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Mechanical Ventilation in the COVID-19 Patient

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Critical Care of COVID-19 in the Emergency Department

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Abstract

For patients with severe COVID-19, mechanical ventilation may be required to achieve adequate oxygenation. There is ongoing controversy surrounding the underlying pathophysiology and classification in regard to ventilatory strategies. In this chapter we present a summary of current literature and offer an evidence-based practical approach to mechanical ventilation for the emergency physician to utilize when faced with initial or complex ventilatory scenarios. This approach to mechanical ventilation for COVID-19 patients is grounded in the same principles guiding therapy for all-cause acute respiratory distress syndrome and lung protective ventilation. Outcomes, controversial strategies, and complications are discussed as well.

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Authors and Affiliations

  1. Department of Medicine, Division of Pulmonary and Critical Care Medicine, University of Vermont Medical Center, Burlington, VT, USA

    Katelin Morrissette & Skyler Lentz

  2. Department of Surgery, Division of Emergency Medicine, University of Vermont Larner College of Medicine, Burlington, VT, USA

    Skyler Lentz

  3. Department of Emergency Medicine, University of Arizona College of Medicine, Tucson, AZ, USA

    Jarrod Mosier

  4. Division of Pulmonary, Allergy, Critical Care and Sleep, Department of Medicine, University of Arizona College of Medicine, Tucson, AZ, USA

    Jarrod Mosier

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  1. Katelin Morrissette
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  2. Skyler Lentz
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  3. Jarrod Mosier
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Correspondence to Jarrod Mosier .

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Editors and Affiliations

  1. Departments of Emergency Medicine, Neurology and Surgery, University of Florida Health Science Center, Jacksonville, FL, USA

    Joseph R. Shiber

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Morrissette, K., Lentz, S., Mosier, J. (2021). Mechanical Ventilation in the COVID-19 Patient. In: Shiber, J.R. (eds) Critical Care of COVID-19 in the Emergency Department. Springer, Cham. https://doi.org/10.1007/978-3-030-85636-6_6

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