Covid-19-associated acute respiratory distress syndrome: ventilator management and prone ventilation
International Journal of Development Research
Covid-19-associated acute respiratory distress syndrome: ventilator management and prone ventilation
Received 18th July, 2022; Received in revised form 27th July, 2022; Accepted 29th August, 2022; Published online 23rd September, 2022
Copyright © 2022, Umesh Kumar Bylappa et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
The COVID-19 associated acute respiratory distress syndrome (ARDS) is a major cause of acute respiratory failure. Its development leads to high rates of mortality, as well as short- and long-term complications, such as physical and cognitive impairment. Key components of a strategy include avoiding lung overdistension by limiting tidal volumes and airway pressures, and the use of positive end expiratory pressure with or without lung recruitment manoeuvres in patients with severe ARDS. In this review article, we describe updated concepts in ARDS and ventilator management for phenotypes: L and H type of Covid-19 ARDS patients. Specifically, its risk factors and pathophysiology, and current evidence regarding ventilation management, prone ventilation, and intervention required in refractory hypoxemia.
