Rivero LJC, Pereda GR, Rivero MH, Cruz LR, Venegas RR, Santana SR, Peña RR, Santisteban LBM, Aroche DP, García SA, Oliva PD

Language: Spanish
References: 12
Page: 1-12
PDF size: 273.76 Kb.

ABSTRACT

Introduction: Airway pressure release ventilation is a pressure-controlled and time-cycled ventilatory modality with inversion in the inspiration-expiration relationship and allowing spontaneous ventilation throughout the respiratory cycle.
Objective: To describe the clinical, gasometric and imaging characteristics of two patients with acute respiratory distress syndrome due to COVID-19, as well as the management followed and the evolution of the cases.
Case presentation: Two cases are presented of patients with acute respiratory distress syndrome, caused by COVID-19. They had, as a common feature, the onset of fever, asthenia, difficulty in breathing, which worsened, and blood gas alterations (characterized, particularly, by decrease in the partial pressure of oxygen that did not respond to increases in the fraction of inspired oxygen). From the radiological point of view, they presented bilateral perihilars. Both patients were ventilated with pressure release in the airways. The equipment used was the Bella Vista. After such management, the patients had clinical, gasometric and radiological improvement.
Conclusions: Taking into account the clinical, gasometric and radiological evolution of the cases presented, it can be concluded that ventilation with pressure release in the airways is a modality that provides satisfactory outcomes in patients with acute respiratory distress syndrome caused by COVID-19.

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