Barotrauma in COVID-19 acute respiratory distress syndrome: retrospective analysis of the COVADIS prospective multicenter observational database

Despite evidence suggesting a higher risk of barotrauma during COVID-19-related acute respiratory distress syndrome (ARDS) compared to ARDS due to other causes, data are limited about possible associations with patient characteristics, ventilation strategy, and survival. This prospective observation...

Full description

Saved in:
Bibliographic Details
Published in:BMC anesthesiology 2023-04, Vol.23 (1), p.138-8, Article 138
Main Authors: Serck, Nicolas, Piagnerelli, Michael, Augy, Jean Loup, Annoni, Filippo, Ottavy, Gregoire, Courcelle, Romain, Carbutti, Giuseppe, Lejeune, Francois, Vinsonneau, Christophe, Sauneuf, Bertrand, Lefebvre, Laurent, Higny, Julien, Grimaldi, David, Lascarrou, Jean-Baptiste
Format: Article
Language:English
Subjects:
Barotrauma
Barotrauma - epidemiology
Barotrauma - etiology
Body mass index
Comorbidity
Coronaviruses
Corticosteroids
COVID-19
COVID-19 - complications
COVID-19 - therapy
Emphysema
Humans
Intubation
Mechanical ventilation
Mortality
Pneumomediastinum
Pneumothorax
Prospective Studies
Respiration, Artificial - adverse effects
Respiratory Distress Syndrome
Retrospective Studies
Ventilators
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Despite evidence suggesting a higher risk of barotrauma during COVID-19-related acute respiratory distress syndrome (ARDS) compared to ARDS due to other causes, data are limited about possible associations with patient characteristics, ventilation strategy, and survival. This prospective observational multicenter study included consecutive patients with moderate-to-severe COVID-19 ARDS requiring invasive mechanical ventilation and managed at any of 12 centers in France and Belgium between March and December 2020. The primary objective was to determine whether barotrauma was associated with ICU mortality (censored on day 90), and the secondary objective was to identify factors associated with barotrauma. Of 586 patients, 48 (8.2%) experienced barotrauma, including 35 with pneumothorax, 23 with pneumomediastinum, 1 with pneumoperitoneum, and 6 with subcutaneous emphysema. Median time from mechanical ventilation initiation to barotrauma detection was 3 [0-17] days. All patients received protective ventilation and nearly half (23/48) were in volume-controlled mode. Barotrauma was associated with higher hospital mortality (P 
ISSN:1471-2253
1471-2253
DOI:10.1186/s12871-023-02093-1