Subscribe to RSS
DOI: 10.1055/s-0042-1744305
Mechanical Ventilation for COVID-19 Patients
Abstract
Non-invasive ventilation (NIV) or invasive mechanical ventilation (MV) is frequently needed in patients with acute hypoxemic respiratory failure due to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. While NIV can be delivered in hospital wards and nonintensive care environments, intubated patients require intensive care unit (ICU) admission and support. Thus, the lack of ICU beds generated by the pandemic has often forced the use of NIV in severely hypoxemic patients treated outside the ICU. In this context, awake prone positioning has been widely adopted to ameliorate oxygenation during noninvasive respiratory support. Still, the incidence of NIV failure and the role of patient self-induced lung injury on hospital outcomes of COVID-19 subjects need to be elucidated. On the other hand, endotracheal intubation is indicated when gas exchange deterioration, muscular exhaustion, and/or neurological impairment ensue. Yet, the best timing for intubation in COVID-19 is still widely debated, as it is the safest use of neuromuscular blocking agents. Not differently from other types of acute respiratory distress syndrome, the aim of MV during COVID-19 is to provide adequate gas exchange while avoiding ventilator-induced lung injury. At the same time, the use of rescue therapies is advocated when standard care is unable to guarantee sufficient organ support. Nevertheless, the general shortage of health care resources experienced during SARS-CoV-2 pandemic might affect the utilization of high-cost, highly specialized, and long-term supports. In this article, we describe the state-of-the-art of NIV and MV setting and their usage for acute hypoxemic respiratory failure of COVID-19 patients.
Publication History
Article published online:
19 April 2022
© 2022. Thieme. All rights reserved.
Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA
-
References
- 1 World Health Organization. Director-General's opening remarks at the media briefing on COVID-19: March 11, 2020. Accessed November 10 at: https://www.who.int/director-general/speeches/detail/who-director-general-s-opening-remarks-at-the-media-briefing-on-covid-19—11-march-2020
- 2 World Health Organization. WHO coronavirus (COVID-19) dashboard. Accessed November 10, 2021 at: https://covid19.who.int
- 3 Wu Z, McGoogan JM. Characteristics of and important lessons from the coronavirus disease 2019 (COVID-19) outbreak in China: summary of a report of 72314 cases from the Chinese Center for Disease Control and Prevention. JAMA 2020; 323 (13) 1239-1242
- 4 Berlin DA, Gulick RM, Martinez FJ. Severe COVID-19. N Engl J Med 2020; 383 (25) 2451-2460
- 5 Centers for Disease Control and Prevention. COVID-19 Pandemic planning scenarios. 19 March, 2021. Accessed November 10, 2021 at: https://www.cdc.gov/coronavirus/2019-ncov/hcp/planning-scenarios.html
- 6 Wunsch H. Mechanical ventilation in COVID-19: interpreting the current epidemiology. Am J Respir Crit Care Med 2020; 202 (01) 1-4
- 7 European Centre for Disease Prevention and Control. Data on hospital and ICU admission rates and current occupancy for COVID-19. November 11, 2021. Accessed November 11, 2021 at: https://www.ecdc.europa.eu/en/publications-data/download-data-hospital-and-icu-admission-rates-and-current-occupancy-covid-19
