• J Coll Physicians Surg Pak · Jun 2020

    Optimising Ventilator Use during the COVID-19 Pandemic.

    • Sadaf Sheikh and Muhammad Akbar Baig.
    • Sultan Qaboos University Hospital, Muscat, Oman.
    • J Coll Physicians Surg Pak. 2020 Jun 1; 30 (6): 46-47.

    AbstractHypoxemia is the most common cause for hospitalization in COVID-19 patients. Acute hypoxemic respiratory failure or acute respiratory distress syndrome (ARDS) is the most common complication in COVID-19 patients. Close monitoring of respiratory decompensation is essential. Supplemental oxygen, high flow nasal canula, non-invasive ventilation and endotracheal intubation are the most commonly suggested methods to improve oxygenation. Early intubation with pre-oxygenation, modified rapid sequence intubation and intubation using a video laryngoscope has been advised as a strategy including lung protective ventilation, prone position ventilation, adequate sedation and extracorporeal membrane oxygenation. Strict personal precautions and challenges related to airway management has been currently studied. The authors summarize here the issues of mechanical ventilation and some strategies to resolve them. Key Words: Mechanical ventilation, COVID-19, Hypoxemia.

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