COVID-19 Lungs May Be More Likely to Leak
Now open: Certificate Course in Management of Covid-19 by Govt. Of Gujarat and PlexusMDKnow more...Now open: Certificate Course in Management of Covid-19 by Govt. Of Gujarat and PlexusMDKnow more...
Get authentic, real-time news that helps you fight COVID-19 better.
Install PlexusMD App for doctors. It's free.
Pneumothorax and other barotrauma was more common in COVID-19 patients on invasive mechanical ventilation than seen for other patients on ventilators, a retrospective study showed.

In this study, clinical and imaging data of patients who tested positive for COVID-19 and experienced barotrauma associated with invasive mechanical ventilation were compared to patients without COVID-19 infection during the same period. Historical comparison was made to barotrauma rates of patients with acute respiratory distress syndrome (ARDS) at the same institution.

Results: 601 patients with COVID-19 infection underwent invasive mechanical ventilation. There were 89/601 (15%) patients with one or more barotrauma events, for a total of 145 barotrauma events (24% overall events). During the same period, 196 patients without COVID-19 infection with invasive mechanical ventilation had 1 barotrauma event. Of 285 patients with ARDS over the prior 4 years on invasive mechanical ventilation, 28 patients (10%) had 31 barotrauma events, with overall barotrauma rate of 11%. Barotrauma is an independent risk factor for death in COVID-19 and is associated with longer hospital length of stay.

Conclusively, Patients with COVID-19 infection and invasive mechanical ventilation had a higher rate of barotrauma than patients with ARDS and patients without COVID-19 infection. Barotrauma in patients with COVID-19 infection was aslo associated with longer hospital stay and death.

Source: https://pubs.rsna.org/doi/10.1148/radiol.2020202352
Dr. T●●●●z H●●●●●●i and 6 others like this8 shares
Like
Comment
Share