Individualized ventilatory management in patients with COVID-19-associated acute respiratory distress syndrome

Hiroki Taenaka; Takeshi Yoshida; Haruka Hashimoto; Hirofumi Iwata; Yukiko Koyama; Akinori Uchiyama; Yuji Fujino

doi:10.1016/j.rmcr.2021.101433

Individualized ventilatory management in patients with COVID-19-associated acute respiratory distress syndrome

Respir Med Case Rep. 2021:33:101433. doi: 10.1016/j.rmcr.2021.101433. Epub 2021 May 31.

Authors

Hiroki Taenaka¹, Takeshi Yoshida¹, Haruka Hashimoto¹, Hirofumi Iwata¹, Yukiko Koyama¹, Akinori Uchiyama¹, Yuji Fujino¹

Affiliation

¹ The Department of Anesthesiology and Intensive Care Medicine, Osaka University Graduate School of Medicine, Suita, Japan.

Abstract

Due to the coronavirus disease 2019 pandemic, the number of coronavirus disease 2019-associated acute respiratory distress syndrome is rapidly increasing. The heterogeneity of coronavirus disease 2019-associated acute respiratory distress syndrome contributes to the complexity of managing patients. Here we described two patients with coronavirus disease 2019-associated acute respiratory distress syndrome showing that the bedside physiological approach including careful evaluation of respiratory system mechanics and visualization of ventilation with electrical impedance tomography was useful to individualize ventilatory management.

Keywords: ARDS; COVID-19; EIT; Mechanical ventilation; PEEP.

Publication types

Case Reports