Pneumothorax in a COVID-19 Patient Receiving Long-Term Mechanical Ventilation

Yuzuak, Erdem; Aslan, Serdar; Çakır, İsmet Miraç

doi:10.1590/0037-8682-0376-2021

Cited by 2 publications

(1 citation statement)

References 2 publications

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“…Pneumothorax can occur spontaneously after lung transplantation and/or arise in patients receiving long-term mechanical ventilation ( Slebos et al, 2001 ; Yuzuak et al, 2021 ). The use of EIT can be used to diagnose pneumothorax that occurs during recruitment maneuvers.…”

Section: The Future Of Eit In Lung Transplantationmentioning

confidence: 99%

Roles of electrical impedance tomography in lung transplantation

et al. 2022

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Lung transplantation is the preferred treatment method for patients with end-stage pulmonary disease. However, several factors hinder the progress of lung transplantation, including donor shortages, candidate selection, and various postoperative complications. Electrical impedance tomography (EIT) is a functional imaging tool that can be used to evaluate pulmonary ventilation and perfusion at the bedside. Among patients after lung transplantation, monitoring the graft’s pulmonary function is one of the most concerning issues. The feasible application of EIT in lung transplantation has been reported over the past few years, and this technique has gained increasing interest from multidisciplinary researchers. Nevertheless, physicians still lack knowledge concerning the potential applications of EIT in lung transplantation. We present an updated review of EIT in lung transplantation donors and recipients over the past few years, and discuss the potential use of ventilation- and perfusion-monitoring-based EIT in lung transplantation.

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Section: The Future Of Eit In Lung Transplantationmentioning

confidence: 99%

Roles of electrical impedance tomography in lung transplantation

et al. 2022

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Impact of Mechanical Ventilation on COVID-19 Patients in the Intensive Care Unit: A Retrospective Study

Aleid,

Alzimami

et al. 2024

Journal of Advanced Trends in Medical Research

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Introduction: Mechanical ventilation is frequently utilised in critically ill COVID-19 patients, yet outcomes remain unclear. This study evaluated characteristics, outcomes and associations between mechanical ventilation and prognosis in COVID-19 patients admitted to the intensive care unit (ICU). Methods: A retrospective review was conducted of medical records from 1389 COVID-19 patients admitted to a single ICU between dates. Demographic, clinical, treatment data and outcomes including length of stay (LOS), microbiological cure and discharge status were collected. Comparisons were made between ventilated and non-ventilated patients. Results: The mean age was 56 years, 74% were male. Mechanical ventilation was utilised in 73.9% for a mean duration of 9.89 days. Ventilated patients had significantly longer ICU (15 days vs. 10 days) and hospital stays (22 days vs. 18 days). Microbiological cure was achieved in 16.1%, with higher rates in ventilated patients. Factors including older age, male gender, diabetes and higher body mass index correlated with worse outcomes. Ventilated patients more often experienced ICU (96% vs. 4%) and hospital mortality (60% vs. 40%). Mechanical ventilation duration positively correlated with ICU and hospital LOS. Longer ventilation durations correlated with cure and remaining in ICU. Conclusion: In this large cohort, mechanical ventilation was commonly utilised yet correlated with worse outcomes, although outcomes may be confounded by indication. Modifying risk profiles through glycaemic and weight control along with standardised evidence-based protocols may help optimise outcomes. Further prospective analyses accounting for the severity of illness are needed to determine causal relationships between ventilation and prognosis in COVID-19.

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Pneumothorax in a COVID-19 Patient Receiving Long-Term Mechanical Ventilation

Abstract: FIGURE 1: Axial and coronal unenhanced chest computed tomography. Pneumothorax (arrows), multiple ground-glass opacities and consolidations (arrowheads), in both lung fields.

Cited by 2 publications

References 2 publications

Roles of electrical impedance tomography in lung transplantation

Roles of electrical impedance tomography in lung transplantation

Impact of Mechanical Ventilation on COVID-19 Patients in the Intensive Care Unit: A Retrospective Study

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