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...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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MDPI
2021
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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. |
format | Online Article Text |
id | pubmed-8585054 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
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 |
work_keys_str_mv | AT giustividavide respiratorymonitoringatbedsideincovid19patients AT bottazzinifrancesco respiratorymonitoringatbedsideincovid19patients AT belliatomirko respiratorymonitoringatbedsideincovid19patients |