Mechanical ventilation in SARS-CoV-2 patients: state of art

  • Diana Ávila Reyes a. Critical Medicine and Intensive Care Research Group (GIMCCI), Universidad Tecnológica de Pereira. Pereira, Colombia. b. Critical Medicine and Intensive Care Graduate Program, Universidad Tecnológica de Pereira. Pereira, Colombia. https://orcid.org/0000-0001-7140-5046
  • Bayron David García P. Critical Medicine and Intensive Care Graduate Program, Universidad Tecnológica de Pereira. Pereira, Colombia. https://orcid.org/0000-0003-4247-010X
  • Guillermo Salazar Gutierrez Critical Medicine and Intensive Care Graduate Program, Universidad Tecnológica de Pereira. Pereira, Colombia. https://orcid.org/0000-0001-6345-6003
  • José Fernando Gómez González a. Critical Medicine and Intensive Care Research Group (GIMCCI), Universidad Tecnológica de Pereira. Pereira, Colombia. b. Critical Medicine and Intensive Care Graduate Program, Universidad Tecnológica de Pereira. Pereira, Colombia. https://orcid.org/0000-0002-2789-314X
  • David Ricardo Echeverry Piedrahita a. Critical Medicine and Intensive Care Research Group (GIMCCI), Universidad Tecnológica de Pereira. Pereira, Colombia. b. Critical Medicine and Intensive Care Graduate Program, Universidad Tecnológica de Pereira. Pereira, Colombia. https://orcid.org/0000-0002-3845-9955
  • Juan Camilo Galvis a. Critical Medicine and Intensive Care Research Group (GIMCCI), Universidad Tecnológica de Pereira. Pereira, Colombia. b. Critical Medicine and Intensive Care Graduate Program, Universidad Tecnológica de Pereira. Pereira, Colombia. https://orcid.org/0000-0001-9826-8598
  • Mateo Aguirre-Flórez a. Critical Medicine and Intensive Care Research Group (GIMCCI), Universidad Tecnológica de Pereira. Pereira, Colombia. b. School of Health Sciences, Medical Program. Universidad Tecnológica de Pereira. Pereira, Colombia. https://orcid.org/0000-0003-0365-562X
Keywords: SARS-CoV-2, Coronavirus, Acute respiratory distress syndrome, Critical care, Mechanical ventilation, SARS

Abstract

COVID-19-associated infection leads to a pathology of yet unknown clinical behavior, confronting the clinician with various challenges. An extensive search was conducted based on review articles on SARS-CoV-2 infection and studies including mechanical ventilation management strategies in order to complete this narrative review. Evidenced-based treatment for SARS-CoV2 infection is still in the works. We have some tools from our knowledge from past experiences indicating that a step-wise management approach should be used, without neglecting other joint therapeutic measures for improved clinical outcomes of a condition with a high mortality. The current recommendations indicate that patients with severe acute respiratory failure due to SARS-CoV-2 should be managed with protective mechanical ventilation measures. No strong evidence is yet available on the individualization of mechanical ventilation therapy according to phenotypes.

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How to Cite
1.
Ávila Reyes D, García P. BD, Salazar Gutierrez G, Gómez González JF, Echeverry Piedrahita DR, Galvis JC, Aguirre-Flórez M. Mechanical ventilation in SARS-CoV-2 patients: state of art. Colomb. J. Anesthesiol. [Internet]. 2021Mar.10 [cited 2021Sep.27];49. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/971

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Published
2021-03-10
How to Cite
1.
Ávila Reyes D, García P. BD, Salazar Gutierrez G, Gómez González JF, Echeverry Piedrahita DR, Galvis JC, Aguirre-Flórez M. Mechanical ventilation in SARS-CoV-2 patients: state of art. Colomb. J. Anesthesiol. [Internet]. 2021Mar.10 [cited 2021Sep.27];49. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/971
Section
Narrative review

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