Inhaled Sedation in Patients with COVID-19-Related Acute Respiratory Distress Syndrome: An International Retrospective Study.

acute respiratory distress syndrome coronavirus disease 2019 inhaled sedation isoflurane sevoflurane

Journal

Journal of clinical medicine
ISSN: 2077-0383
Titre abrégé: J Clin Med
Pays: Switzerland
ID NLM: 101606588

Informations de publication

Date de publication:
20 Dec 2022
Historique:
received: 17 11 2022
revised: 09 12 2022
accepted: 14 12 2022
entrez: 8 1 2023
pubmed: 9 1 2023
medline: 9 1 2023
Statut: epublish

Résumé

The coronavirus disease 2019 (COVID-19) pandemic and the shortage of intravenous sedatives has led to renewed interest in inhaled sedation for patients with acute respiratory distress syndrome (ARDS). We hypothesized that inhaled sedation would be associated with improved clinical outcomes in COVID-19 ARDS patients. Retrospective international study including mechanically ventilated patients with COVID-19 ARDS who required sedation and were admitted to 10 European and US intensive care units. The primary endpoint of ventilator-free days through day 28 was analyzed using zero-inflated negative binomial regression, before and after adjustment for site, clinically relevant covariates determined according to the univariate results, and propensity score matching. A total of 196 patients were enrolled, 78 of whom died within 28 days. The number of ventilator-free days through day 28 did not differ significantly between the patients who received inhaled sedation for at least 24 h ( The use of inhaled sedation in COVID-19 ARDS was not associated with the number of ventilator-free days through day 28.

Sections du résumé

BACKGROUND AND OBJECTIVES OBJECTIVE
The coronavirus disease 2019 (COVID-19) pandemic and the shortage of intravenous sedatives has led to renewed interest in inhaled sedation for patients with acute respiratory distress syndrome (ARDS). We hypothesized that inhaled sedation would be associated with improved clinical outcomes in COVID-19 ARDS patients.
METHODS METHODS
Retrospective international study including mechanically ventilated patients with COVID-19 ARDS who required sedation and were admitted to 10 European and US intensive care units. The primary endpoint of ventilator-free days through day 28 was analyzed using zero-inflated negative binomial regression, before and after adjustment for site, clinically relevant covariates determined according to the univariate results, and propensity score matching.
RESULTS RESULTS
A total of 196 patients were enrolled, 78 of whom died within 28 days. The number of ventilator-free days through day 28 did not differ significantly between the patients who received inhaled sedation for at least 24 h (
CONCLUSION CONCLUSIONS
The use of inhaled sedation in COVID-19 ARDS was not associated with the number of ventilator-free days through day 28.

Identifiants

pubmed: 36614813
pii: jcm12010012
doi: 10.3390/jcm12010012
pmc: PMC9821008
pii:
doi:

Types de publication

Journal Article

Langues

eng

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Auteurs

Randy Coupet (R)

Department of Anesthesiology, Critical Care and Perioperative Medicine, CHU Clermont-Ferrand, 63000 Clermont-Ferrand, France.

Martin Schläpfer (M)

Institute of Anesthesiology, University Hospital Zurich, 8091 Zurich, Switzerland.
Institute of Physiology, University Zurich, 8057 Zurich, Switzerland.

Thomas A Neff (TA)

Department of Anesthesiology and Intensive Care Medicine, Cantonal Hospital Muensterlingen, 8596 Muensterlingen, Switzerland.

Pierre Boucher (P)

Department of Anesthesiology and Critical Care, Ramsay Santé Private Hospital de la Loire, 42100 Saint-Etienne, France.

Pierre Bailly (P)

Department of Medical Intensive Care, CHRU Brest, 29609 Brest, France.

Martin Bellgardt (M)

St. Josef-Hospital, University Hospital of Ruhr-University of Bochum, 44791 Bochum, Germany.

Rafael Badenes (R)

Department of Anesthesiology and Intensive Care, Hospital Clìnico Universitario de Valencia, University of Valencia, 46010 Valencia, Spain.

Jose Carbonell (J)

Department of Anesthesiology and Intensive Care, Hospital Clìnico Universitario de Valencia, University of Valencia, 46010 Valencia, Spain.

Tobias Becher (T)

Department of Anesthesiology and Intensive Care Medicine, University Medical Center Schleswig-Holstein, Campus Kiel, 24105 Kiel, Germany.

Caroline Varillon (C)

Department of Medical Intensive Care, Dunkerque Hospital, 59240 Dunkerque, France.

Dominique Morand (D)

Department of Anesthesiology, Critical Care and Perioperative Medicine, CHU Clermont-Ferrand, 63000 Clermont-Ferrand, France.

Raiko Blondonnet (R)

Department of Anesthesiology, Critical Care and Perioperative Medicine, CHU Clermont-Ferrand, 63000 Clermont-Ferrand, France.
iGReD-Genetics Reproduction and Development Research Unit, National Center for Scientific Research (CNRS), National Institute of Health and Medical Research (INSERM), Clermont Auvergne University, 63001 Clermont-Ferrand, France.

Jean-Michel Constantin (JM)

Department of Anesthesiology and Critical Care, GRC 29, DMU DREAM, Pitié-Salpêtrière Hospital, Sorbonne University, Assistance Publique-Hôpitaux de Paris, 75013 Paris, France.

Bruno Pereira (B)

Biostatistics and Data Management Unit, Department of Clinical Research and Innovation (DRCI), CHU Clermont-Ferrand, 63000 Clermont-Ferrand, France.

Brian O'Gara (B)

Department of Anesthesia, Critical Care & Pain Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA 02115, USA.

Matthieu Jabaudon (M)

Department of Anesthesiology, Critical Care and Perioperative Medicine, CHU Clermont-Ferrand, 63000 Clermont-Ferrand, France.
iGReD-Genetics Reproduction and Development Research Unit, National Center for Scientific Research (CNRS), National Institute of Health and Medical Research (INSERM), Clermont Auvergne University, 63001 Clermont-Ferrand, France.

Classifications MeSH