- 8 Karagiannidis C, Mostert C, Hentschker C. et al. Case characteristics, resource use, and outcomes of 10 021 patients with COVID-19 admitted to 920 German hospitals: an observational study. Lancet Respir Med 2020; 8 (09) 853-862
- 9 Richardson S, Hirsch JS, Narasimhan M. et al. the Northwell COVID-19 Research Consortium. Presenting characteristics, comorbidities, and outcomes among 5700 patients hospitalized with COVID-19 in the New York City area. JAMA 2020; 323 (20) 2052-2059
- 10 Grasselli G, Zangrillo A, Zanella A. et al. COVID-19 Lombardy ICU Network. Baseline characteristics and outcomes of 1591 patients infected with SARS-CoV-2 admitted to ICUs of the Lombardy Region, Italy. JAMA 2020; 323 (16) 1574-1581
- 11 Grasselli G, Greco M, Zanella A. et al. COVID-19 Lombardy ICU Network. Risk factors associated with mortality among patients with COVID-19 in intensive care units in Lombardy, Italy. JAMA Intern Med 2020; 180 (10) 1345-1355
- 12 Lim ZJ, Subramaniam A, Ponnapa Reddy M. et al. Case fatality rates for patients with COVID-19 requiring invasive mechanical ventilation. A meta-analysis. Am J Respir Crit Care Med 2021; 203 (01) 54-66
- 13 Mehta S, Hill NS. Noninvasive ventilation. Am J Respir Crit Care Med 2001; 163 (02) 540-577
- 14 Rochwerg B, Brochard L, Elliott MW. et al. Official ERS/ATS clinical practice guidelines: noninvasive ventilation for acute respiratory failure. Eur Respir J 2017; 50 (02) 1602426
- 15 Hess DR. Noninvasive ventilation for acute respiratory failure. Respir Care 2013; 58 (06) 950-972
- 16 Grieco DL, Maggiore SM, Roca O. et al. Non-invasive ventilatory support and high-flow nasal oxygen as first-line treatment of acute hypoxemic respiratory failure and ARDS. Intensive Care Med 2021; 47 (08) 851-866
- 17 Grieco DL, Menga LS, Cesarano M. et al. COVID-ICU Gemelli Study Group. Effect of helmet noninvasive ventilation vs high-flow nasal oxygen on days free of respiratory support in patients with COVID-19 and moderate to severe hypoxemic respiratory failure: the HENIVOT randomized clinical trial. JAMA 2021; 325 (17) 1731-1743
- 18 Bellani G, Laffey JG, Pham T. et al. LUNG SAFE Investigators, ESICM Trials Group. Noninvasive ventilation of patients with acute respiratory distress syndrome. insights from the LUNG SAFE study. Am J Respir Crit Care Med 2017; 195 (01) 67-77
- 19 Kumar A, Zarychanski R, Pinto R. et al. Canadian Critical Care Trials Group H1N1 Collaborative. Critically ill patients with 2009 influenza A(H1N1) infection in Canada. JAMA 2009; 302 (17) 1872-1879
- 20 Boscolo A, Pasin L, Sella N. et al. FERS, for the COVID-19 VENETO ICU Network. Outcomes of COVID-19 patients intubated after failure of non-invasive ventilation: a multicenter observational study. Sci Rep 2021; 11 (01) 17730
- 21 Bellani G, Laffey JG, Pham T. et al. LUNG SAFE Investigators, ESICM Trials Group. Epidemiology, patterns of care, and mortality for patients with acute respiratory distress syndrome in intensive care units in 50 countries. JAMA 2016; 315 (08) 788-800
- 22 Schünemann HJ, Khabsa J, Solo K. et al. Ventilation techniques and risk for transmission of coronavirus disease, including COVID-19: a living systematic review of multiple streams of evidence. Ann Intern Med 2020; 173 (03) 204-216
- 23 Li J, Fink JB, Ehrmann S. High-flow nasal cannula for COVID-19 patients: low risk of bio-aerosol dispersion. Eur Respir J 2020; 55 (05) 2000892
- 24 Cabrini L, Landoni G, Zangrillo A. Minimise nosocomial spread of 2019-nCoV when treating acute respiratory failure. Lancet 2020; 395 (10225): 685
