Abstract
We report the case of sixty-years-old men who necessitated intubation and mechanical ventilation for severe COVID-19. After 3 days under mechanical ventilation, in semi recumbent position, despite being ventilated with 5.5 ml/kg/IBW and 8 cmH2O of positive end expiratory pressure (PEEP), deeply sedated and paralyzed, his plateau pressure (Pplat) was markedly elevated at 41 cmH2O.
Highlights
We describe the case of one of our patients and suggest a possible therapeutic intervention by applying a continuous lower abdominal compression (LAC)
We report the case of sixty-years-old men who necessitated intubation and mechanical ventilation for severe COVID-19
In an attempt to find an explanation of these phenomena, we applied a lower abdominal compression (LAC) in semi recumbent and observed a drastically decreased of his Pplat from 41 to 24 cmH2O, returning to the previous value as soon as LAC was released
Summary
Continuous Lower Abdominal Compression a Possible Therapeutic Intervention in ARDS *Corresponding author: Dr Alexandru Cupaciu, Department of Anaesthesiology, Critical Care Medicine and Burn Unit, AP-HP, Saint Louis and Lariboisière University Hospitals, 1 avenue Claude Vellefaux, 75010, Paris, France Et al [1] described a paradoxical and reproducible improvement of respiratory system compliance (Crs) after abdominal compression in seven mechanically ventilated severe COVID-19 patients.
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