Successful experience of using adaptive support ventilation (ASV) in the patient with suspected COVID pneumonia

  • Dmytriiev Dmytro Vinnitsa National Medical University n.a. M.I Pirogov, Pyrohova St, 56, Vinnytsia, Vinnytsia Oblast, Ukraine
  • Kostiv Olga Ternopil National Medical University n.a. I. Gorbachevsky, Voli Square, 1, Ternopil, Ternopil Oblast, Ukraine
  • Melnychenko Mykola Vinnitsa National Medical University n.a. M.I Pirogov, Pyrohova St, 56, Vinnytsia, Vinnytsia Oblast, Ukraine
  • Kostiv Sviatoslav Ternopil National Medical University n.a. I. Gorbachevsky, Voli Square, 1, Ternopil, Ternopil Oblast, Ukraine
  • Dmytriiev Kostiantyn Vinnitsa National Medical University n.a. M.I Pirogov, Pyrohova St, 56, Vinnytsia, Vinnytsia Oblast, Ukraine
Keywords: COVID-19, ARDS, CT scan, early intubation, ASV, protective ventilation, early weaning

Abstract

An interesting clinical case of suspected COVID-19 pneumonia in a patient with diabetes mellitus is considered in the article. This case deservest attention of anesthesiologists, especially today, during the COVID-19 epidemic. An important role in timely diagnosis belongs to the CT scan, as the X-ray does not always diagnose viral pneumonia. In our case, we adhered to the principles of restrictive infusion therapy, early intubation, protective ventilation and early weaning of the patient from the respirator. The article describes the successful experience of using the ASV intelligent ventilation mode – from intubation to extubation. We recommend you to use ASV in patients with suspected COVID-19 pneumonia and L-type to achieve protective ventilation, rapid weaning, and low risk of complications.

Key words: COVID-19, ARDS, CT scan, early intubation, ASV, protective ventilation, early weaning

Citation:  Dmytriev D, Kostiv O, Melnychenko MV, Kostiv S, Dmytriiev K. Successful experience of using adaptive support ventilation (ASV) in the patient with suspected COVID pneumonia. Anaesth. Pain intensive care 2021;25(1):111-117;

DOI: 10.35975/apic.v25i1.1212

Received: 5 April 2020, Reviewed: 14 June 2020, Accepted: 12 January 2021

Published
02-10-2021
How to Cite
Dmytro, D., Olga, K., Mykola, M., Sviatoslav, K., & Kostiantyn, D. (2021). Successful experience of using adaptive support ventilation (ASV) in the patient with suspected COVID pneumonia. Anaesthesia, Pain & Intensive Care, 25(1), 111-117. https://doi.org/10.35975/apic.v25i1.1212
Section
Case Reports