Incidence of Barotrauma Following Mechanical Ventilation in Patients With COVID-19 Admitted to the ICUs of Two Selected Hospitals in Rasht, Iran

Background In the treatment process of hospitalized patients with COVID-19, one of the threatening complications is pulmonary complications such as barotrauma. Objective This study aims to investigate the prevalence of barotrauma in COVID-19 patients admitted to intensive care units (ICU) of two hos...

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Bibliographic Details
Published in:Majallah-i Dānishgāh-i ʻUlūm-i Pizishkī-i Gīlān Vol. 32; no. 3
Main Authors: Ashraf, Ali, Ebrahimiyan Jektaji, Ramin, Saeedinia, Mostafa, Biazar, Gelareh, Eslami Kenarsari, Habib, Behjat, Mohmmad Kazem
Format: Journal Article
Language:English
Published: 01-10-2023
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Summary:Background In the treatment process of hospitalized patients with COVID-19, one of the threatening complications is pulmonary complications such as barotrauma. Objective This study aims to investigate the prevalence of barotrauma in COVID-19 patients admitted to intensive care units (ICU) of two hospitals in Rasht, Iran. Methods This retrospective study was conducted on COVID-19 patients admitted to the ICUs of Razi and Poursina hospitals in Rasht in 2020. Their files were studied, and their demographic/clinical data and pulmonary complications were extracted using a checklist by an anesthesia resident. Results Out of 140 patients, 81(57.9%) received non-invasive mechanical ventilation and 59(42.1%) had invasive ventilation. Barotrauma was observed in 9 cases (6.4%), 8(88.9%) in the form of pneumothorax and one (11.1%) in the form of both pneumothorax and subcutaneous emphysema. The results showed that the incidence of barotrauma was significantly higher among patients who received invasive mechanical ventilation (P=0.003). No significant difference was observed among patients received non-invasive ventilation (P>0.05). Conclusion The prevalence of barotrauma among COVID-19 patients in the study hospitals is low, which indicates the proper performance of the attending physicians and compliance with the standard guidelines.
ISSN:2008-4048
2008-4056
DOI:10.32598/JGUMS.32.3.1329.2