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

Kamil Gonderen; Mehmet Yıldırım; Fatma Yıldırım; Meltem Şimşek

Makale detayları

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

Yazarlar:

Kamil Gonderen | Mehmet Yıldırım | Fatma Yıldırım | Meltem Şimşek

Yayıncı:

Sakarya University

Ana Başlıklar:

Sağlık Kurumları Yönetimi

Dergi:

Sakarya Tıp Dergisi Vol.13 Issue 1, pp.35-40

Belge Tipi:

Makale

Yayın Tarihi:

3/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001284728

pISSN:

2146-409X

Anahtar kelimeler:

Özet:

 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 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 ARDS who received invasive mechanical ventilation IMV, non-invasive mechanical ventilation NIMV or high flow nasal oxygen therapy 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 4.4 of 660 patients. Nineteen 65.5 patients developed pneumothorax, 5 17.2 patients developed pneumomediastinum, 5 17.2 patients developed subcutaneous emphysema; 18 62.1 patients underwent tube thoracostomy, 11 37.9 patients were followed conservatively. When barotrauma developed, 17 58.6 patients were receiving IMV, 11 37.9 patients were receiving NIMV, and 1 3.4 patient was receiving HFNO. The mean length of stay in the ICU was 15.310.8 days, 19 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.

 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 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 ARDS who received invasive mechanical ventilation IMV, non-invasive mechanical ventilation NIMV or high flow nasal oxygen therapy 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 4.4 of 660 patients. Nineteen 65.5 patients developed pneumothorax, 5 17.2 patients developed pneumomediastinum, 5 17.2 patients developed subcutaneous emphysema; 18 62.1 patients underwent tube thoracostomy, 11 37.9 patients were followed conservatively. When barotrauma developed, 17 58.6 patients were receiving IMV, 11 37.9 patients were receiving NIMV, and 1 3.4 patient was receiving HFNO. The mean length of stay in the ICU was 15.310.8 days, 19 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.

 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 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 ARDS who received invasive mechanical ventilation IMV, non-invasive mechanical ventilation NIMV or high flow nasal oxygen therapy 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 4.4 of 660 patients. Nineteen 65.5 patients developed pneumothorax, 5 17.2 patients developed pneumomediastinum, 5 17.2 patients developed subcutaneous emphysema; 18 62.1 patients underwent tube thoracostomy, 11 37.9 patients were followed conservatively. When barotrauma developed, 17 58.6 patients were receiving IMV, 11 37.9 patients were receiving NIMV, and 1 3.4 patient was receiving HFNO. The mean length of stay in the ICU was 15.310.8 days, 19 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.

 Giriş: Spontan veya pozitif basınçlı ventilasyona bağlı gelişen barotravmanın Coronavirus 2019 COVID-19 hastalarında diğer hastalara göre daha sık olduğu bildirilmiştir. Bu çalışmada yoğun bakım ünitesinde; invaziv mekanik ventilasyon IMV, non-invaziv mekanik ventilasyon NIMV ya da yüksek akışlı nazal oksijen tedavisi YANO alan COVID-19 ilişkili ARDS hastalarında barotravma insidansının tespit edilmesi ve bu hastaların klinik, radyolojik özellikleri ve sonlanımlarının ortaya koyulması amaçlanmıştır. Gereç ve Yöntemler: Bu iki merkezli çalışmada, yoğun bakım ünitesinde COVID-19 ilişkili ARDS nedeniyle izlenen ve IMV, NIMV ve YANO tedavisi alan hastaların özellikleri ve sonlanımları retrospektif olarak araştırıldı. Barotravma bulguları pnomotoraks, pnomomediastinum, pnomoperikardiyum ve subkutan amfizem olarak belirlendi. Bulgular: Toplam 660 hastanın 29 4,4 tanesinde barotravma tespit edildi. Barotavma izlenen 29 hastanın 19 65,5 tanesinde pnömotoraks, 5 17,2 tanesinde pnömomediastinum ve 5 17,2 tanesinde subkutan amfizem mevcuttu. Onsekiz 62,1 hastaya tedavi amaçlı tup torakostomi uygulanırken, 11 37,9 hasta konservatif izlendi. Barotravma saptandığı anda 17 58,6 hasta IMV, 11 37,9 hasta NIMV ve 1 3,4 hasta YANO almaktaydı. Barotravma izlenen 29 hastanın ortalama yoğun bakım yatış süresi 15,310,8 gün idi ve 19 65,5 hasta vefat etti. Sonuç: Barotravma, COVID-19 ilişkili ARDS hastalarında nadir olmayan ve yoğun bakım yatış süresi ve mortaliteyi artırabilecek bir durum olarak tespit edildi.

Makale detayları

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

Yazarlar:

Kamil Gonderen | Mehmet Yıldırım | Fatma Yıldırım | Meltem Şimşek

Yayıncı:

Sakarya University

Ana Başlıklar:

Sağlık Kurumları Yönetimi

Dergi:

Sakarya Tıp Dergisi Vol.13 Issue 1, pp.35-40

Belge Tipi:

Makale

Yayın Tarihi:

3/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001284728

pISSN:

2146-409X

COVID-19

ARDS

barotrauma

intensive care unit

COVID-19

ARDS

barotravma

yoğun bakım

Sayı

Makale detayları

Yazarlar: Kamil Gonderen | Mehmet Yıldırım | Fatma Yıldırım | Meltem Şimşek

Yayıncı: Sakarya University

Ana Başlıklar: Sağlık Kurumları Yönetimi

Dergi: Sakarya Tıp Dergisi Vol.13 Issue 1, pp.35-40

Belge Tipi: Makale

Yayın Tarihi: 3/2023

Belge Dili: İngilizce

Document ID (Org No.): 2001284728

pISSN: 2146-409X

Sayı

Yazarlar:

Kamil Gonderen | Mehmet Yıldırım | Fatma Yıldırım | Meltem Şimşek

Yayıncı:

Sakarya University

Ana Başlıklar:

Sağlık Kurumları Yönetimi

Dergi:

Sakarya Tıp Dergisi Vol.13 Issue 1, pp.35-40

Belge Tipi:

Makale

Yayın Tarihi:

3/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001284728

pISSN:

2146-409X