Adaptive supportive ventilation in a child with coronavirus pneumonia and diabetes mellitus

Abstract

To exchange experience, the article describes an interesting clinical case of coronavirus pneumonia in a pediatric patient with diabetes mellitus. This case deserves the attention of pediatricians and anesthetists. A teenager with diabetes mellitus had the clinical and laboratory signs of coronavirus pneumonia caused by COVID-19. The Protocol for the diagnosis, management and treatment of pediatric patients with COVID-19 written by a group of authors from Slovakia, approved by the Slovak Pediatric Society played an important role in the diagnosis and treatment of this patient. The Protocol describes an important role of computed tomography of the lungs in the timely diagnosis of coronavirus disease, since it is not always possible to diagnose viral pneumonia via X-rays. The authors describe the successful experience of intelligent ventilation mode of Adaptive Support Ventilation (ASV) — from intubation to extu-bation. For viral pneumonia, we recommend using the ASV mode to achieve protective ventilation and quickly wean the patient from the ventilator, to avoid complications.