Ventilator associated lung injury in severe COVID-19 pneumonia patients - Case Reports: Ventilator associated lung injury in COVID-19

Vikash Kumar Gupta; Buthaina Mohammad Alkandari; Wasif Mohammed; Ahmed Mohamed Tobar; Mohsen Ahmed Abdelmohsen

doi:10.1016/j.ejro.2020.100310

Ventilator associated lung injury in severe COVID-19 pneumonia patients - Case Reports: Ventilator associated lung injury in COVID-19

Eur J Radiol Open. 2020 Dec 9:8:100310. doi: 10.1016/j.ejro.2020.100310. eCollection 2021.

Authors

Vikash Kumar Gupta¹, Buthaina Mohammad Alkandari¹, Wasif Mohammed², Ahmed Mohamed Tobar¹, Mohsen Ahmed Abdelmohsen^{1 3}

Affiliations

¹ Jaber Al Ahmed Hospital, Kuwait.
² Sabah Hospital, Kuwait.
³ Department of radiodiagnosis and intervention, Alexandria university, Egypt.

Abstract

Management of severe coronavirus disease 2019 requires advanced respiratory support modalities including invasive mechanical ventilation (IMV), continuous positive airway pressure (C-PAP), and non-invasive ventilation ((NIV). IMV leads to either subtle forms of lung injury (pulmonary edema, lung cysts) or more severe form of lung injury manifested as subcutaneous emphysema, pneumomediastinum, and pneumothorax (herein collectively termed barotrauma). We have described two cases showing the two end of spectrum of ventilator associated lung injury (VALI).

Keywords: ARDS, Acute Respiratory Distress Syndrome; COVID-19, Coronavirus Disease 19; IMV, Invasive Mechanical Ventilation; SARS-CoV-2, severe acute respiratory syndrome coronavirus 2; VALI, Ventilator Associated Lung Injury.

Publication types

Case Reports