Management of mechanical ventilation in a morbidly obese patient with COVID-19-induced ARDS

Demircan S., Disli Z. K., Kalkan S., ÖZER A. B.

EUROPEAN REVIEW FOR MEDICAL AND PHARMACOLOGICAL SCIENCES, cilt.25, sa.18, ss.5853-5856, 2021 (SCI-Expanded) identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 25 Sayı: 18
  • Basım Tarihi: 2021
  • Doi Numarası: 10.26355/eurrev_202109_26804
  • Dergi Adı: EUROPEAN REVIEW FOR MEDICAL AND PHARMACOLOGICAL SCIENCES
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, EMBASE, MEDLINE
  • Sayfa Sayıları: ss.5853-5856
  • Anahtar Kelimeler: ARDS, COVID-19, Mechanical ventilation, Obesity, END-EXPIRATORY PRESSURE
  • İnönü Üniversitesi Adresli: Evet

Özet

Coronavirus disease 2019-induced acute respiratory distress syndrome (AR-DS) is more severe in morbidly obese patients. Mechanical ventilation differs between obese and non-obese patients. We examined these differences in an obese (body mass index = 47 kg/m(2)) 32-year-old patient followed up in our clinic. The patient was admitted to the intensive care unit due to respiratory failure. Recruitment maneuvers were performed in pressure-controlled ventilation mode. The optimal positive end-expiratory pressure was 25 cm H2O. The inspiratory pressure was adjusted to 45 cm H2O to provide a tidal volume of 6 ml/kg and driving pressure <= 15. The patient was discharged with full recovery.