Volume 32, Issue 3 (10-2023)
JGUMS 2023, 32(3): 184-193 |
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Research code: 2987
Ethics code: IR.GUMS.REC.1399.398
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Ashraf A, Ebrahimiyan Jektaji R, Saeedinia M, Biazar G, Eslami Kenarsari H, Behjat M K. Incidence of Barotrauma Following Mechanical Ventilation in Patients With COVID-19 Admitted to the ICUs of Two Selected Hospitals in Rasht, Iran. JGUMS 2023; 32 (3) :184-193
URL: http://journal.gums.ac.ir/article-1-2405-en.html
URL: http://journal.gums.ac.ir/article-1-2405-en.html
Ali Ashraf1 
, Ramin Ebrahimiyan Jektaji2 , Mostafa Saeedinia3 , Gelareh Biazar *4 , Habib Eslami Kenarsari5 , Mohmmad Kazem Behjat6
, Ramin Ebrahimiyan Jektaji2 , Mostafa Saeedinia3 , Gelareh Biazar *4 , Habib Eslami Kenarsari5 , Mohmmad Kazem Behjat6
1- Department of Anesthesiology, Faculty of Medicine, Clinical Research Development Unit, Poursina Hospital, Guilan University of Medical Sciences, Rasht, Iran.
2- Department of General Surgery, Clinical Research Development Unit, Poursina Hospital, Guilan University of Medical Sciences, Rasht, Iran.
3- Department of Anesthesiology, Faculty of Medicine, Guilan University of Medical Sciences, Rasht, Iran.
4- Department of Anesthesiology, Anesthesiology Research Center, Alzahra Hospital, Guilan University of Medical Sciences, Rasht, Iran.
5- Department of Statistics, Faculty of Medicine, Guilan University of Medical Sciences, Rasht, Iran.
6- Student Research Committee, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran.
2- Department of General Surgery, Clinical Research Development Unit, Poursina Hospital, Guilan University of Medical Sciences, Rasht, Iran.
3- Department of Anesthesiology, Faculty of Medicine, Guilan University of Medical Sciences, Rasht, Iran.
4- Department of Anesthesiology, Anesthesiology Research Center, Alzahra Hospital, Guilan University of Medical Sciences, Rasht, Iran.
5- Department of Statistics, Faculty of Medicine, Guilan University of Medical Sciences, Rasht, Iran.
6- Student Research Committee, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran.
Abstract: (1446 Views)
Background In the treatment process of hospitalized patients with COVID-19, one of the threatening complications is pulmonary complications such as barotrauma.
Objective This study aims to investigate the prevalence of barotrauma in COVID-19 patients admitted to intensive care units (ICU) of two hospitals in Rasht, Iran.
Methods This retrospective study was conducted on COVID-19 patients admitted to the ICUs of Razi and Poursina hospitals in Rasht in 2020. Their files were studied, and their demographic/clinical data and pulmonary complications were extracted using a checklist by an anesthesia resident.
Results Out of 140 patients, 81(57.9%) received non-invasive mechanical ventilation and 59(42.1%) had invasive ventilation. Barotrauma was observed in 9 cases (6.4%), 8(88.9%) in the form of pneumothorax and one (11.1%) in the form of both pneumothorax and subcutaneous emphysema. The results showed that the incidence of barotrauma was significantly higher among patients who received invasive mechanical ventilation (P=0.003). No significant difference was observed among patients received non-invasive ventilation (P>0.05).
Conclusion The prevalence of barotrauma among COVID-19 patients in the study hospitals is low, which indicates the proper performance of the attending physicians and compliance with the standard guidelines.
Objective This study aims to investigate the prevalence of barotrauma in COVID-19 patients admitted to intensive care units (ICU) of two hospitals in Rasht, Iran.
Methods This retrospective study was conducted on COVID-19 patients admitted to the ICUs of Razi and Poursina hospitals in Rasht in 2020. Their files were studied, and their demographic/clinical data and pulmonary complications were extracted using a checklist by an anesthesia resident.
Results Out of 140 patients, 81(57.9%) received non-invasive mechanical ventilation and 59(42.1%) had invasive ventilation. Barotrauma was observed in 9 cases (6.4%), 8(88.9%) in the form of pneumothorax and one (11.1%) in the form of both pneumothorax and subcutaneous emphysema. The results showed that the incidence of barotrauma was significantly higher among patients who received invasive mechanical ventilation (P=0.003). No significant difference was observed among patients received non-invasive ventilation (P>0.05).
Conclusion The prevalence of barotrauma among COVID-19 patients in the study hospitals is low, which indicates the proper performance of the attending physicians and compliance with the standard guidelines.
Review Paper: Research |
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Received: 2021/09/14 | Accepted: 2023/02/5 | Published: 2023/10/1
Received: 2021/09/14 | Accepted: 2023/02/5 | Published: 2023/10/1
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