Brief Report: Incidence of Barotrauma Following Mechanical Ventilation in Patients With COVID-19 Admitted to the ICUs of Two Selected Hospitals in Rasht, Iran

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Ashraf Ali; Ebrahimiyan Jektaji Ramin; Saeedinia Mostafa; Biazar Gelareh; Eslami Kenarsari Habib; Behjat Mohmmad Kazem

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Journal: JOURNAL OF GUILAN UNIVERSITY OF MEDICAL SCIENCES Year:2023 | Volume:32 | Issue:3 Page(s): 184-193

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Title

Brief Report: Incidence of Barotrauma Following Mechanical Ventilation in Patients With COVID-19 Admitted to the ICUs of Two Selected Hospitals in Rasht, Iran

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Keywords

COVID-19

Barotrauma Mechanical Ventilation

Abstract

Background: In the treatment process of hospitalized patients with COVID-19, one of the threatening complications is pulmonary complications such as barotrauma. Objective: This study aims to investigate the prevalence of barotrauma in COVID-19 patients admitted to intensive care units (ICU) of two hospitals in Rasht, Iran. Methods This retrospective study was conducted on COVID-19 patients admitted to the ICUs of Razi and Poursina hospitals in Rasht in 2020. Their files were studied, and their demographic/clinical data and pulmonary complications were extracted using a checklist by an anesthesia resident. Results Out of 140 patients, 81(57. 9%) received non-invasive mechanical ventilation and 59(42. 1%) had invasive ventilation. Barotrauma was observed in 9 cases (6. 4%), 8(88. 9%) in the form of pneumothorax and one (11. 1%) in the form of both pneumothorax and subcutaneous emphysema. The results showed that the incidence of barotrauma was significantly higher among patients who received invasive mechanical ventilation (P=0. 003). No significant difference was observed among patients received non-invasive ventilation (P>0. 05). Conclusion: The prevalence of barotrauma among COVID-19 patients in the study hospitals is low, which indicates the proper performance of the attending physicians and compliance with the standard guidelines

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