Science and Research

[Treatment recommendations for mechanical ventilation of COVID19 patients]

Background: Due to the novelty of COVID19 there is lack of evidence-based recommendations regarding the mechanical ventilation of these patients. Objective: Identification and delineation of critical parameters enabling individualized lung and diaphragm protective mechanical ventilation. Material and methods: Selective literature search, critical evaluation and discussion of expert recommendations. Results: In the current literature a difference between ARDS in COVID19 and classical ARDS is described; however, there are no evidence-based recommendations for dealing with this discrepancy. In the past parameters and approaches for a personalized mechanical ventilation strategy were already introduced and applied. Conclusion: Using the parameters presented here it is possible to individualize the mechanical ventilation of COVID19 patients in order to adjust and increase its compatibility to the heterogeneous clinical presentation of the COVID19 ARDS.

  • Neetz, B.
  • Herth, F. J. F.
  • Muller, M. M.

Keywords

  • Diaphragmatic myotrauma
  • Mechanical ventilation COVID19
  • Patient self-inflicted lung injury
  • Ventilator-induced diaphragmatic dysfunction
  • Ventilator-induced lung injury
Publication details
DOI: 10.1007/s00772-020-00702-8
Journal: Gefasschirurgie
Pages: 1-9 
Work Type: Review
Location: TLRC
Disease Area: PALI, General Lung and Other
Partner / Member: Thorax
Access-Number: 32963422
See publication on PubMed

DZL Engagements

chevron-down