Pulmonary Barotrauma in COVID-19 Patients: Invasive versus Noninvasive Positive Pressure Ventilation.
COVID-19
adult respiratory distress syndrome
pneumomediastinum
pneumothorax
positive pressure ventilation
pulmonary barotrauma
Journal
International journal of general medicine
ISSN: 1178-7074
Titre abrégé: Int J Gen Med
Pays: New Zealand
ID NLM: 101515487
Informations de publication
Date de publication:
2021
2021
Historique:
received:
08
04
2021
accepted:
06
05
2021
entrez:
3
6
2021
pubmed:
4
6
2021
medline:
4
6
2021
Statut:
epublish
Résumé
This study aims to determine the incidence and outcome of COVID-19 patients who required positive pressure ventilation (PPV) and subsequently developed pulmonary barotrauma (PBT). Also, to investigate the risk factors and predictors of these complications to better understand the disease pathogenesis. This retrospective analysis enrolled all adult COVID-19 patients admitted through the period from October 1, 2020, to December 31, 2020. All patients who received any form of PPV were included. Patients were then divided into two groups based on PBT development, including subcutaneous emphysema, pneumothorax, and pneumomediastinum. Medical records of all patients were reviewed. Patients' demographics, laboratory data on admission, respiratory support modes, surgical interventions, and outcomes were collected and analyzed. In the specified period, 1095 patients were hospitalized due to COVID-19 illness. A total of 239 (21.8%) of all admitted patients received PPV. PBT accounted for 21.3% (51/239) of the study cohort. While both groups were equally exposed to the same modes of PPV, receiving invasive ventilation significantly correlated with decreased PBT odds (OR = 0.891; 95% CI, 0.803-0.988; COVID-19-infected patients are at a higher risk of developing PBT. Invasive positive pressure ventilation was associated with less PBT compared to noninvasive ventilation and delaying intubation does not seem to reduce the risk of pulmonary barotrauma.
Identifiants
pubmed: 34079341
doi: 10.2147/IJGM.S314155
pii: 314155
pmc: PMC8164351
doi:
Types de publication
Journal Article
Langues
eng
Pagination
2017-2032Informations de copyright
© 2021 Hamouri et al.
Déclaration de conflit d'intérêts
The authors declare that they have no conflicts of interest and no financial disclosures.
Références
Am J Med. 2021 Jan;134(1):e6-e14
pubmed: 32653423
Radiol Case Rep. 2020 Dec;15(12):2560-2564
pubmed: 32989407
Br J Anaesth. 2013 Jun;110(6):896-914
pubmed: 23562934
Respirology. 2018 Feb;23(2):130-137
pubmed: 29052924
Acute Crit Care. 2021 Feb;36(1):81-84
pubmed: 33342201
Eur Respir J. 2020 Nov 19;56(5):
pubmed: 32907891
Am J Respir Crit Care Med. 2017 May 1;195(9):1253-1263
pubmed: 28459336
Lancet Diabetes Endocrinol. 2020 Oct;8(10):813-822
pubmed: 32798472
Crit Care Explor. 2020 Sep 17;2(9):e0210
pubmed: 33063043
Clin Microbiol Infect. 2020 Jun;26(6):729-734
pubmed: 32234451
JAMA. 2020 Apr 7;323(13):1239-1242
pubmed: 32091533
N Engl J Med. 2013 Nov 28;369(22):2126-36
pubmed: 24283226
Crit Care Resusc. 2020 Sep;22(3):253-256
pubmed: 32900332
J Cardiothorac Vasc Anesth. 2021 Dec;35(12):3642-3651
pubmed: 33678544
N Engl J Med. 2000 May 4;342(18):1301-8
pubmed: 10793162
N Engl J Med. 2013 Jun 6;368(23):2159-68
pubmed: 23688302
Chest. 2004 Jun;125(6):2345-51
pubmed: 15189961
N Engl J Med. 2019 May 23;380(21):1997-2008
pubmed: 31112383
Diabetes Metab Res Rev. 2020 Mar 31;:e3319
pubmed: 32233013
Lancet. 2020 Mar 28;395(10229):1054-1062
pubmed: 32171076
IDCases. 2020 Jun 17;21:e00868
pubmed: 32596131
Ann Med Surg (Lond). 2020 Nov 28;61:24-29
pubmed: 33363723
N Engl J Med. 2012 Nov 8;367(19):1814-20
pubmed: 23075143
Emerg Radiol. 2020 Dec;27(6):727-730
pubmed: 32524296
Diabetes Metab. 2020 Sep;46(4):335-337
pubmed: 32416321
N Engl J Med. 2020 Jun 11;382(24):2372-2374
pubmed: 32302078
Am J Respir Crit Care Med. 2001 Feb;163(2):540-77
pubmed: 11179136
Diabetes. 2012 Jun;61(6):1584-91
pubmed: 22415874
ERJ Open Res. 2020 Nov 16;6(4):
pubmed: 33257914
Nicotine Tob Res. 2020 Aug 24;22(9):1669-1670
pubmed: 32383751
Radiology. 2020 Nov;297(2):E252-E262
pubmed: 32614258
Medicine (Baltimore). 2019 Mar;98(13):e15095
pubmed: 30921244
Lancet Respir Med. 2020 Mar;8(3):267-276
pubmed: 32043986
Diabetologia. 2020 Aug;63(8):1500-1515
pubmed: 32472191
Clin Imaging. 2020 Aug;64:35-42
pubmed: 32302927
Am J Respir Crit Care Med. 2017 Feb 15;195(4):438-442
pubmed: 27626833
Lancet Respir Med. 2020 Jun;8(6):e45
pubmed: 32325017
JAMA. 2020 Jun 9;323(22):2329-2330
pubmed: 32329799
AJR Am J Roentgenol. 2020 Jul;215(1):87-93
pubmed: 32174129
Lancet. 2020 Feb 15;395(10223):507-513
pubmed: 32007143
J Diabetes Sci Technol. 2020 Jul;14(4):813-821
pubmed: 32389027
Asian Pac J Allergy Immunol. 2020 Mar;38(1):1-9
pubmed: 32105090
Respir Med Case Rep. 2020;31:101265
pubmed: 33101895
Crit Care Med. 2000 Jul;28(7):2645-6
pubmed: 10921610
Intensive Care Med. 2004 Apr;30(4):612-9
pubmed: 14991090