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Semin Cardiothorac Vasc Anesth ; 24(4): 287-292, 2020 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-32924792

RESUMO

At the end of 2019, a novel coronavirus (COVID-19) was identified as the cause of a cluster of pneumonia cases, with high needs of mechanical ventilation in critically ill patients. It is still unclear whether different types of COVID-19 pneumonia require different ventilator strategies. With electrical impedance tomography (EIT) we evaluated, in real time and bedside, the distribution of ventilation in the different pulmonary regions before, during, and after pronation in COVID-19 respiratory failure. We present a brief literature review of EIT in non-COVID-19 patients and a report of 2 COVID-19 patients: one that did not respond well and another one that improved during and after pronation. EIT might be a useful tool to decide whether prone positioning should or should not be used in COVID-19 pneumonia.


Assuntos
Infecções por Coronavirus/diagnóstico por imagem , Infecções por Coronavirus/terapia , Impedância Elétrica , Pneumonia Viral/diagnóstico por imagem , Pneumonia Viral/terapia , Respiração Artificial/métodos , Tomografia/métodos , Idoso , Betacoronavirus , COVID-19 , Evolução Fatal , Humanos , Masculino , Pandemias , Decúbito Ventral , SARS-CoV-2
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