A case report of successful experience of using adaptive support ventilation in the pediatric patient with viral interstitial pneumonia COVID-19 positive
SUMMARY
Background: An interesting clinical case of viral pneumonia in a 16-year-old patient is considered in the article. This case deserves attention of anesthesiologists, especially today, during the COVID-19 epidemic. An important role in timely diagnosis belongs to the CT scan, as the X-ray does not always diagnose viral pneumonia. In our case, we adhered to the principles of restrictive infusion therapy, early intubation, protective ventilation and early weaning of the patient from the respirator. The article describes the successful experience of using the ASV intelligent ventilation mode - from intubation to extubation. Were commend you to use ASV in patients with viral pneumonia to achieve protective ventilation, rapid weaning, and low risk of complications.
Key words: ARDS, ASV, COVID-19, CT scan, early intubation, early weaning, protective ventilation, viral pneumonia.
Dmytro DMYTRIIEV 1, Oleksandr DOBROVANOV 2, Karol KRALINSKY 3, Kostiantyn DMYTRIIEV 1, Mykola MELNYCHENKO 1
1 National Pirogov Memorial Medical University and Department of Anesthesiology, Intensive Care Unit and Pain Medicine, Vinnytsya Regional Clinical Endocrinology Center, Vinnytsya, Ukraine, head prof. D. Dmytriiev, MD, PhD.
2 St. Elizabeth University of Health and Social sciences and A. Getlik Clinic for Children and Adolescents: Slovak Medical University and University Hospital, Bratislava, Slovakia, head doc. K. Furkova, MD, CSc.
3 Faculty of Health Care of Slovak Medical University in Bratislava, based in Banska Bystrica and 2nd Children's Clinic of Slovak Medical University, Children Faculty Hospital with Polyclinic, Banska Bystrica, Slovakia, head prof. K. Kralinsky, MD, PhD.
Citácia:
DMYTRIIEV D., DOBROVANOV O., KRALINSKY K., DMYTRIIEV K., MELNYCHENKO M.: Klinický prípad úspešnej skúsenosti využitia vhodného režimu pľúcnej ventilácie u pacienta s intersticiálnou pneumóniou COVID-19 pozit. Lek Obz, 70, 2021, č. 3, s. 119-123
Cite:
DMYTRIIEV D., DOBROVANOV O., KRALINSKY K., DMYTRIIEV K., MELNYCHENKO M.: A case report of successful experience of using adaptive support ventilation in the pediatric patient with viral interstitial pneumonia COVID-19 positive. Lek Obz, 2021, 70 (3): 119-123
