tetano
Editor, Senior Moderator
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[SUP] 1 2 [/SUP], Shang-Yi Lin[SUP] 1 [/SUP], Meng-Che Tsai[SUP] 1 [/SUP], Fu-Tsai Chung[SUP] 3 4 5 [/SUP], Hsiu-Mei Chang[SUP] 1 [/SUP]
Affiliations
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.
. 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[SUP] 1 2 [/SUP], Shang-Yi Lin[SUP] 1 [/SUP], Meng-Che Tsai[SUP] 1 [/SUP], Fu-Tsai Chung[SUP] 3 4 5 [/SUP], Hsiu-Mei Chang[SUP] 1 [/SUP]
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.