A physiological approach to understand the role of respiratory effort in the progression of lung injury in SARS-CoV-2 infection

Deterioration of lung function during the first week of COVID-19 has been observed when patients remain with insufficient respiratory support. Patient self-inflicted lung injury (P-SILI) is theorized as the responsible, but there is not robust experimental and clinical data to support it. Given the...

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Detalles Bibliográficos
Autores principales: Cruces, Pablo, Retamal, Jaime, Hurtado, Daniel E., Erranz, Benjamín, Iturrieta, Pablo, González, Carlos, Díaz, Franco
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2020
Materias:
Review
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7416996/
https://www.ncbi.nlm.nih.gov/pubmed/32778136
http://dx.doi.org/10.1186/s13054-020-03197-7
Descripción
Sumario:Deterioration of lung function during the first week of COVID-19 has been observed when patients remain with insufficient respiratory support. Patient self-inflicted lung injury (P-SILI) is theorized as the responsible, but there is not robust experimental and clinical data to support it. Given the limited understanding of P-SILI, we describe the physiological basis of P-SILI and we show experimental data to comprehend the role of regional strain and heterogeneity in lung injury due to increased work of breathing. In addition, we discuss the current approach to respiratory support for COVID-19 under this point of view.

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