Respiratory Monitoring at Bedside in COVID-19 Patients

The SARS-CoV-2 (COVID-19) pandemic has forced some reflections to be had surrounding the ventilatory support to be applied to certain types of patients. The model of two phenotypes, set out by Professor Gattinoni and colleagues, suggests that adequate monitoring of respiratory effort may play a key...

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Autores principales: Davide Giustivi, Francesco Bottazzini, Mirko Belliato
Formato: article
Lenguaje:EN
Publicado: MDPI AG 2021
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Acceso en línea:https://doaj.org/article/9f513b436a2e4dd9aced42e590d54500
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spelling oai:doaj.org-article:9f513b436a2e4dd9aced42e590d545002021-11-11T17:34:44ZRespiratory Monitoring at Bedside in COVID-19 Patients10.3390/jcm102149432077-0383https://doaj.org/article/9f513b436a2e4dd9aced42e590d545002021-10-01T00:00:00Zhttps://www.mdpi.com/2077-0383/10/21/4943https://doaj.org/toc/2077-0383The SARS-CoV-2 (COVID-19) pandemic has forced some reflections to be had surrounding the ventilatory support to be applied to certain types of patients. The model of two phenotypes, set out by Professor Gattinoni and colleagues, suggests that adequate monitoring of respiratory effort may play a key role in the treatment of respiratory failure due to COVID-19. An insufficient control of the patient’s respiratory efforts could lead to an aggravation of lung damage, mainly due to the possibility of generating Patient Self-Inflicted Lung Injury (PSILI) with a consequent aggravation of the pathological picture. Nevertheless, effectively monitoring the patient’s respiratory work, especially in nonintensive settings, is not easy. This article briefly describes some methods that allow the assessment of respiratory effort, such as the use of ultrasound and respiratory tests, which can be performed in nonintensive settings.Davide GiustiviFrancesco BottazziniMirko BelliatoMDPI AGarticleCOVID-19work of breathingPSILIrespiratory effortVILIultrasoundMedicineRENJournal of Clinical Medicine, Vol 10, Iss 4943, p 4943 (2021)
institution DOAJ
collection DOAJ
language EN
topic COVID-19
work of breathing
PSILI
respiratory effort
VILI
ultrasound
Medicine
R
spellingShingle COVID-19
work of breathing
PSILI
respiratory effort
VILI
ultrasound
Medicine
R
Davide Giustivi
Francesco Bottazzini
Mirko Belliato
Respiratory Monitoring at Bedside in COVID-19 Patients
description The SARS-CoV-2 (COVID-19) pandemic has forced some reflections to be had surrounding the ventilatory support to be applied to certain types of patients. The model of two phenotypes, set out by Professor Gattinoni and colleagues, suggests that adequate monitoring of respiratory effort may play a key role in the treatment of respiratory failure due to COVID-19. An insufficient control of the patient’s respiratory efforts could lead to an aggravation of lung damage, mainly due to the possibility of generating Patient Self-Inflicted Lung Injury (PSILI) with a consequent aggravation of the pathological picture. Nevertheless, effectively monitoring the patient’s respiratory work, especially in nonintensive settings, is not easy. This article briefly describes some methods that allow the assessment of respiratory effort, such as the use of ultrasound and respiratory tests, which can be performed in nonintensive settings.
format article
author Davide Giustivi
Francesco Bottazzini
Mirko Belliato
author_facet Davide Giustivi
Francesco Bottazzini
Mirko Belliato
author_sort Davide Giustivi
title Respiratory Monitoring at Bedside in COVID-19 Patients
title_short Respiratory Monitoring at Bedside in COVID-19 Patients
title_full Respiratory Monitoring at Bedside in COVID-19 Patients
title_fullStr Respiratory Monitoring at Bedside in COVID-19 Patients
title_full_unstemmed Respiratory Monitoring at Bedside in COVID-19 Patients
title_sort respiratory monitoring at bedside in covid-19 patients
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/9f513b436a2e4dd9aced42e590d54500
work_keys_str_mv AT davidegiustivi respiratorymonitoringatbedsideincovid19patients
AT francescobottazzini respiratorymonitoringatbedsideincovid19patients
AT mirkobelliato respiratorymonitoringatbedsideincovid19patients
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