European Medical Journal (Jun 2021)

Relating Ventilatory Support and Drug Treatment Strategies to the Fundamental Pathophysiology in COVID-19 Illness

  • Keir Lewis,
  • Alexander Stoll,
  • Sarah Watts,
  • Emrys Kirkman

DOI
https://doi.org/10.33590/emj/20-00269

Abstract

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This article relates the current pathophysiologic and radiologic findings to the fundamental idea of acute lung epithelial infection, alveolar inflammation causing leak into the interstitial space, and subsequent secondary or concurrent endothelial infection and dysfunction. Understanding the mechanisms and timings of alveolar damage can better inform the types of ventilatory support required and timing of targeted pharmacotherapies.