[COVID-19, an atypical acute respiratory distress syndrome]

Jo-Anna Tirolien, Marc Garnier, Jo-Anna Tirolien, Marc Garnier

Abstract

SARS-coV2 infection may induce a severe pneumonia that may lead to an acute respiratory distress syndrome. Hypoxaemia is the key symptom of the disease but other features are different such as pulmonary compliance that is most of the time initially normal. The mechanisms of the pulmonary damage are not completely understood. A new ventilation strategy has been set up to prevent ventilator induced lung injury (VILI).

Keywords: Acute respiratory distress syndrome; COVID-19; Protective ventilation; SARS-coV2.

© 2020 Published by Elsevier Masson SAS.

References

    1. Zhu N., Zhang D., Wang W., Li X., Yang B., Song J., et al. A novel coronavirus from patients with pneumonia in China, 2019. N Engl J Med. 2020;382(8):727–733.
    1. Ziehr D.R., Alladina J., Petri C.R., Maley J.H., Moskowitz A., Medoff B.D., et al. Respiratory pathophysiology of mechanically ventilated patients with COVID-19: a cohort study. Am J Respir Crit Care Med. 2020 [rccm.202004-1163LE]
    1. Definition Task Force A.R.D.S., Ranieri V.M., Rubenfeld G.D., Thompson B.T., Ferguson N.D., Caldwell E., et al. Acute respiratory distress syndrome: the Berlin Definition. JAMA. 2012;307(23):2526–2533.
    1. Delclaux C. Ventilation artificielle De la physiologie à la pratique. Elvévier Masson; Paris: 2011. Physiopathologie du syndrome de détresse respiratoire aiguë; pp. 167–172. [Manuel d’anesthésie, de réanimation et d’urgences]
    1. Brochard L., Slutsky A., Pesenti A. Mechanical ventilation to minimize progression of lung injury in acute respiratory failure. Am J Respir Crit Care Med. 2017;195(4):438–442.
    1. Sinha P., Calfee C.S. Phenotypes in acute respiratory distress syndrome: moving towards precision medicine. Curr Opin Crit Care. 2019;25(1):12–20.
    1. Lemyze M., Mallat J., Thevenin D. Prone positioning in the acute respiratory distress syndrome. N Engl J Med. 2013;369(10):980.
    1. Acute Respiratory Distress Syndrome Network, Brower R.G., Matthay M.A., Morris A., Schoenfeld D., Thompson B.T., et al. Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome. N Engl J Med. 2000;342(18):1301–1308.
    1. Gattinoni L., Caironi P., Cressoni M., Chiumello D., Ranieri V.M., Quintel M., et al. Lung recruitment in patients with the acute respiratory distress syndrome. N Engl J Med. 2006;354(17):1775–1786.
    1. Gattinoni L., Coppola S., Cressoni M., Busana M., Rossi S., Chiumello D. COVID-19 does not lead to a “typical” acute respiratory distress syndrome. Am J Respir Crit Care Med. 2020;201(10):1299–1300.
    1. Li X., Ma X. Acute respiratory failure in COVID-19: is it “typical” ARDS? Crit Care. 2020;24(1):198.
    1. Gattinoni L., Chiumello D., Caironi P., Busana M., Romitti F., Brazzi L., et al. COVID-19 pneumonia: different respiratory treatments for different phenotypes? Intensive Care Med. 2020 [s00134-020-06033-2]
    1. Marini J.J., Gattinoni L. Management of COVID-19 respiratory distress. JAMA. 2020 [Cité 17 mai 2020 ; disponible sur : ]
    1. Zhang Y., Xiao M., Zhang S., Xia P., Cao W., Jiang W., et al. Coagulopathy and antiphospholipid antibodies in patients with COVID-19. N Engl J Med. 2020;382(17):e38.
    1. Helms J., Tacquard C., Severac F., Leonard-Lorant I., Ohana M., Delabranche X., et al. High risk of thrombosis in patients with severe SARS-CoV-2 infection: a multicenter prospective cohort study. Intensive Care Med. 2020
    1. Archer S.L., Sharp W.W., Weir E.K. Differentiating COVID-19 pneumonia from Acute Respiratory Distress Syndrome (ARDS) and High Altitude Pulmonary Edema (HAPE): therapeutic implications. Circulation. 2020 [CIRCULATIONAHA.120.047915]
    1. Beloncle F.M., Pavlovsky B., Desprez C., Fage N., Olivier P.-Y., Asfar P., et al. Recruitability and effect of PEEP in SARS-Cov-2-associated acute respiratory distress syndrome. Ann Intensive Care. 2020;10(1):55.
    1. Bos L.D., Paulus F., Vlaar A.P.J., Beenen L.F.M., Schultz M.J. Subphenotyping ARDS in COVID-19 Patients: consequences for ventilator management. Ann Am Thorac Soc. 2020 [AnnalsATS. 202004-376RL]
    1. WHO-2019-nCoV-clinical-2020.4-eng.pdf.
    1. Sartini C., Tresoldi M., Scarpellini P., Tettamanti A., Carcò F., Landoni G., et al. Respiratory parameters in patients with COVID-19 after using noninvasive ventilation in the prone position outside the intensive care unit. JAMA. 2020 [Cité 18 mai 2020 ; disponible sur : ]
    1. Maiolo G., Collino F., Vasques F., Rapetti F., Tonetti T., Romitti F., et al. Reclassifying acute respiratory distress syndrome. Am J Respir Crit Care Med. 2018;197(12):1586–1595.
    1. Gebistorf F., Karam O., Wetterslev J., Afshari A. Inhaled nitric oxide for acute respiratory distress syndrome (ARDS) in children and adults. Cochrane Database Syst Rev. 2016;(6) [Cité 18 mai 2020. Disponible sur : ]

Source: PubMed

スポンサーと協力者

医学的状態

薬物療法

3
購読する