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[Treatment recommendations for mechanical ventilation of COVID‑19 patients]
B Neetz1, F J F Herth1, M M Müller1
1Thoraxklinik am Universitätsklinikum Heidelberg, Pneumologie und Beatmungsmedizin, Translational Lung Research Center Heidelberg (TLRC), Röntgenstraße 1, 69126 Heidelberg, Deutschland.
Background:
Due to the novelty of COVID‑19 there is lack of evidence-based recommendations regarding the mechanical ventilation of these patients.
Objective:
Identification and delineation of critical parameters enabling individualized lung and diaphragm protective mechanical ventilation.
Material And Methods:
Selective literature search, critical evaluation and discussion of expert recommendations.
Results:
In the current literature a difference between ARDS in COVID‑19 and classical ARDS is described; however, there are no evidence-based recommendations for dealing with this discrepancy. In the past parameters and approaches for a personalized mechanical ventilation strategy were already introduced and applied.
Conclusion:
Using the parameters presented here it is possible to individualize the mechanical ventilation of COVID‑19 patients in order to adjust and increase its compatibility to the heterogeneous clinical presentation of the COVID‑19 ARDS.
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