The Fundamentals of Respiratory Physiology to Manage the COVID-19 Pandemic: An Overview Article Swipe
Edem Allado
,
Mathias Poussel
,
Simon Valentin
,
Antoine Kimmoun
,
Bruno Lévy
,
D.T. Nguyen
,
C. Rumeau
,
Bruno Chenuel
·
YOU?
·
· 2021
· Open Access
·
· DOI: https://doi.org/10.3389/fphys.2020.615690
YOU?
·
· 2021
· Open Access
·
· DOI: https://doi.org/10.3389/fphys.2020.615690
The growing coronavirus disease (COVID-19) crisis has stressed worldwide healthcare systems probably as never before, requiring a tremendous increase of the capacity of intensive care units to handle the sharp rise of patients in critical situation. Since the dominant respiratory feature of COVID-19 is worsening arterial hypoxemia, eventually leading to acute respiratory distress syndrome (ARDS) promptly needing mechanical ventilation, a systematic recourse to intubation of every hypoxemic patient may be difficult to sustain in such peculiar context and may not be deemed appropriate for all patients. Then, it is essential that caregivers have a solid knowledge of physiological principles to properly interpret arterial oxygenation, to intubate at the satisfactory moment, to adequately manage mechanical ventilation, and, finally, to initiate ventilator weaning, as safely and as expeditiously as possible, in order to make it available for the next patient. Through the expected mechanisms of COVID-19-induced hypoxemia, as well as the notion of silent hypoxemia often evoked in COVID-19 lung injury and its potential parallelism with high altitude pulmonary edema, from the description of hemoglobin oxygen affinity in patients with severe COVID-19 to the interest of the prone positioning in order to treat severe ARDS patients, this review aims to help caregivers from any specialty to handle respiratory support following recent knowledge in the pathophysiology of respiratory SARS-CoV-2 infection.
Related Topics
Concepts
Hypoxemia
Intensive care medicine
ARDS
Medicine
Context (archaeology)
Respiratory physiology
Mechanical ventilation
Pandemic
Coronavirus disease 2019 (COVID-19)
Intensive care
Continuous positive airway pressure
Respiratory system
Lung
Disease
Anesthesia
Infectious disease (medical specialty)
Internal medicine
Biology
Obstructive sleep apnea
Paleontology
Metadata
- Type
- review
- Language
- en
- Landing Page
- https://doi.org/10.3389/fphys.2020.615690
- https://www.frontiersin.org/journals/physiology/articles/10.3389/fphys.2020.615690/pdf
- OA Status
- gold
- Cited By
- 24
- References
- 131
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W3132840326
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W3132840326Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.3389/fphys.2020.615690Digital Object Identifier
- Title
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The Fundamentals of Respiratory Physiology to Manage the COVID-19 Pandemic: An OverviewWork title
- Type
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reviewOpenAlex work type
- Language
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enPrimary language
- Publication year
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2021Year of publication
- Publication date
-
2021-02-18Full publication date if available
- Authors
-
Edem Allado, Mathias Poussel, Simon Valentin, Antoine Kimmoun, Bruno Lévy, D.T. Nguyen, C. Rumeau, Bruno ChenuelList of authors in order
- Landing page
-
https://doi.org/10.3389/fphys.2020.615690Publisher landing page
- PDF URL
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https://www.frontiersin.org/journals/physiology/articles/10.3389/fphys.2020.615690/pdfDirect link to full text PDF
- Open access
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YesWhether a free full text is available
- OA status
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goldOpen access status per OpenAlex
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https://www.frontiersin.org/journals/physiology/articles/10.3389/fphys.2020.615690/pdfDirect OA link when available
- Concepts
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Hypoxemia, Intensive care medicine, ARDS, Medicine, Context (archaeology), Respiratory physiology, Mechanical ventilation, Pandemic, Coronavirus disease 2019 (COVID-19), Intensive care, Continuous positive airway pressure, Respiratory system, Lung, Disease, Anesthesia, Infectious disease (medical specialty), Internal medicine, Biology, Obstructive sleep apnea, PaleontologyTop concepts (fields/topics) attached by OpenAlex
- Cited by
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24Total citation count in OpenAlex
- Citations by year (recent)
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2025: 3, 2024: 3, 2023: 7, 2022: 6, 2021: 5Per-year citation counts (last 5 years)
- References (count)
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131Number of works referenced by this work
- Related works (count)
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10Other works algorithmically related by OpenAlex
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