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- André Y Denault, Stéphane Delisle, David Canty, Alistair Royse, Colin Royse, Ximena Cid Serra, Caroline E Gebhard, Étienne J Couture, Martin Girard, Yiorgos Alexandros Cavayas, Nicolas Peschanski, Stéphan Langevin, and Paul Ouellet.
- Division of Critical Care, Centre Hospitalier de l'Université Montréal, Montreal, QC, Canada. andre.denault@umontreal.ca.
- Can J Anaesth. 2020 Oct 1; 67 (10): 1393-1404.
AbstractPulmonary complications are the most common clinical manifestations of coronavirus disease (COVID-19). From recent clinical observation, two phenotypes have emerged: a low elastance or L-type and a high elastance or H-type. Clinical presentation, pathophysiology, pulmonary mechanics, radiological and ultrasound findings of these two phenotypes are different. Consequently, the therapeutic approach also varies between the two. We propose a management algorithm that combines the respiratory rate and oxygenation index with bedside lung ultrasound examination and monitoring that could help determine earlier the requirement for intubation and other surveillance of COVID-19 patients with respiratory failure.
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