Yıl: 2022 Cilt: 20 Sayı: Ek 1 Sayfa Aralığı: 126 - 134 Metin Dili: Türkçe DOI: 10.4274/tybd.galenos.2022.30301 İndeks Tarihi: 11-10-2022

COVİD-19 Akut Respiratuvar Distres Sendromu Fenotiplerinde Mekanik Ventilasyon

Öz:
Amaç: Koronavirüs hastalığı-2019 (COVİD-19) ilişkili akut solunum sıkıntısı sendromu (ARDS) hastalarında kompliyans açısından ARDS fenotipleri tanımlanmıştır. Çalışmamızda COVİD-19 ilişkili ARDS hastalarında mekanik ventilasyon desteği ve sonuçları incelenmiştir. Gereç ve Yöntem: Retrospektif olarak planlanan çalışma, hesaplanan statik kompliyans değerine göre üç fenotip alt grup belirlenen COVİD-19 ilişkili ARDS hastalarında gerçekleştirildi [tip high (H) = Cstat <40 mL/cmH2O, tip light (L) = Cstat ≥50 mL/cmH2O ve tip intermediate (Int) =40≤ Cstat <50 mL/cm H2O]. Mekanik ventilasyon stratejisinin COVİD-19 ARDS fenotiplerinde mekanik ventilasyon süresi, yoğun bakım ünitesinde kalış süresi ve mortalite üzerindeki etkileri incelendi. Bulgular: Çalışma hastalarının COVİD-19 ARDS fenotipi açısından %72,3 tip H, %23,4 tip L ve %4,3 tip Int olduğu tespit edildi. Mekanik ventilasyon stratejisinin mekanik ventilasyon süresi (p=0,357), yoğun bakım ünitesinde kalış süresi (p=0,127) ve ölüm oranını (p=0,583) etkilemediği görüldü. Sonuç: COVİD-19 ilişkili ARDS hastalarında, kompliyans ilişkili fenotipten bağımsız koruyucu ventilasyon stratejisinin uygun olduğunu düşünüyoruz.
Anahtar Kelime:

Mechanical Ventilation in COVID-19 Acute Respiratory Distress Syndrome Phenotypes

