COVID-19 pneumonia - increased incidence of pneumothorax/mediastinal emphysema after invasive mechanical and non-invasive ventilation.
Atemwegs- und Lungenkrankheiten
; 49(4):134-139, 2023.
Article
in German
| EMBASE | ID: covidwho-20243059
ABSTRACT
Introduction:
COVID pneumonia can lead to pneumomediastinum or pneumothorax during non-invasive or invasive mechanical ventilation. This affects the prognosis.Methodology:
During the study period, 121 patients with SARS-CoV-2 infections and invasive or non-invasive ventilation therapy were recorded in our hospital. All patients with a pneumothorax or pneumomediastinum were analyzed in more detail. Result(s) Pneumothorax and pneumomediastinum occurred in 12 patients and resulted in 7 deaths. Discussion(s) The incidence of pneumothorax with COVID infection ranges from 0.56 to 1%, reaching 3.5% in our own studies and 4.2% under invasive mechanical ventilation. The incidence of pneumomediastinum was 10% and 9.2% in our own patients. Overall mortality was 58.3% and similar to that reported in the literature, up to 60%.Copyright © 2023 Dustri-Verlag Dr. K. Feistle.
COVID pneumonia; hfnc; invasive ventilation; macklin effect; niv; pneumomediastinum; pneumothorax; adult; all cause mortality; coronavirus disease 2019; COVID-19 pneumonia; female; high flow nasal cannula therapy; human; incidence; major clinical study; male; noninvasive ventilation; pneumonia; review
Full text:
Available
Collection:
Databases of international organizations
Database:
EMBASE
Type of study:
Observational study
/
Prognostic study
Language:
German
Journal:
Atemwegs- und Lungenkrankheiten
Year:
2023
Document Type:
Article
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