Protracted course of coronavirus disease with severe acute respiratory distress syndrome : a case report

© 2020 The Authors. Acute Medicine & Surgery published by John Wiley & Sons Australia, Ltd on behalf of Japanese Association for Acute Medicine..

BACKGROUND: Coronavirus disease (COVID-19) is a growing concern worldwide. Approximately 5% of COVID-19 cases require intensive care. However, the optimal treatment for respiratory failure in COVID-19 patients is yet to be determined.

CASE PRESENTATION: A 79-year-old man with severe acute respiratory distress syndrome due to COVID-19 was admitted to our intensive care unit. Prone ventilation was effective in treating the patient's hypoxemia. Furthermore, the patient received lung protective ventilation with a tidal volume of 6-8 mg/kg (predicted body weight). However, the patient's respiratory failure did not improve and he died 16 days after admission because of multiple organ failure. Serial chest computed tomography revealed a change from ground-glass opacity to consolidation pattern in both lungs.

CONCLUSIONS: We report a protracted case of COVID-19 in a critically ill patient in Japan. Although prone ventilation could contribute to treating hypoxemia, its efficacy in preventing mortality from COVID-19 is unknown.

Medienart:

E-Artikel

Erscheinungsjahr:

2020

Erschienen:

2020

Enthalten in:

Zur Gesamtaufnahme - volume:7

Enthalten in:

Acute medicine & surgery - 7(2020), 1 vom: 01. Jan., Seite e521

Sprache:

Englisch

Beteiligte Personen:

Miyamoto, Kyohei [VerfasserIn]
Yonemitsu, Takafumi [VerfasserIn]
Tanaka, Rikako [VerfasserIn]
Nakashima, Tsuyoshi [VerfasserIn]
Shibata, Mami [VerfasserIn]
Funahashi, Ryosuke [VerfasserIn]
Yamasaki, Keiko [VerfasserIn]
Yamada, Mario [VerfasserIn]
Tamoto, Kaori [VerfasserIn]
Akamatsu, Keiichiro [VerfasserIn]
Nishio, Machiko [VerfasserIn]
Yamaue, Hiroki [VerfasserIn]
Kato, Seiya [VerfasserIn]

Links:

Volltext

Themen:

Acute respiratory distress syndrome
COVID‐19
Case Reports
Critically ill
Prone ventilation
SARS‐CoV‐2

Anmerkungen:

Date Revised 15.04.2022

published: Electronic-eCollection

Citation Status PubMed-not-MEDLINE

doi:

10.1002/ams2.521

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM311448615