Öz:
Objective: Coronavirus disease-2019 (COVID-19)-related acute respiratory distress syndrome (ARDS) phenotypes in lung compliance have been described in patients with COVID- 19-related ARDS. Our study examined mechanical ventilation support and its results in patients with COVID-19-related ARDS. Materials and Methods: The retrospectively planned study was performed in patients with COVID- 19-associated ARDS who were determined to have three phenotype subgroups based on the calculated static compliance (Cstat) value [type high (H) = Cstat <40 mL/cmH2O, type light (L) = Cstat ≥50 mL/cmH2O and type intermediate (Int) =40≤ Cstat <50 mL/cm H2O]. The effects of mechanical ventilation strategy on the duration of mechanical ventilation, length of stay in the intensive care unit, and mortality in COVID-19 ARDS phenotypes were investigated. Results: It was determined that the study patients were 72.3% type H, 23.4% type L, and 4.3% type Int in terms of COVID-19 ARDS phenotype. It was observed that the mechanical ventilation strategy did not affect the duration of mechanical ventilation (p=0.357), the length of stay in the intensive care unit (p=0.127), and the mortality rate (p=0.583) in all three phenotypes. Conclusion: We believe that a phenotype-independent protective ventilation strategy defined according to compliance is appropriate in patients with COVID-19-associated ARDS.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA komurcu o, Küllaç S, Yılmaz A, Ülger F (2022). COVİD-19 Akut Respiratuvar Distres Sendromu Fenotiplerinde Mekanik Ventilasyon. , 126 - 134. 10.4274/tybd.galenos.2022.30301
Chicago komurcu ozgur,Küllaç Sercan,Yılmaz Abdurrahman,Ülger Fatma COVİD-19 Akut Respiratuvar Distres Sendromu Fenotiplerinde Mekanik Ventilasyon. (2022): 126 - 134. 10.4274/tybd.galenos.2022.30301
MLA komurcu ozgur,Küllaç Sercan,Yılmaz Abdurrahman,Ülger Fatma COVİD-19 Akut Respiratuvar Distres Sendromu Fenotiplerinde Mekanik Ventilasyon. , 2022, ss.126 - 134. 10.4274/tybd.galenos.2022.30301
AMA komurcu o,Küllaç S,Yılmaz A,Ülger F COVİD-19 Akut Respiratuvar Distres Sendromu Fenotiplerinde Mekanik Ventilasyon. . 2022; 126 - 134. 10.4274/tybd.galenos.2022.30301
Vancouver komurcu o,Küllaç S,Yılmaz A,Ülger F COVİD-19 Akut Respiratuvar Distres Sendromu Fenotiplerinde Mekanik Ventilasyon. . 2022; 126 - 134. 10.4274/tybd.galenos.2022.30301
IEEE komurcu o,Küllaç S,Yılmaz A,Ülger F "COVİD-19 Akut Respiratuvar Distres Sendromu Fenotiplerinde Mekanik Ventilasyon." , ss.126 - 134, 2022. 10.4274/tybd.galenos.2022.30301
ISNAD komurcu, ozgur vd. "COVİD-19 Akut Respiratuvar Distres Sendromu Fenotiplerinde Mekanik Ventilasyon". (2022), 126-134. https://doi.org/10.4274/tybd.galenos.2022.30301
APA komurcu o, Küllaç S, Yılmaz A, Ülger F (2022). COVİD-19 Akut Respiratuvar Distres Sendromu Fenotiplerinde Mekanik Ventilasyon. Türk Yoğun Bakım Dergisi, 20(Ek 1), 126 - 134. 10.4274/tybd.galenos.2022.30301
Chicago komurcu ozgur,Küllaç Sercan,Yılmaz Abdurrahman,Ülger Fatma COVİD-19 Akut Respiratuvar Distres Sendromu Fenotiplerinde Mekanik Ventilasyon. Türk Yoğun Bakım Dergisi 20, no.Ek 1 (2022): 126 - 134. 10.4274/tybd.galenos.2022.30301
MLA komurcu ozgur,Küllaç Sercan,Yılmaz Abdurrahman,Ülger Fatma COVİD-19 Akut Respiratuvar Distres Sendromu Fenotiplerinde Mekanik Ventilasyon. Türk Yoğun Bakım Dergisi, vol.20, no.Ek 1, 2022, ss.126 - 134. 10.4274/tybd.galenos.2022.30301
AMA komurcu o,Küllaç S,Yılmaz A,Ülger F COVİD-19 Akut Respiratuvar Distres Sendromu Fenotiplerinde Mekanik Ventilasyon. Türk Yoğun Bakım Dergisi. 2022; 20(Ek 1): 126 - 134. 10.4274/tybd.galenos.2022.30301
Vancouver komurcu o,Küllaç S,Yılmaz A,Ülger F COVİD-19 Akut Respiratuvar Distres Sendromu Fenotiplerinde Mekanik Ventilasyon. Türk Yoğun Bakım Dergisi. 2022; 20(Ek 1): 126 - 134. 10.4274/tybd.galenos.2022.30301
IEEE komurcu o,Küllaç S,Yılmaz A,Ülger F "COVİD-19 Akut Respiratuvar Distres Sendromu Fenotiplerinde Mekanik Ventilasyon." Türk Yoğun Bakım Dergisi, 20, ss.126 - 134, 2022. 10.4274/tybd.galenos.2022.30301
ISNAD komurcu, ozgur vd. "COVİD-19 Akut Respiratuvar Distres Sendromu Fenotiplerinde Mekanik Ventilasyon". Türk Yoğun Bakım Dergisi 20/Ek 1 (2022), 126-134. https://doi.org/10.4274/tybd.galenos.2022.30301