The Lancet- Treatment for severe acute respiratory distress syndrome from COVID-19

Treatment for severe acute respiratory distress syndrome from COVID-19 In The Lancet Respiratory Medicine, Kollengode Ramanathan and colleagues provide excellent recommendations for the use of extracorporeal membrane oxygenation (ECMO) for patients with respiratory failure from acute respiratory distress syndrome (ARDS) secondary to coronavirus disease 2019 (COVID-19). The authors describe pragmatic approaches to the challenges of delivering ECMO to patients with COVID-19, including training health-care personnel, resolving equipment and facilities issues, implementing systems for infection control and personal protection, providing overall support for health-care staff, and mitigating ethical issues. For patients with COVID-19 who require endotracheal intubation, use of low tidal volume (6 mL/kg per predicted bodyweight) with a plateau airway pressure of less than 30 cm H2O, and increasing the respiratory rate to 35 breaths per min as needed, is the mainstay of lung-protective ventilation. If the hypoxaemia progresses to a PaO2:FiO2 ratio of less than 100–150 mm Hg, there are several therapeutic options. The level of positive end-expiratory pressure can be increased by 2–3 cm H2O every 15–30 min to improve oxygen saturation to 88–90%, with the goal of maintaining a plateau airway pressure of less than 30 cm H2O. Lower driving pressures (plateau airway pressure minus positive end-expiratory pressure) with a target of 13–15 cm H2O can also be used. To read more- https://www.thelancet.com/journals/lanres/article/PIIS2213-2600(20)30127-2/fulltext Source- The Lancet Authors- Michael A Matthay, J Matthew Aldrich, Jeffrey E Gotts

29 Likes

LikeAnswersShare

A very informative article for Drs. working in the ICU ,or in the casualty.This can save precious lives of people suffering from ARDS due to COVID - 19.

Nicely complied but we are still at large to treatment of COVID the medicines we are giving symptomatic and pt was not recovered but relapse was there ,time no body know exactly because pt gets infected again when there immunity is low or they again came in contact with Infection.

Thanks Dr Dinesh Gupta
0

Very good knowledge but we want what is treatment in Homoeopathic medicine

A very useful article for each and every Doctors. Thanks sir.

Thanks for the information....

Nice update sir Beautiful info.

GOOD UPDATE... THANKS...DR

Very informative post

Nice information

Informative...

Load more answers

Cases that would interest you