- 25 Nasa P, Azoulay E, Chakrabarti A. et al. Infection control in the intensive care unit: expert consensus statements for SARS-CoV-2 using a Delphi method. Lancet Infect Dis 2022 Mar;22(3):e74-e87. doi: 10.1016/S1473-3099(21)00626-5. Epub 2021 Nov 10
- 26 Dar M, Swamy L, Gavin D, Theodore A. Mechanical-ventilation supply and options for the COVID-19 pandemic. leveraging all available resources for a limited resource in a crisis. Ann Am Thorac Soc 2021; 18 (03) 408-416
- 27 Grasselli G, Pesenti A, Cecconi M. Critical care utilization for the COVID-19 outbreak in Lombardy, Italy: early experience and forecast during an emergency response. JAMA 2020; 323 (16) 1545-1546
- 28 Vitacca M, Nava S, Santus P, Harari S. Early consensus management for non-ICU acute respiratory failure SARS-CoV-2 emergency in Italy: from ward to trenches. Eur Respir J 2020; 55 (05) 2000632
- 29 Menga LS, Berardi C, Ruggiero E, Grieco DL, Antonelli M. Noninvasive respiratory support for acute respiratory failure due to COVID-19. Curr Opin Crit Care 2022; 28 (01) 25-50
- 30 Bellani G, Grasselli G, Cecconi M. et al. Noninvasive ventilatory support of patients with covid-19 outside the intensive care units (ward-covid). Ann Am Thorac Soc 2021; 18 (06) 1020-1026
- 31 Bertaina M, Nuñez-Gil IJ, Franchin L. et al. HOPE COVID-19 investigators. Non-invasive ventilation for SARS-CoV-2 acute respiratory failure: a subanalysis from the HOPE COVID-19 registry. Emerg Med J 2021; 38 (05) 359-365
- 32 Franco C, Facciolongo N, Tonelli R. et al. Feasibility and clinical impact of out-of-ICU noninvasive respiratory support in patients with COVID-19-related pneumonia. Eur Respir J 2020; 56 (05) 2002130
- 33 Liu L, Xie J, Wu W. et al. A simple nomogram for predicting failure of non-invasive respiratory strategies in adults with COVID-19: a retrospective multicentre study. Lancet Digit Health 2021; 3 (03) e166-e174
- 34 Perkins GD, Ji C, Connolly BA. et al. Effect of Noninvasive Respiratory Strategies on Intubation or Mortality Among Patients With Acute Hypoxemic Respiratory Failure and COVID-19: The RECOVERY-RS Randomized Clinical Trial. JAMA 2022; 327 (06) 546-558
- 35 Chosidow S, Plantefève G, Fraissé M, Mentec H, Cally R, Contou D. Non-intubated COVID-19 patients despite high levels of supplemental oxygen. Crit Care 2021; 25 (01) 170
- 36 van der Veer T, van der Sar-van der Brugge S, Paats MS. et al. Do-not-intubate status and COVID-19 mortality in patients admitted to Dutch non-ICU wards. Eur J Clin Microbiol Infect Dis 2021; 40 (10) 2207-2209
- 37 Morais CCA, Koyama Y, Yoshida T. et al. High positive end-expiratory pressure renders spontaneous effort noninjurious. Am J Respir Crit Care Med 2018; 197 (10) 1285-1296
- 38 Yoshida T, Roldan R, Beraldo MA. et al. Spontaneous effort during mechanical ventilation: maximal injury with less positive end-expiratory pressure. Crit Care Med 2016; 44 (08) e678-e688
- 39 Yoshida T, Torsani V, Gomes S. et al. Spontaneous effort causes occult pendelluft during mechanical ventilation. Am J Respir Crit Care Med 2013; 188 (12) 1420-1427
- 40 Spinelli E, Mauri T, Beitler JR, Pesenti A, Brodie D. Respiratory drive in the acute respiratory distress syndrome: pathophysiology, monitoring, and therapeutic interventions. Intensive Care Med 2020; 46 (04) 606-618
- 41 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 (04) 438-442
