Open AccessMechanical ventilation in SARS-CoV-2 patients: state of art
Author(s) -
Diana Ávila Reyes,
Paulina García,
Guillermo Salazar Gutierrez,
José F. Gómez-González,
David Ricardo Echeverry Piedrahita,
Juan Galvis,
Mateo Aguirre Flórez
Publication year - 2021
Publication title -
colombian journal of anesthesiology/revista colombiana de anestesiología/revista colombiana de anestesiologia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.145
H-Index - 9
eISSN - 2145-4604
pISSN - 0120-3347
DOI - 10.5554/22562087.e971
Subject(s) - medicine , mechanical ventilation , narrative review , intensive care medicine , covid-19 , acute respiratory failure , ventilation (architecture) , respiratory failure , pathology , disease , mechanical engineering , outbreak , infectious disease (medical specialty) , engineering
COVID-19-associated infection leads to a pathology of yet unknown clinical behavior, confronting the clinician with various challenges. An extensive search was conducted based on review articles on SARS-CoV-2 infection and studies including mechanical ventilation management strategies in order to complete this narrative review. Evidenced-based treatment for SARS-CoV2 infection is still in the works. We have some tools from our knowledge from past experiences indicating that a step-wise management approach should be used, without neglecting other joint therapeutic measures for improved clinical outcomes of a condition with a high mortality. The current recommendations indicate that patients with severe acute respiratory failure due to SARS-CoV-2 should be managed with protective mechanical ventilation measures. No strong evidence is yet available on the individualization of mechanical ventilation therapy according to phenotypes.