Department of Anesthesiology and Intensive Care, Inonu University Medical School, Malatya, Turkey.
Eur Rev Med Pharmacol Sci. 2021 Sep;25(18):5853-5856. doi: 10.26355/eurrev_202109_26804.
Coronavirus disease 2019-induced acute respiratory distress syndrome (ARDS) is more severe in morbidly obese patients. Mechanical ventilation differs between obese and non-obese patients. We examined these differences in an obese (body mass index = 47 kg/m2) 32-year-old patient followed up in our clinic. The patient was admitted to the intensive care unit due to respiratory failure. Recruitment maneuvers were performed in pressure-controlled ventilation mode. The optimal positive end-expiratory pressure was 25 cm H2O. The inspiratory pressure was adjusted to 45 cm H2O to provide a tidal volume of 6 ml/kg and driving pressure ≤ 15. The patient was discharged with full recovery.
2019 年冠状病毒病引起的急性呼吸窘迫综合征（ARDS）在病态肥胖患者中更为严重。肥胖和非肥胖患者的机械通气方式存在差异。我们在我科随访的一位肥胖（体重指数=47 kg/m2）32 岁患者中检查了这些差异。该患者因呼吸衰竭而被收入重症监护病房。在压力控制通气模式下进行了复张手法。最佳呼气末正压为 25 cm H2O。调整吸气压力至 45 cm H2O，以提供 6 ml/kg 的潮气量和驱动压≤15。患者完全康复后出院。
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