- 42 Battaglini D, Robba C, Ball L. et al. Noninvasive respiratory support and patient self-inflicted lung injury in COVID-19: a narrative review. Br J Anaesth 2021; 127 (03) 353-364
- 43 Weaver L, Das A, Saffaran S. et al. High risk of patient self-inflicted lung injury in COVID-19 with frequently encountered spontaneous breathing patterns: a computational modelling study. Ann Intensive Care 2021; 11 (01) 109
- 44 Hamouri S, Samrah SM, Albawaih O. et al. Pulmonary barotrauma in covid-19 patients: invasive versus noninvasive positive pressure ventilation. Int J Gen Med 2021; 14 (May): 2017-2032
- 45 Pattupara A, Modi V, Goldberg J. et al. Pulmonary barotrauma during noninvasive ventilation in patients with Covid-19. Chest 2020; 158 (04) A337
- 46 Tonelli R, Busani S, Tabbì L. et al. Inspiratory effort and lung mechanics in spontaneously breathing patients with acute respiratory failure due to COVID-19: a matched control study. Am J Respir Crit Care Med 2021; 204 (06) 725-728
- 47 Carteaux G, Millán-Guilarte T, De Prost N. et al. Failure of noninvasive ventilation for de novo acute hypoxemic respiratory failure: role of tidal volume. Crit Care Med 2016; 44 (02) 282-290
- 48 Coppola S, Chiumello D, Busana M. et al. Role of total lung stress on the progression of early COVID-19 pneumonia. Intensive Care Med 2021; 47 (10) 1130-1139
- 49 Guérin C, Reignier J, Richard JC. et al. PROSEVA Study Group. Prone positioning in severe acute respiratory distress syndrome. N Engl J Med 2013; 368 (23) 2159-2168
- 50 Gattinoni L, Taccone P, Carlesso E, Marini JJ. Prone position in acute respiratory distress syndrome. Rationale, indications, and limits. Am J Respir Crit Care Med 2013; 188 (11) 1286-1293
- 51 Scaravilli V, Grasselli G, Castagna L. et al. Prone positioning improves oxygenation in spontaneously breathing nonintubated patients with hypoxemic acute respiratory failure: a retrospective study. J Crit Care 2015; 30 (06) 1390-1394
- 52 Solverson K, Weatherald J, Parhar KKS. Tolerability and safety of awake prone positioning COVID-19 patients with severe hypoxemic respiratory failure. Can J Anaesth 2021; 68 (01) 64-70
- 53 Coppo A, Winterton D, Benini A. et al. Rodin's thinker: an alternative position in awake patients with COVID-19. Am J Respir Crit Care Med 2021; 204 (06) 728-730
- 54 Ponnapa Reddy M, Subramaniam A, Afroz A. et al. Prone positioning of nonintubated patients with coronavirus disease 2019-a systematic review and meta-analysis. Crit Care Med 2021; 49 (10) e1001-e1014
- 55 Ehrmann S, Li J, Ibarra-Estrada M. et al. Awake Prone Positioning Meta-Trial Group. Awake prone positioning for COVID-19 acute hypoxaemic respiratory failure: a randomised, controlled, multinational, open-label meta-trial. Lancet Respir Med 2021; 9 (12) 1387-1395
- 56 Rosén J, von Oelreich E, Fors D. et al. PROFLO Study Group. Awake prone positioning in patients with hypoxemic respiratory failure due to COVID-19: the PROFLO multicenter randomized clinical trial. Crit Care 2021; 25 (01) 209
- 57 Kharat A, Simon M, Guérin C. Prone position in COVID 19-associated acute respiratory failure. Curr Opin Crit Care 2022; 28 (01) 57-65
- 58 Russotto V, Myatra SN, Laffey JG. et al. INTUBE Study Investigators. Intubation practices and adverse peri-intubation events in critically ill patients from 29 countries. JAMA 2021; 325 (12) 1164-1172
- 59 Alhazzani W, Møller MH, Arabi YM. et al. Surviving sepsis campaign: guidelines on the management of critically ill adults with coronavirus disease 2019 (COVID-19). Intensive Care Med 2020; 46 (05) 854-887
