• Chest · Jul 2021

    Case Reports

    Surfactant for Treatment of ARDS in COVID-19 Patient.

    • Moshe Heching, Shaul Lev, Dorit Shitenberg, Dror Dicker, and Mordechai R Kramer.
    • Beilinson Hospital, Pulmonary Department, Rabin Medical Center Petach Tikva, Israel. Electronic address: moshehe@clalit.org.il.
    • Chest. 2021 Jul 1; 160 (1): e9e12e9-e12.

    AbstractPatients with COVID-19 report severe respiratory symptoms consistent with ARDS. The clinical presentation of ARDS in COVID-19 is often atypical, as patients with COVID-19 exhibit a disproportionate hypoxemia compared with relatively preserved lung mechanics. This pattern is more similar to neonatal respiratory distress syndrome secondary to surfactant deficiency, which has been shown to benefit from exogenous surfactant. We present our experience with exogenous surfactant treatment in a patient with COVID-19 experiencing COVID-19-related ARDS. The patient responded with improved oxygenation, and we believe surfactant was the catalyst for the successful extubation and clinical improvement of the patient.Copyright © 2021 American College of Chest Physicians. Published by Elsevier Inc. All rights reserved.

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