Acute respiratory distress syndrome and pneumothorax in COVID-19 patients
Background: Spontaneous pneumothorax is known as a fatal complication in patients with COVID-19. However, the exact pathogenesis of the spontaneous pneumothorax occurrence and its cause remains unknown. Accordingly, the present study examined 30 patients with acute COVID-19-induced respiratory failu...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2021-01-01
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| Series: | Biomedical and Biotechnology Research Journal |
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| Online Access: | http://www.bmbtrj.org/article.asp?issn=2588-9834;year=2021;volume=5;issue=2;spage=217;epage=221;aulast=Hashemian |
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| author | Seyed Mohammad Reza Hashemian Navid Shafigh Raziyeh Erfani Batoul Khoundabi James Miller |
| author_facet | Seyed Mohammad Reza Hashemian Navid Shafigh Raziyeh Erfani Batoul Khoundabi James Miller |
| author_sort | Seyed Mohammad Reza Hashemian |
| collection | DOAJ |
| description | Background: Spontaneous pneumothorax is known as a fatal complication in patients with COVID-19. However, the exact pathogenesis of the spontaneous pneumothorax occurrence and its cause remains unknown. Accordingly, the present study examined 30 patients with acute COVID-19-induced respiratory failure who were under biphasic positive airway pressure (BIPAP) and medical ventilator machines. Methods: This study is a retrospective study and was performed on patients with COVID-19-induced acute respiratory failure who were admitted to the intensive care unit. The study population included 30 patients (10 patients with pneumothorax complication and 20 other patients without this complication). All study patient demographic data and device parameters (physiological parameters observed by the device) were collected and compared with each other. Results: Overall, 30 patients with COVID-19 and acute respiratory distress syndrome (ARDS) were selected during the 3 months from April to July 2020, with complications of spontaneous pneumothorax and emphysema detected in the collected chest X-ray images of 10 patients. In general, the results showed that p-plateau and p-peak parameters in the group with pneumothorax were significantly higher than the other group. Alternately, it was observed that static compliance for the group with pneumothorax was significantly lower than the uncomplicated group. Further, the mortality rates obtained were equal to 80% for the group with pneumothorax complication and 55% for the other group. Conclusion: Spontaneous pneumothorax in patients with ARDS and COVID-19 is a rare complication with a high mortality rate that occurs even in patients without intubation and patients undergoing BIPAP. Hence, if low static compliance and high pulmonary pressures are observed for patients, physicians should seek the complication diagnosis and treatment following changes in patients' symptoms. |
| first_indexed | 2024-12-19T05:48:33Z |
| format | Article |
| id | doaj.art-95abfebaf2b742498627beca5fb82ca8 |
| institution | Directory Open Access Journal |
| issn | 2588-9834 2588-9842 |
| language | English |
| last_indexed | 2024-12-19T05:48:33Z |
| publishDate | 2021-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Biomedical and Biotechnology Research Journal |
| spelling | doaj.art-95abfebaf2b742498627beca5fb82ca82022-12-21T20:33:42ZengWolters Kluwer Medknow PublicationsBiomedical and Biotechnology Research Journal2588-98342588-98422021-01-015221722110.4103/bbrj.bbrj_62_21Acute respiratory distress syndrome and pneumothorax in COVID-19 patientsSeyed Mohammad Reza HashemianNavid ShafighRaziyeh ErfaniBatoul KhoundabiJames MillerBackground: Spontaneous pneumothorax is known as a fatal complication in patients with COVID-19. However, the exact pathogenesis of the spontaneous pneumothorax occurrence and its cause remains unknown. Accordingly, the present study examined 30 patients with acute COVID-19-induced respiratory failure who were under biphasic positive airway pressure (BIPAP) and medical ventilator machines. Methods: This study is a retrospective study and was performed on patients with COVID-19-induced acute respiratory failure who were admitted to the intensive care unit. The study population included 30 patients (10 patients with pneumothorax complication and 20 other patients without this complication). All study patient demographic data and device parameters (physiological parameters observed by the device) were collected and compared with each other. Results: Overall, 30 patients with COVID-19 and acute respiratory distress syndrome (ARDS) were selected during the 3 months from April to July 2020, with complications of spontaneous pneumothorax and emphysema detected in the collected chest X-ray images of 10 patients. In general, the results showed that p-plateau and p-peak parameters in the group with pneumothorax were significantly higher than the other group. Alternately, it was observed that static compliance for the group with pneumothorax was significantly lower than the uncomplicated group. Further, the mortality rates obtained were equal to 80% for the group with pneumothorax complication and 55% for the other group. Conclusion: Spontaneous pneumothorax in patients with ARDS and COVID-19 is a rare complication with a high mortality rate that occurs even in patients without intubation and patients undergoing BIPAP. Hence, if low static compliance and high pulmonary pressures are observed for patients, physicians should seek the complication diagnosis and treatment following changes in patients' symptoms.http://www.bmbtrj.org/article.asp?issn=2588-9834;year=2021;volume=5;issue=2;spage=217;epage=221;aulast=Hashemianacute respiratory distress syndromecovid-19pneumothoraxspontaneous |
| spellingShingle | Seyed Mohammad Reza Hashemian Navid Shafigh Raziyeh Erfani Batoul Khoundabi James Miller Acute respiratory distress syndrome and pneumothorax in COVID-19 patients Biomedical and Biotechnology Research Journal acute respiratory distress syndrome covid-19 pneumothorax spontaneous |
| title | Acute respiratory distress syndrome and pneumothorax in COVID-19 patients |
| title_full | Acute respiratory distress syndrome and pneumothorax in COVID-19 patients |
| title_fullStr | Acute respiratory distress syndrome and pneumothorax in COVID-19 patients |
| title_full_unstemmed | Acute respiratory distress syndrome and pneumothorax in COVID-19 patients |
| title_short | Acute respiratory distress syndrome and pneumothorax in COVID-19 patients |
| title_sort | acute respiratory distress syndrome and pneumothorax in covid 19 patients |
| topic | acute respiratory distress syndrome covid-19 pneumothorax spontaneous |
| url | http://www.bmbtrj.org/article.asp?issn=2588-9834;year=2021;volume=5;issue=2;spage=217;epage=221;aulast=Hashemian |
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