Radiological Features and Outcomes of COVID-19 Associated ARDS Patients with Barotrauma Barotravma Saptanan COVID-19 İlişkili ARDS Hastalarının Radyolojik Özellikleri ve Sonlanımları
Sakarya Medical Journal, cilt.13, sa.1, ss.35-40, 2023 (Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 13 Sayı: 1
- Basım Tarihi: 2023
- Doi Numarası: 10.31832/smj.1151067
- Dergi Adı: Sakarya Medical Journal
- Derginin Tarandığı İndeksler: Scopus, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.35-40
- Anahtar Kelimeler: ARDS, barotrauma, COVID-19, intensive care unit
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Introduction Barotrauma developing spontaneously or associated with positive pressure ventilation is reported more frequently in patients with novel coronavirus 2019 (COVID-19). In this study, we aimed to determine the frequency 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 patients who followed up in the ICU due to COVID-19 were retrospectively investigated. Barotrauma findings were determined as pneumothorax, pneumomomediastinum, pneumopericardium and subcutaneous emphysema. Results Barotrauma was detected in 29 (4.4%) of 660 patients. Nineteen (65.5%) patients had pneumothorax, 5 (17.2%) patients had pneumomediastinum, 5 (17.2%) patients had 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 15.3±10.8 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.