- 60 Matta A, Chaudhary S, Bryan Lo K. et al. Timing of intubation and its implications on outcomes in critically ill patients with coronavirus disease 2019 infection. Crit Care Explor 2020; 2 (10) e0262
- 61 Lee YH, Choi KJ, Choi SH. et al. Clinical significance of timing of intubation in critically ill patients with COVID-19: a multi-center retrospective study. J Clin Med 2020; 9 (09) E2847
- 62 Hernandez-Romieu AC, Adelman MW, Hockstein MA. et al. and the Emory COVID-19 Quality and Clinical Research Collaborative. Timing of intubation and mortality among critically ill coronavirus disease 2019 patients: a single-center cohort study. Crit Care Med 2020; 48 (11) e1045-e1053
- 63 Siempos II, Xourgia E, Ntaidou TK. et al. Effect of early vs. delayed or no intubation on clinical outcomes of patients with COVID-19: an observational study. Front Med (Lausanne) 2020; 7: 614152
- 64 Papoutsi E, Giannakoulis VG, Xourgia E, Routsi C, Kotanidou A, Siempos II. Effect of timing of intubation on clinical outcomes of critically ill patients with COVID-19: a systematic review and meta-analysis of non-randomized cohort studies. Crit Care 2021; 25 (01) 121
- 65 Higgs A, McGrath BA, Goddard C. et al. Difficult Airway Society, Intensive Care Society, Faculty of Intensive Care Medicine, Royal College of Anaesthetists. Guidelines for the management of tracheal intubation in critically ill adults. Br J Anaesth 2018; 120 (02) 323-352
- 66 El-Boghdadly K, Wong DJN, Owen R. et al. Risks to healthcare workers following tracheal intubation of patients with COVID-19: a prospective international multicentre cohort study. Anaesthesia 2020; 75 (11) 1437-1447
- 67 Hraiech S, Forel JM, Papazian L. The role of neuromuscular blockers in ARDS: benefits and risks. Curr Opin Crit Care 2012; 18 (05) 495-502
- 68 Jaber S, Petrof BJ, Jung B. et al. Rapidly progressive diaphragmatic weakness and injury during mechanical ventilation in humans. Am J Respir Crit Care Med 2011; 183 (03) 364-371
- 69 Griffiths RD, Hall JB. Intensive care unit-acquired weakness. Crit Care Med 2010; 38 (03) 779-787
- 70 Testelmans D, Maes K, Wouters P, Powers SK, Decramer M, Gayan-Ramirez G. Infusions of rocuronium and cisatracurium exert different effects on rat diaphragm function. Intensive Care Med 2007; 33 (05) 872-879
- 71 Papazian L, Forel JM, Gacouin A. et al. ACURASYS Study Investigators. Neuromuscular blockers in early acute respiratory distress syndrome. N Engl J Med 2010; 363 (12) 1107-1116
- 72 Moss M, Huang DT, Brower RG. et al. National Heart, Lung, and Blood Institute PETAL Clinical Trials Network. Early neuromuscular blockade in the acute respiratory distress syndrome. N Engl J Med 2019; 380 (21) 1997-2008
- 73 Tarazan N, Alshehri M, Sharif S. et al. GUIDE Group. Neuromuscular blocking agents in acute respiratory distress syndrome: updated systematic review and meta-analysis of randomized trials. Intensive Care Med Exp 2020; 8 (01) 61
- 74 Shao S, Kang H, Tong Z. Early neuromuscular blocking agents for adults with acute respiratory distress syndrome: a systematic review, meta-analysis and meta-regression. BMJ Open 2020; 10 (11) e037737
- 75 COVID-ICU Group on behalf of the REVA Network and the COVID-ICU Investigators. Clinical characteristics and day-90 outcomes of 4244 critically ill adults with COVID-19: a prospective cohort study. Intensive Care Med 2021; 47 (01) 60-73
