Respiratory failure & ventilation

Invasive mechanical ventilation strategies, adjuvants treatments and adverse events among ICU patients with COVID‐19 in Denmark

Acta Anaesthesiol ScandPublished Retrospective cohort study

Authors' conclusion

Lung protective ventilation and prone positioning were used in many of the Danish ICU patients with COVID-19, but barotrauma, prolonged ventilation and death occurred frequently.

Study context

Population
ICU patients with COVID-19 receiving invasive mechanical ventilation in Denmark, 10 March 2020 to 2 April 2021first two waves
Participants
774 patients
Outcome
Use of invasive mechanical ventilation core strategies and adjuvant treatments, and occurrence of barotrauma and prolonged ventilation
Methodological detailsnationwide, multicentre, 70% males; median age 69 years, Data retrospectively collected from electronic patient records
  • Nationwide
  • Multicentre
  • 70% males; median age 69 years
  • Data retrospectively collected from electronic patient records

Main finding

As reported in the abstract

Patients never exceeding tidal volumes of 8 mL/kg
340 (51.5%)
Time on ventilator in ICU with tidal volumes under 8 mL/kg, all patients
77.6% (IQR 54.5%-96.2%)
Plateau pressure below 30 cm H2O
125 (80.6%) patients
Prone positioning used
44.7% of patients
Barotrauma in ICU
169 of 774 (21.8%)
Prolonged ventilation in ICU
220 (28.4%)

Observational data: associations, not effects.

Further findings

Mortality · 90 days

Died
306 (39.5%)

Original publication

Invasive mechanical ventilation strategies, adjuvants treatments and adverse events among ICU patients with COVID‐19 in Denmark. Acta Anaesthesiol Scand. Published 3 January 2025. doi:10.1111/aas.14571

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