Recruitability and effect of PEEP in SARS-Cov-2-associated acute respiratory distress syndrome.

François M BeloncleBertrand PavlovskyChristophe DesprezNicolas FagePierre-Yves OlivierPierre AsfarJean-Christophe RichardAlain Mercat

Published in: Annals of intensive care (2020)

In this series of 25 patients with SARS-Cov-2 associated ARDS, 64% were considered as highly recruitable and only 36% as poorly recruitable based on the R/I ratio performed on the day of intubation. This observation suggests that a systematic R/I ratio assessment may help to guide initial PEEP titration to limit harmful effect of unnecessary high PEEP in the context of Covid-19 crisis.

Keyphrases

sars cov
acute respiratory distress syndrome
extracorporeal membrane oxygenation
mechanical ventilation
respiratory syndrome coronavirus
public health
cardiac arrest
coronavirus disease
intensive care unit
clinical evaluation