- 76 Zanella A, Florio G, Antonelli M. et al. COVID-19 Italian ICU Network. Time course of risk factors associated with mortality of 1260 critically ill patients with COVID-19 admitted to 24 Italian intensive care units. Intensive Care Med 2021; 47 (09) 995-1008
- 77 Estenssoro E, Loudet CI, Ríos FG. et al. SATI-COVID-19 Study Group. Clinical characteristics and outcomes of invasively ventilated patients with COVID-19 in Argentina (SATICOVID): a prospective, multicentre cohort study. Lancet Respir Med 2021; 9 (09) 989-998
- 78 Li Bassi G, Gibbons K, Suen J. et al. Neuromuscular blocking agents in critically-ill COVID-19 patients requiring mechanical ventilation. Am J Respir Crit Care Med 2021; 203: A2489
- 79 Alhazzani W, Belley-Cote E, Møller MH. et al. Neuromuscular blockade in patients with ARDS: a rapid practice guideline. Intensive Care Med 2020; 46 (11) 1977-1986
- 80 Grasselli G, Tonetti T, Protti A. et al. collaborators. Pathophysiology of COVID-19-associated acute respiratory distress syndrome: a multicentre prospective observational study. Lancet Respir Med 2020; 8 (12) 1201-1208
- 81 Ferrando C, Suarez-Sipmann F, Mellado-Artigas R. et al. COVID-19 Spanish ICU Network. Clinical features, ventilatory management, and outcome of ARDS caused by COVID-19 are similar to other causes of ARDS. Intensive Care Med 2020; 46 (12) 2200-2211
- 82 Patel BV, Haar S, Handslip R. et al. United Kingdom COVID-ICU National Service Evaluation. Natural history, trajectory, and management of mechanically ventilated COVID-19 patients in the United Kingdom. Intensive Care Med 2021; 47 (05) 549-565
- 83 Botta M, Tsonas AM, Pillay J. et al. PRoVENT-COVID Collaborative Group. Ventilation management and clinical outcomes in invasively ventilated patients with COVID-19 (PRoVENT-COVID): a national, multicentre, observational cohort study. Lancet Respir Med 2021; 9 (02) 139-148
- 84 Cummings MJ, Baldwin MR, Abrams D. et al. Epidemiology, clinical course, and outcomes of critically ill adults with COVID-19 in New York City: a prospective cohort study. Lancet 2020; 395 (10239): 1763-1770
- 85 Nasa P, Azoulay E, Khanna AK. et al. Expert consensus statements for the management of COVID-19-related acute respiratory failure using a Delphi method. Crit Care 2021; 25 (01) 106
- 86 Fan E, Del Sorbo L, Goligher EC. et al. American Thoracic Society, European Society of Intensive Care Medicine, and Society of Critical Care Medicine. An official American Thoracic Society/European Society of Intensive Care Medicine/Society of Critical Care Medicine Clinical Practice Guideline: mechanical ventilation in adult patients with acute respiratory distress syndrome. Am J Respir Crit Care Med 2017; 195 (09) 1253-1263
- 87 Brower RG, Lanken PN, MacIntyre N. et al. National Heart, Lung, and Blood Institute ARDS Clinical Trials Network. Higher versus lower positive end-expiratory pressures in patients with the acute respiratory distress syndrome. N Engl J Med 2004; 351 (04) 327-336
- 88 Meade MO, Cook DJ, Guyatt GH. et al. Lung Open Ventilation Study Investigators. Ventilation strategy using low tidal volumes, recruitment maneuvers, and high positive end-expiratory pressure for acute lung injury and acute respiratory distress syndrome: a randomized controlled trial. JAMA 2008; 299 (06) 637-645
- 89 Mercat A, Richard JCM, Vielle B. et al. Expiratory Pressure (Express) Study Group. Positive end-expiratory pressure setting in adults with acute lung injury and acute respiratory distress syndrome: a randomized controlled trial. JAMA 2008; 299 (06) 646-655
