Sheikh Sadaf, Baig Muhammad Akbar
Sultan Qaboos University Hospital, Muscat, Oman.
The Aga Khan University Hospital, Karachi, Pakistan.
J Coll Physicians Surg Pak. 2020 Jun;30(6):46-47. doi: 10.29271/jcpsp.2020.Supp1.S46.
Hypoxemia is the most common cause for hospitalization in COVID-19 patients. Acute hypoxemic respiratory failure or acute respiratory distress syndrome (ARDS) is the most common complication in COVID-19 patients. Close monitoring of respiratory decompensation is essential. Supplemental oxygen, high flow nasal canula, non-invasive ventilation and endotracheal intubation are the most commonly suggested methods to improve oxygenation. Early intubation with pre-oxygenation, modified rapid sequence intubation and intubation using a video laryngoscope has been advised as a strategy including lung protective ventilation, prone position ventilation, adequate sedation and extracorporeal membrane oxygenation. Strict personal precautions and challenges related to airway management has been currently studied. The authors summarize here the issues of mechanical ventilation and some strategies to resolve them. Key Words: Mechanical ventilation, COVID-19, Hypoxemia.
低氧血症是新冠病毒感染患者住院的最常见原因。急性低氧性呼吸衰竭或急性呼吸窘迫综合征（ARDS）是新冠病毒感染患者最常见的并发症。密切监测呼吸失代偿至关重要。补充氧气、高流量鼻导管吸氧、无创通气和气管插管是最常用的改善氧合的方法。建议采用预给氧早期插管、改良快速顺序插管以及使用视频喉镜插管等策略，包括肺保护性通气、俯卧位通气、充分镇静和体外膜肺氧合。目前正在研究严格的个人防护措施以及与气道管理相关的挑战。作者在此总结机械通气的问题及一些解决策略。关键词：机械通气；新冠病毒感染；低氧血症
