Ventilación mecánica invasiva en pacientes COVID-19

Abstract

Abstract: COVID-19 disease, caused by SARS-CoV2, a new coronavirus, has become a global concern affecting mostly old aged people. In this group, severe infection is predominat and can progress to a Severe Acute Respiratory Syndrome (ARDS) and the need of Invasive Mechanical Ventilation (IMV). Before 2020 s pandemic, common management of ventilated patiens was based upon lung protective strategies (low tidal volumes and limited plateu pressure) in order to prevent ventilator-induced injury. At early s pandemic, various authors propossed phenotypes of ARDS associated to COVID-19 (CARDS) and a new respiratory management for each independet phenotype. In this review we summarize current knowledge about indications for initiate IMV, ventilatory management and complications during IMV in COVID-19 patients.