- 90 Cavalcanti AB, Suzumura ÉA, Laranjeira LN. et al. Writing Group for the Alveolar Recruitment for Acute Respiratory Distress Syndrome Trial (ART) Investigators. Effect of lung recruitment and titrated positive end-expiratory pressure (PEEP) vs low PEEP on mortality in patients with acute respiratory distress syndrome: a randomized clinical trial. JAMA 2017; 318 (14) 1335-1345
- 91 Briel M, Meade M, Mercat A. et al. Higher vs lower positive end-expiratory pressure in patients with acute lung injury and acute respiratory distress syndrome: systematic review and meta-analysis. JAMA 2010; 303 (09) 865-873
- 92 Grieco DL, Bongiovanni F, Chen L. et al. Respiratory physiology of COVID-19-induced respiratory failure compared to ARDS of other etiologies. Crit Care 2020; 24 (01) 529
- 93 Beloncle FM, Pavlovsky B, Desprez C. et al. Recruitability and effect of PEEP in SARS-Cov-2-associated acute respiratory distress syndrome. Ann Intensive Care 2020; 10 (01) 55
- 94 Sella N, Zarantonello F, Andreatta G, Gagliardi V, Boscolo A, Navalesi P. Positive end-expiratory pressure titration in COVID-19 acute respiratory failure: electrical impedance tomography vs. PEEP/FiO2 tables. Crit Care 2020; 24 (01) 540
- 95 Mauri T, Spinelli E, Scotti E. et al. Potential for lung recruitment and ventilation-perfusion mismatch in patients with the acute respiratory distress syndrome from coronavirus disease 2019. Crit Care Med 2020; 48 (08) 1129-1134
- 96 van der Zee P, Somhorst P, Endeman H, Gommers D. Electrical impedance tomography for positive end-expiratory pressure titration in COVID-19-related acute respiratory distress syndrome. Am J Respir Crit Care Med 2020; 202 (02) 280-284
- 97 Grasso S, Mirabella L, Murgolo F. et al. Effects of positive end-expiratory pressure in “high compliance” severe acute respiratory syndrome coronavirus 2 acute respiratory distress syndrome. Crit Care Med 2020; 48 (12) e1332-e1336
- 98 Haudebourg AF, Perier F, Tuffet S. et al. Respiratory mechanics of COVID-19- versus non-COVID-19-associated acute respiratory distress syndrome. Am J Respir Crit Care Med 2020; 202 (02) 287-290
- 99 Guérin C, Albert RK, Beitler J. et al. Prone position in ARDS patients: why, when, how and for whom. Intensive Care Med 2020; 46 (12) 2385-2396
- 100 Guérin C, Beuret P, Constantin JM. et al. investigators of the APRONET Study Group, the REVA Network, the Réseau recherche de la Société Française d'Anesthésie-Réanimation (SFAR-recherche) and the ESICM Trials Group. A prospective international observational prevalence study on prone positioning of ARDS patients: the APRONET (ARDS Prone Position Network) study. Intensive Care Med 2018; 44 (01) 22-37
- 101 Langer T, Brioni M, Guzzardella A. et al. PRONA-COVID Group. Prone position in intubated, mechanically ventilated patients with COVID-19: a multi-centric study of more than 1000 patients. Crit Care 2021; 25 (01) 128
- 102 Park J, Lee HY, Lee J, Lee SM. Effect of prone positioning on oxygenation and static respiratory system compliance in COVID-19 ARDS vs. non-COVID ARDS. Respir Res 2021; 22 (01) 220
- 103 Cour M, Bussy D, Stevic N, Argaud L, Guérin C. Differential effects of prone position in COVID-19-related ARDS in low and high recruiters. Intensive Care Med 2021; 47 (09) 1044-1046
- 104 Stilma W, van Meenen DMP, Valk CMA. et al. On Behalf Of The PRoVENT-Covid Collaborative Group. Incidence and practice of early prone positioning in invasively ventilated COVID-19 patients-insights from the PRoVENT-COVID observational study. J Clin Med 2021; 10 (20) 4783
