Скачать или смотреть Is COVID-19 ARDS? L & H Phenotypes Explained!

In this lesson we have a discussion about whether COVID-19 is truly ARDS. A paper by one of the world leading experts on ARDS addresses this question and believes it is not in most cases. They developed a theory of 2 distinct phenotypes to COVID-19.

I start off talking about these phenotypes; type L and type H. Type L is classified with "low" things such as low elastane, low V/Q ratio, low lung weight, and low recruit ability of the lungs. The L type does not appear like typical ARDS. Then there is type H distinguished with "high" things such as high elastane, high right to left shunt, high lung weight, and high recruit ability. I also cover their belief of the transition from one type to the other and why that might happen.

Next we cover the respiratory treatment proposed by this paper in response to the different needs of the different phenotypes. Finally I cover some potentially issues that have been raised regarding this theory.

I hope that by the end of this you guys have a bette understanding of what these different phenotypes are, how they are different, and how our management of these patients might differ from one another.

0:00 Intro
3:50 Physiological Findings
8:31 Respiratory Treatment
10:48 Potential Issues
12:20 Conclusion

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Check out these other great lessons and series of lessons below!

✅ Hemodynamics Principals:    • Hemodynamic Principals  
✅ Shock:    • Shock  
✅ ECG/EKG Rhythm Interpretation:    • ECG/EKG Interpretation  
✅ ICU Drips:    • ICU Drips  

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