Ventilator associated lung injury in severe COVID-19 pneumonia patients – Case Reports
Vikash Gupta, Buthaina M. Alkandari, Wasif Mohammed, Ahmed Mohamed Tobar, Mohsen Ahmed Abdelmohsen
Abstract
Management of severe coronavirus disease 2019 requires advanced respiratory support modalities including invasive mechanical ventilation (IMV), continuous positive airway pressure (C-PAP), and non-invasive ventilation ((NIV). IMV leads to either subtle forms of lung injury (pulmonary edema, lung cysts) or more severe form of lung injury manifested as subcutaneous emphysema, pneumomediastinum, and pneumothorax (herein collectively termed barotrauma). We have described two cases showing the two end of spectrum of ventilator associated lung injury (VALI).
Topics & Concepts
MedicinePneumomediastinumPneumothoraxSubcutaneous emphysemaMechanical ventilationLungPneumoniaAnesthesiaAirwayCoronavirus disease 2019 (COVID-19)Intensive care medicineSurgeryInternal medicineDiseaseInfectious disease (medical specialty)Pneumothorax, Barotrauma, EmphysemaRespiratory Support and MechanismsPleural and Pulmonary Diseases