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10.36141/svdld.v38i2.11222

http://scihub22266oqcxt.onion/10.36141/svdld.v38i2.11222
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34316257!8288205!34316257
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suck abstract from ncbi


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pmid34316257      Sarcoidosis+Vasc+Diffuse+Lung+Dis 2021 ; 38 (2): e2021017
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  • Correlation between continuous Positive end-expiratory pressure (PEEP) values and occurrence of Pneumothorax and Pneumomediastinum in SARS-CoV2 patients during non-invasive ventilation with Helmet #MMPMID34316257
  • Gidaro A; Samartin F; Brambilla AM; Cogliati C; Ingrassia S; Banfi F; Cupiraggi V; Bonino C; Schiuma M; Giacomelli A; Rusconi S; Curra J; Brucato AL; Salvi E
  • Sarcoidosis Vasc Diffuse Lung Dis 2021[]; 38 (2): e2021017 PMID34316257show ga
  • BACKGROUND: Acute Hypoxemic Respiratory Failure is a common complication of SARS-CoV2 related pneumonia, for which non-invasive ventilation (NIV) with Helmet Continuous Positive Airway Pressure (CPAP) is widely used. The frequency of pneumothorax in SARS-CoV2 was reported in 0.95% of hospitalized patients in 6% of mechanically ventilated patients, and in 1% of a post-mortem case series. OBJECTIVES: Aim of our retrospective study was to investigate the incidence of pneumothorax and pneumomediastinum (PNX/PNM) in SARS-CoV2 pneumonia patients treated with Helmet CPAP. Moreover, we examined the correlation between PNX/PNM and Positive end-expiratory pressure (PEEP) values. METHODS: We collected data from patients admitted to "Luigi Sacco" University Hospital of Milan from 2 February to 5 May 2020 with SARS-CoV2 pneumonia requiring CPAP. Patients, who need NIV with bi-level pressure or endotracheal intubation (ETI) for any reason except those who needed ETI after PNX/PNM, were excluded. Population was divided in two groups according to PEEP level used (10 cmH20). RESULTS: 154 patients were enrolled. In the overall population, 42 patients (27%) were treated with High-PEEP (>10 cmH2O), and 112 with Low-PEEP (
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