Respiratory Monitoring at Bedside in COVID-19 Patients

The SARS-CoV-2 (COVID-19) pandemic has forced some reflections to be had surrounding the ventilatory support to be applied to certain types of patients. The model of two phenotypes, set out by Professor Gattinoni and colleagues, suggests that adequate monitoring of respiratory effort may play a key...

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Autores principales: Giustivi, Davide, Bottazzini, Francesco, Belliato, Mirko
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8585054/
https://www.ncbi.nlm.nih.gov/pubmed/34768462
http://dx.doi.org/10.3390/jcm10214943
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author Giustivi, Davide
Bottazzini, Francesco
Belliato, Mirko
author_facet Giustivi, Davide
Bottazzini, Francesco
Belliato, Mirko
author_sort Giustivi, Davide
collection PubMed
description The SARS-CoV-2 (COVID-19) pandemic has forced some reflections to be had surrounding the ventilatory support to be applied to certain types of patients. The model of two phenotypes, set out by Professor Gattinoni and colleagues, suggests that adequate monitoring of respiratory effort may play a key role in the treatment of respiratory failure due to COVID-19. An insufficient control of the patient’s respiratory efforts could lead to an aggravation of lung damage, mainly due to the possibility of generating Patient Self-Inflicted Lung Injury (PSILI) with a consequent aggravation of the pathological picture. Nevertheless, effectively monitoring the patient’s respiratory work, especially in nonintensive settings, is not easy. This article briefly describes some methods that allow the assessment of respiratory effort, such as the use of ultrasound and respiratory tests, which can be performed in nonintensive settings.
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spelling pubmed-85850542021-11-12 Respiratory Monitoring at Bedside in COVID-19 Patients Giustivi, Davide Bottazzini, Francesco Belliato, Mirko J Clin Med Review The SARS-CoV-2 (COVID-19) pandemic has forced some reflections to be had surrounding the ventilatory support to be applied to certain types of patients. The model of two phenotypes, set out by Professor Gattinoni and colleagues, suggests that adequate monitoring of respiratory effort may play a key role in the treatment of respiratory failure due to COVID-19. An insufficient control of the patient’s respiratory efforts could lead to an aggravation of lung damage, mainly due to the possibility of generating Patient Self-Inflicted Lung Injury (PSILI) with a consequent aggravation of the pathological picture. Nevertheless, effectively monitoring the patient’s respiratory work, especially in nonintensive settings, is not easy. This article briefly describes some methods that allow the assessment of respiratory effort, such as the use of ultrasound and respiratory tests, which can be performed in nonintensive settings. MDPI 2021-10-26 /pmc/articles/PMC8585054/ /pubmed/34768462 http://dx.doi.org/10.3390/jcm10214943 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Giustivi, Davide
Bottazzini, Francesco
Belliato, Mirko
Respiratory Monitoring at Bedside in COVID-19 Patients
title Respiratory Monitoring at Bedside in COVID-19 Patients
title_full Respiratory Monitoring at Bedside in COVID-19 Patients
title_fullStr Respiratory Monitoring at Bedside in COVID-19 Patients
title_full_unstemmed Respiratory Monitoring at Bedside in COVID-19 Patients
title_short Respiratory Monitoring at Bedside in COVID-19 Patients
title_sort respiratory monitoring at bedside in covid-19 patients
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8585054/
https://www.ncbi.nlm.nih.gov/pubmed/34768462
http://dx.doi.org/10.3390/jcm10214943
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