The Recruitment-to-Inflation Ratio Is Correlated with EIT-Derived Collapse and Overdistention in COVID-19 ARDS
Tommaso Pettenuzzo, Nicolò Sella, Giulia Lorenzoni, Alvise Calore, Francesco Zarantonello, Giulio Andreatta, Alessandro De Cassai, Darío Gregori, Annalisa Boscolo, Paolo Navalesi
Abstract
What This Study Adds to the FieldIn patients with acute respiratory distress syndrome (ARDS) secondary to coronavirus disease (COVID)-19, positive end-expiratory pressure (PEEP) selection should balance the beneficial and injurious effects of PEEP based on the potential for lung recruitment.We observed that the recruitment-to-inflation ratio (RIR) maneuver, a simple bedside method recently shown to differentiate patients based on their potential for lung recruitment, is linearly correlated with Page 2 of 13
Topics & Concepts
MedicineCoronavirus disease 2019 (COVID-19)ARDS2019-20 coronavirus outbreakSevere acute respiratory syndrome coronavirus 2 (SARS-CoV-2)Internal medicineVirologyLungOutbreakDiseaseInfectious disease (medical specialty)Respiratory Support and MechanismsClimate Change and Health Impacts