cases occurred with ventilatory settings that may be considered non-protective such as a plateau airway pressure >35 cmH(2)O (2/113 [2%]), a driving airway pressure >15 cmH(2)O (30/113 [27%]), or a tidal volume >8 mL/kg of ideal body weight and a plateau airway pressure >30 cmH(2)O (12/134 [9%]). CONCLUSIONS: Within the limits of a survey, patients with COVID-19 might be at high risk for barotrauma during invasive (and allegedly lung-protective) mechanical ventilation.
Barotrauma; COVID-19; Respiration; artificial
Settore MED/41 - Anestesiologia
MINERVA ANESTESIOLOGICA
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Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/2434/857135
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