The effect of lung recruitment manoeuvre in COVID‐19 induced acute respiratory distress syndrome

• Published in: Respirology case reports Vol. 11; no. 3
• Main Authors: Lin, Wei‐Chiang, Lin, Shang‐Yi, Tsai, Meng‐Che, Chung, Fu‐Tsai, Chang, Hsiu‐Mei
• Format: Journal Article
• Language: English
• Published: Chichester, UK John Wiley & Sons, Ltd 01.03.2023; John Wiley & Sons, Inc; Wiley
• Subjects: acute respiratory distress syndrome; Cardiac arrhythmia; Case reports; Coronaviruses; COVID-19; Disease transmission; Extubation; Hypotension; Infectious diseases; Pneumothorax; recruitment manoeuvre; Respiratory distress syndrome; Ventilators
• ISSN: 2051-3380; 2051-3380
• DOI: 10.1002/rcr2.1107

Coronavirus disease‐2019 (COVID‐19) is a highly spread infectious disease around the world. This infectious disease impacts whole body systems, specifically on respiratory system. This 57‐year‐old women had diagnosed COVID‐19 positive and progress to acute respiratory distress syndrome (ARDS) within 1 week. Mechanical ventilation with protective lung strategy, prone position could not reverse the worsen hypoxemia and bilateral lung infiltration. Recruitment manoeuvre was proceeded with 40–40 strategy and protective/ventilation tool (P/V tool). After 4 days (8 rounds) of recruitment manoeuvre, oxygenation level and lung compliance showed dramatic improvement. The patient was finally extubated at COVID‐19 Day 40 and discharged with long term oxygen use at COVID‐19 Day 60. In this case, we report how recruitment manoeuvre can improve severe hypoxemia and bilateral lung infiltration dramatically in ARDS. This case report discusses the effect of recruitment manoeuvre in an ARDS patient who was infected by COVID‐19.