Radiological Features and Outcomes of COVID-19 Associated ARDS Patients with Barotrauma

Authors : Kamil GONDEREN, Mehmet YILDIRIM, Fatma YILDIRIM, Meltem ŞİMŞEK

Pages : 35-40

Doi:10.31832/smj.1151067

View : 20 | Download : 7

Publication Date : 2023-03-16

Article Type : Research Paper

Abstract :Objective: Barotrauma developing spontaneously or associated with positive pressure ventilation applied as respiratory support therapy is reported more frequently in patients with novel coronavirus 2019 insert ignore into journalissuearticles values(COVID-19);. In this study, we aimed to determine the incidence of barotrauma in critically-ill patients with COVID-19 associated acute respiratory distress syndrome insert ignore into journalissuearticles values(ARDS); who received invasive mechanical ventilation insert ignore into journalissuearticles values(IMV);, insert ignore into journalissuearticles values(non-invasive mechanical ventilation NIMV); or high flow nasal oxygen therapy insert ignore into journalissuearticles values(HFNO); and reveal clinical features, radiological findings and outcomes of these patients. Materials and Methods: In this two-center study, the frequency and clinical characteristics of patients who developed barotrauma while being followed up in the ICU due to COVID-19 were retrospectively investigated. Results: Barotrauma was detected in 29 insert ignore into journalissuearticles values(4.4%); of 660 patients. Nineteen insert ignore into journalissuearticles values(65.5%); patients developed pneumothorax, 5 insert ignore into journalissuearticles values(17.2%); patients developed pneumomediastinum, 5 insert ignore into journalissuearticles values(17.2%); patients developed subcutaneous emphysema; 18 insert ignore into journalissuearticles values(62.1%); patients underwent tube thoracostomy, 11 insert ignore into journalissuearticles values(37.9%); patients were followed conservatively. When barotrauma developed, 17 insert ignore into journalissuearticles values(58.6%); patients were receiving IMV, 11 insert ignore into journalissuearticles values(37.9%); patients were receiving NIMV, and 1 insert ignore into journalissuearticles values(3.4%); patient was receiving HFNO. The mean length of stay in the ICU was 15.3±10.8 days, 19 insert ignore into journalissuearticles values(65.5%); of the patients died. Conclusion: Barotrauma is not uncommon in COVID-19 ARDS patients; It is a complication that can increase mortality and length of stay in ICU.
Keywords : COVID 19, ARDS, barotravma, yoğun bakım