- 105 Mathews KS, Soh H, Shaefi S. et al. STOP-COVID Investigators. Prone positioning and survival in mechanically ventilated patients with coronavirus disease 2019-related respiratory failure. Crit Care Med 2021; 49 (07) 1026-1037
- 106 Rezoagli E, Mariani I, Rona R, Foti G, Bellani G. Difference between prolonged versus standard duration of prone position in COVID-19 patients: a retrospective study. Minerva Anestesiol 2021; 87 (12) 1383-1385
- 107 Yu B, Ichinose F, Bloch DB, Zapol WM. Inhaled nitric oxide. Br J Pharmacol 2019; 176 (02) 246-255
- 108 Hunt JL, Bronicki RA, Anas N. Role of inhaled nitric oxide in the management of severe acute respiratory distress syndrome. Front Pediatr 2016; 4: 74
- 109 Tamburro RF, Kneyber MCJ. Pediatric Acute Lung Injury Consensus Conference Group. Pulmonary specific ancillary treatment for pediatric acute respiratory distress syndrome: proceedings from the Pediatric Acute Lung Injury Consensus Conference. Pediatr Crit Care Med 2015; 16 (5, Suppl 1): S61-S72
- 110 Griffiths MJD, McAuley DF, Perkins GD. et al. Guidelines on the management of acute respiratory distress syndrome. BMJ Open Respir Res 2019; 6 (01) e000420
- 111 Ferrari M, Santini A, Protti A. et al. Inhaled nitric oxide in mechanically ventilated patients with COVID-19. J Crit Care 2020; 60: 159-160
- 112 Longobardo A, Montanari C, Shulman R, Benhalim S, Singer M, Arulkumaran N. Inhaled nitric oxide minimally improves oxygenation in COVID-19 related acute respiratory distress syndrome. Br J Anaesth 2021; 126 (01) e44-e46
- 113 Abou-Arab O, Huette P, Debouvries F, Dupont H, Jounieaux V, Mahjoub Y. Inhaled nitric oxide for critically ill Covid-19 patients: a prospective study. Crit Care 2020; 24 (01) 645
- 114 Tonna JE, Abrams D, Brodie D. et al. Management of adult patients supported with venovenous extracorporeal membrane oxygenation (VV ECMO): guideline from the extracorporeal life support organization (ELSO). ASAIO J 2021; 67 (06) 601-610
- 115 Henry BM, Lippi G. Poor survival with extracorporeal membrane oxygenation in acute respiratory distress syndrome (ARDS) due to coronavirus disease 2019 (COVID-19): Pooled analysis of early reports. J Crit Care 2020; 58: 27-28
- 116 Barbaro RP, MacLaren G, Boonstra PS. et al. Extracorporeal Life Support Organization. Extracorporeal membrane oxygenation support in COVID-19: an international cohort study of the Extracorporeal Life Support Organization registry. Lancet 2020; 396 (10257): 1071-1078
- 117 Combes A, Hajage D, Capellier G. et al. EOLIA Trial Group, REVA, and ECMONet. Extracorporeal membrane oxygenation for severe acute respiratory distress syndrome. N Engl J Med 2018; 378 (21) 1965-1975
- 118 Barbaro RP, MacLaren G, Boonstra PS. et al. Extracorporeal Life Support Organization. Extracorporeal membrane oxygenation for COVID-19: evolving outcomes from the international Extracorporeal Life Support Organization Registry. Lancet 2021; 398 (10307): 1230-1238
- 119 Kurihara C, Manerikar A, Gao CA. et al. Outcomes after extracorporeal membrane oxygenation support in COVID-19 and non-COVID-19 patients. Artif Organs 2021
- 120 Badulak J, Antonini MV, Stead CM. et al. ELSO COVID-19 Working Group Members. Extracorporeal membrane oxygenation for COVID-19: updated 2021 guidelines from the extracorporeal life support organization. ASAIO J 2021; 67 (05) 485-495