23 July 2020: Artilces
A 29-Year-Old Male with a Fatal Case of COVID-19 Acute Respiratory Distress Syndrome (CARDS) and Ventilator-Induced Lung Injury (VILI)
Unknown etiology, Challenging differential diagnosis, Management of emergency care
Smit S. Deliwala A* , Anoosha Ponnapalli A , Elfateh Seedahmed C , Mohammed Berrou C , Ghassan Bachuwa C , Arul Chandran ADOI: 10.12659/AJCR.926136
Am J Case Rep 2020; 21:e926136
Table 3. Oxygen strategies in COVID-19 pneumonia (CARDS) Type L and Type H.
| COVID-19 Pneumonia, Type L | Time Frame | COVID-19 Pneumonia, Type H |
|---|---|---|
| Nasal cannula, high-flow nasal cannula, continuous positive airway pressure (CPAP), non-invasive positive pressure ventilation (NIPPV), or awake proning to avoid increased respiratory efforts | Nasal cannula, high-flow nasal cannula, continuous positive airway pressure (CPAP), non-invasive positive pressure ventilation (NIPPV), or awake proning to avoid increased respiratory efforts | |
| Lower positive end-expiratory pressures (PEEP) ( | Higher positive end-expiratory pressures (PEEP) ( | |
| Avoid vigorous spontaneous increases in breathing, pressure swings with breathing trials towards the ending of the weaning process. The goal is to avoid ventilator-induced lung injury (VILI) and worsening edema. Initiate careful weaning measures | Avoid vigorous spontaneous increases in breathing, pressure swings with breathing trials towards the ending of the weaning process. The goal is to avoid ventilator-induced lung injury (VILI) and worsening edema. Initiate careful weaning measures |