在有或没有COVID-19肺炎的ARDS患者中,输出输出时间
Gregory D Burns1, Justin S Phillips2, Richard H Kallet3
1Respiratory Care Division, Department of Anesthesia and Perioperative Care, University of California, San Francisco at Zuckerberg San Francisco General Hospital and Trauma Center, San Francisco, California. Gregory.burns@ucsf.edu.
与非COVID ARDS患者相比,COVID-19相关的ARDS患者需要更长时间的机械通风. 在COVID-19患者中较慢的氧化改善可能解释了呼吸器持续时间的延长.
科学领域:
- 临界护理医学 临界护理医学
- 肺部病理学 肺部病理学
- 传染性疾病 传染性疾病
背景情况:
- 由于COVID-19引起的肺炎可能导致急性呼吸困扰综合征 (ARDS),往往需要侵入性机械通风.
- 本研究将COVID-19相关的ARDS与非COVID的ARDS在特征和结果方面进行比较.
- 专注于2020年COVID-19流行病的最初六个月.
研究的目的:
- 为了确定机械通风持续时间是否在COVID-19相关的ARDS和非COVID ARDS队列之间有所不同.
- 确定导致机械通风持续时间差异的因素.
- 为了比较两个ARDS组之间的患者特征和临床结果.
主要方法:
- 对需要超过48小时机械通风的73名受试者的回顾性分析.
- 包括COVID-19相关ARDS (n=37) 和非COVIDARDS (n=36) 的患者.
- 使用威尔科克森等级和奇平方测试进行比较; 考克斯比例危险模型用于输出分析.
主要成果:
- 在幸存者中,COVID-19 ARDS (10天) 与非COVID ARDS (4天) 的机械通风持续时间中位数显著较长 (P < .001).
- 医院死亡率在各组之间是相似的 (22%对39%,P = .11).
- 改善呼吸系统的符合性和氧化预测出口;在COVID-19 ARDS中,氧化改善速度较慢.
结论:
- 与非COVID ARDS相比,COVID-19相关的ARDS需要更长时间的机械通风.
- 在COVID-19 ARDS患者中,氧化状态的缓慢改善可能解释了呼吸持续时间的延长.
- 这些发现突出了这些ARDS类型之间恢复轨迹的关键差异.
更多相关视频
06:22Surfactant Depletion Combined with Injurious Ventilation Results in a Reproducible Model of the Acute Respiratory Distress Syndrome ARDS
Published on: April 7, 2021
09:36Halogenated Agent Delivery in Porcine Model of Acute Respiratory Distress Syndrome via an Intensive Care Unit Type Device
Published on: September 24, 2020
相关概念视频
Endotracheal Tube Extubation
Procedure
Extubation removes the endotracheal tube (ETT) from the patient on mechanical ventilation. It requires a well-coordinated, multidisciplinary approach involving physicians, nurses, respiratory therapists, and other healthcare professionals....
Acute Respiratory Failure-II
The underlying physiological abnormalities that contribute to hypoxemic respiratory failure include:
Acute Respiratory Failure-III
Acute Respiratory Failure-I
Definition: It is defined by specific criteria based on blood gas measurements. Hypoxemia happens when the partial pressure of oxygen (PaO2) falls below 60 mmHg. At the same time,...
Acute Respiratory Failure-V
Ensure that patients are monitored continuously for their response to therapy, including changes in...
Acute Respiratory Failure-IV
