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Behandlungsempfehlungen zur Beatmung von COVID‑19-Patienten

BACKGROUND: Due to the novelty of COVID‑19 there is lack of evidence-based recommendations regarding the mechanical ventilation of these patients. OBJECTIVE: Identification and delineation of critical parameters enabling individualized lung and diaphragm protective mechanical ventilation. MATERIAL A...

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Detalles Bibliográficos
Autores principales: Neetz, B., Herth, F. J. F., Müller, M. M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Medizin 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7499005/
https://www.ncbi.nlm.nih.gov/pubmed/32963422
http://dx.doi.org/10.1007/s00772-020-00702-8
Descripción
Sumario:BACKGROUND: Due to the novelty of COVID‑19 there is lack of evidence-based recommendations regarding the mechanical ventilation of these patients. OBJECTIVE: Identification and delineation of critical parameters enabling individualized lung and diaphragm protective mechanical ventilation. MATERIAL AND METHODS: Selective literature search, critical evaluation and discussion of expert recommendations. RESULTS: In the current literature a difference between ARDS in COVID‑19 and classical ARDS is described; however, there are no evidence-based recommendations for dealing with this discrepancy. In the past parameters and approaches for a personalized mechanical ventilation strategy were already introduced and applied. CONCLUSION: Using the parameters presented here it is possible to individualize the mechanical ventilation of COVID‑19 patients in order to adjust and increase its compatibility to the heterogeneous clinical presentation of the COVID‑19 ARDS.