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Barotrauma and its complications in COVID-19 patients: a retrospective study at tertiary care hospital of Eastern India

BACKGROUND: The development of barotrauma in COVID-19 patients who were ventilated and admitted to the intensive treatment unit seemed to have been a problematic issue in the COVID era. This study aimed to explore the possibility of developing the barotrauma-related issues with mechanical ventilatio...

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Autores principales: Dubey, Roopak, Sen, Kamal Kumar, Mishra, Aparajita
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9284477/
https://www.ncbi.nlm.nih.gov/pubmed/35854795
http://dx.doi.org/10.1186/s42269-022-00880-3
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author Dubey, Roopak
Sen, Kamal Kumar
Mishra, Aparajita
author_facet Dubey, Roopak
Sen, Kamal Kumar
Mishra, Aparajita
author_sort Dubey, Roopak
collection PubMed
description BACKGROUND: The development of barotrauma in COVID-19 patients who were ventilated and admitted to the intensive treatment unit seemed to have been a problematic issue in the COVID era. This study aimed to explore the possibility of developing the barotrauma-related issues with mechanical ventilation in the cases of individuals suffering from COVID-19. RESULTS: Out of 48 patients who developed barotrauma, 30 (62.5%) presented with pneumothorax, 22 (45.8%) with pneumomediastinum, 10 (20.8%) with subcutaneous emphysema, and 2 (4.1%) with pneumopericardium. Of those that developed barotrauma, 45 (93.7%) patients were in acute respiratory distress syndrome. In patients with and without barotrauma, significant factors were white blood cell count (p = 0.001), neutrophil percentage (p = 0.012), and lymphocyte percentage (p = 0.014). There were no statistically significant differences in CRP, procalcitonin, d-dimer test, LDH, or ferritin. CONCLUSIONS: Patients infected with COVID-19 have a high risk of barotrauma when on mechanical ventilation. As a result, the death rate in this patient group is higher.
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spelling pubmed-92844772022-07-15 Barotrauma and its complications in COVID-19 patients: a retrospective study at tertiary care hospital of Eastern India Dubey, Roopak Sen, Kamal Kumar Mishra, Aparajita Bull Natl Res Cent Research BACKGROUND: The development of barotrauma in COVID-19 patients who were ventilated and admitted to the intensive treatment unit seemed to have been a problematic issue in the COVID era. This study aimed to explore the possibility of developing the barotrauma-related issues with mechanical ventilation in the cases of individuals suffering from COVID-19. RESULTS: Out of 48 patients who developed barotrauma, 30 (62.5%) presented with pneumothorax, 22 (45.8%) with pneumomediastinum, 10 (20.8%) with subcutaneous emphysema, and 2 (4.1%) with pneumopericardium. Of those that developed barotrauma, 45 (93.7%) patients were in acute respiratory distress syndrome. In patients with and without barotrauma, significant factors were white blood cell count (p = 0.001), neutrophil percentage (p = 0.012), and lymphocyte percentage (p = 0.014). There were no statistically significant differences in CRP, procalcitonin, d-dimer test, LDH, or ferritin. CONCLUSIONS: Patients infected with COVID-19 have a high risk of barotrauma when on mechanical ventilation. As a result, the death rate in this patient group is higher. Springer Berlin Heidelberg 2022-07-15 2022 /pmc/articles/PMC9284477/ /pubmed/35854795 http://dx.doi.org/10.1186/s42269-022-00880-3 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Research
Dubey, Roopak
Sen, Kamal Kumar
Mishra, Aparajita
Barotrauma and its complications in COVID-19 patients: a retrospective study at tertiary care hospital of Eastern India
title Barotrauma and its complications in COVID-19 patients: a retrospective study at tertiary care hospital of Eastern India
title_full Barotrauma and its complications in COVID-19 patients: a retrospective study at tertiary care hospital of Eastern India
title_fullStr Barotrauma and its complications in COVID-19 patients: a retrospective study at tertiary care hospital of Eastern India
title_full_unstemmed Barotrauma and its complications in COVID-19 patients: a retrospective study at tertiary care hospital of Eastern India
title_short Barotrauma and its complications in COVID-19 patients: a retrospective study at tertiary care hospital of Eastern India
title_sort barotrauma and its complications in covid-19 patients: a retrospective study at tertiary care hospital of eastern india
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9284477/
https://www.ncbi.nlm.nih.gov/pubmed/35854795
http://dx.doi.org/10.1186/s42269-022-00880-3
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