Respirol Case Rep . The effect of lung recruitment maneuverer in COVID-19 induced acute respiratory distress syndrome

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Respirol Case Rep


. 2023 Feb 14;11(3):e01107.
doi: 10.1002/rcr2.1107. eCollection 2023 Mar.
The effect of lung recruitment maneuverer in COVID-19 induced acute respiratory distress syndrome


Wei-Chiang Lin ^{1 2} , Shang-Yi Lin ¹ , Meng-Che Tsai ¹ , Fu-Tsai Chung ^{3 4 5} , Hsiu-Mei Chang ¹



Affiliations

• PMID: 36818455
• PMCID: PMC9929518
• DOI: 10.1002/rcr2.1107

Abstract

Coronavirus disease-2019 (COVID-19) is a highly spread infectious disease around the world. This infectious disease impacts whole body systems, specifically on respiratory system. This 57-year-old women had diagnosed COVID-19 positive and progress to acute respiratory distress syndrome (ARDS) within 1 week. Mechanical ventilation with protective lung strategy, prone position could not reverse the worsen hypoxemia and bilateral lung infiltration. Recruitment manoeuvre was proceeded with 40-40 strategy and protective/ventilation tool (P/V tool). After 4 days (8 rounds) of recruitment manoeuvre, oxygenation level and lung compliance showed dramatic improvement. The patient was finally extubated at COVID-19 Day 40 and discharged with long term oxygen use at COVID-19 Day 60. In this case, we report how recruitment manoeuvre can improve severe hypoxemia and bilateral lung infiltration dramatically in ARDS.

Keywords: COVID‐19; acute respiratory distress syndrome; recruitment manoeuvre.