1 It was found to be caused by a novel coronavirus called Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2). In late December 2019, mysterious reported cases of “unknown pneumonia” were noticed in Wuhan, China. Keywords: COVID-19, pulmonary barotrauma, pneumothorax, pneumomediastinum, positive pressure ventilation, adult respiratory distress syndrome Invasive positive pressure ventilation was associated with less PBT compared to noninvasive ventilation and delaying intubation does not seem to reduce the risk of pulmonary barotrauma.

Diabetes mellitus was found to have a protective effect on developing PBT (OR = 0.867 95% CI, 0.782– 0.962), while PO 2/FIO 2 ratio was inversely associated with higher odds of developing PBT in both univariate and multivariate analyses ( p=0.03 and p=0.019, respectively).Ĭonclusion: COVID-19-infected patients are at a higher risk of developing PBT. PBT patients were significantly younger ( p< 0.001). While both groups were equally exposed to the same modes of PPV, receiving invasive ventilation significantly correlated with decreased PBT odds (OR = 0.891 95% CI, 0.803– 0.988 p=0.029). PBT accounted for 21.3% (51/239) of the study cohort. A total of 239 (21.8%) of all admitted patients received PPV.

Results: In the specified period, 1095 patients were hospitalized due to COVID-19 illness. Patients’ demographics, laboratory data on admission, respiratory support modes, surgical interventions, and outcomes were collected and analyzed. Medical records of all patients were reviewed. Patients were then divided into two groups based on PBT development, including subcutaneous emphysema, pneumothorax, and pneumomediastinum. All patients who received any form of PPV were included. Patients and Methods: This retrospective analysis enrolled all adult COVID-19 patients admitted through the period from October 1, 2020, to December 31, 2020. Also, to investigate the risk factors and predictors of these complications to better understand the disease pathogenesis. Purpose: This study aims to determine the incidence and outcome of COVID-19 patients who required positive pressure ventilation (PPV) and subsequently developed pulmonary barotrauma (PBT).

Shadi Hamouri, 1 Shaher M Samrah, 2 Omar Albawaih, 1 Zidan Saleh, 2 Mahmoud M Smadi, 3 Ahmad Alhazymeh, 1 Sebawe Syaj 1ġDepartment of General Surgery and Urology, Faculty of Medicine, Jordan University of Science and Technology, King Abdullah University Hospital, Irbid, 22110, Jordan 2Department of Internal Medicine, Faculty of Medicine, Jordan University of Science and Technology, King Abdullah University Hospital, Irbid, 22110, Jordan 3Department of Mathematics and Statistics, Faculty of Science and Art, Jordan University of Science and Technology, Irbid, 22110, Jordanĭepartment of General Surgery and Urology, Faculty of Medicine, Jordan University of Science and Technology, King Abdullah University Hospital, P.

Barotrauma vs volutrauma