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The pathophysiology of ‘happy’ hypoxemia in COVID-19
by
Van Braeckel, Eva
, Depuydt, Pieter
, Dhont, Sebastiaan
, Lambrecht, Bart N.
, Derom, Eric
in
Alveoli
/ Anoxemia
/ Betacoronavirus
/ Blood pressure
/ Bypasses
/ Care and treatment
/ Complications and side effects
/ Coronavirus Infections - complications
/ Coronavirus Infections - epidemiology
/ Coronaviruses
/ COVID-19
/ Critical Illness
/ Development and progression
/ Dyspnea
/ Gas exchange
/ Hemoglobin
/ Humans
/ Hyperventilation
/ Hypoxemia
/ Hypoxia - etiology
/ Hypoxia - metabolism
/ Hypoxia - physiopathology
/ Intracranial pressure
/ Lung - physiopathology
/ Mechanical ventilation
/ Medical research
/ Medicine
/ Medicine & Public Health
/ Metabolism
/ Observations
/ Oxygen Consumption - physiology
/ Oxygen content
/ Oxygen saturation
/ Oxygen therapy
/ Oxyhemoglobin
/ Pandemics
/ Partial pressure
/ Pathophysiology
/ Patients
/ Perfusion
/ Physicians
/ Pneumology/Respiratory System
/ Pneumonia, Viral - complications
/ Pneumonia, Viral - epidemiology
/ Respiration
/ Respiratory diseases
/ Respiratory failure
/ Respiratory Insufficiency - complications
/ Respiratory Insufficiency - metabolism
/ Respiratory Insufficiency - physiopathology
/ Respiratory physiology
/ Review
/ SARS-CoV-2
/ Severe acute respiratory syndrome coronavirus 2
/ Shunts
/ Ventilation
/ Ventilators
/ Viral diseases
2020
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The pathophysiology of ‘happy’ hypoxemia in COVID-19
by
Van Braeckel, Eva
, Depuydt, Pieter
, Dhont, Sebastiaan
, Lambrecht, Bart N.
, Derom, Eric
in
Alveoli
/ Anoxemia
/ Betacoronavirus
/ Blood pressure
/ Bypasses
/ Care and treatment
/ Complications and side effects
/ Coronavirus Infections - complications
/ Coronavirus Infections - epidemiology
/ Coronaviruses
/ COVID-19
/ Critical Illness
/ Development and progression
/ Dyspnea
/ Gas exchange
/ Hemoglobin
/ Humans
/ Hyperventilation
/ Hypoxemia
/ Hypoxia - etiology
/ Hypoxia - metabolism
/ Hypoxia - physiopathology
/ Intracranial pressure
/ Lung - physiopathology
/ Mechanical ventilation
/ Medical research
/ Medicine
/ Medicine & Public Health
/ Metabolism
/ Observations
/ Oxygen Consumption - physiology
/ Oxygen content
/ Oxygen saturation
/ Oxygen therapy
/ Oxyhemoglobin
/ Pandemics
/ Partial pressure
/ Pathophysiology
/ Patients
/ Perfusion
/ Physicians
/ Pneumology/Respiratory System
/ Pneumonia, Viral - complications
/ Pneumonia, Viral - epidemiology
/ Respiration
/ Respiratory diseases
/ Respiratory failure
/ Respiratory Insufficiency - complications
/ Respiratory Insufficiency - metabolism
/ Respiratory Insufficiency - physiopathology
/ Respiratory physiology
/ Review
/ SARS-CoV-2
/ Severe acute respiratory syndrome coronavirus 2
/ Shunts
/ Ventilation
/ Ventilators
/ Viral diseases
2020
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The pathophysiology of ‘happy’ hypoxemia in COVID-19
by
Van Braeckel, Eva
, Depuydt, Pieter
, Dhont, Sebastiaan
, Lambrecht, Bart N.
, Derom, Eric
in
Alveoli
/ Anoxemia
/ Betacoronavirus
/ Blood pressure
/ Bypasses
/ Care and treatment
/ Complications and side effects
/ Coronavirus Infections - complications
/ Coronavirus Infections - epidemiology
/ Coronaviruses
/ COVID-19
/ Critical Illness
/ Development and progression
/ Dyspnea
/ Gas exchange
/ Hemoglobin
/ Humans
/ Hyperventilation
/ Hypoxemia
/ Hypoxia - etiology
/ Hypoxia - metabolism
/ Hypoxia - physiopathology
/ Intracranial pressure
/ Lung - physiopathology
/ Mechanical ventilation
/ Medical research
/ Medicine
/ Medicine & Public Health
/ Metabolism
/ Observations
/ Oxygen Consumption - physiology
/ Oxygen content
/ Oxygen saturation
/ Oxygen therapy
/ Oxyhemoglobin
/ Pandemics
/ Partial pressure
/ Pathophysiology
/ Patients
/ Perfusion
/ Physicians
/ Pneumology/Respiratory System
/ Pneumonia, Viral - complications
/ Pneumonia, Viral - epidemiology
/ Respiration
/ Respiratory diseases
/ Respiratory failure
/ Respiratory Insufficiency - complications
/ Respiratory Insufficiency - metabolism
/ Respiratory Insufficiency - physiopathology
/ Respiratory physiology
/ Review
/ SARS-CoV-2
/ Severe acute respiratory syndrome coronavirus 2
/ Shunts
/ Ventilation
/ Ventilators
/ Viral diseases
2020
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Journal Article
The pathophysiology of ‘happy’ hypoxemia in COVID-19
2020
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Overview
The novel coronavirus disease 2019 (COVID-19) pandemic is a global crisis, challenging healthcare systems worldwide. Many patients present with a remarkable disconnect in rest between profound hypoxemia yet without proportional signs of respiratory distress (i.e. happy hypoxemia) and rapid deterioration can occur. This particular clinical presentation in COVID-19 patients contrasts with the experience of physicians usually treating critically ill patients in respiratory failure and ensuring timely referral to the intensive care unit can, therefore, be challenging. A thorough understanding of the pathophysiological determinants of respiratory drive and hypoxemia may promote a more complete comprehension of a patient’s clinical presentation and management. Preserved oxygen saturation despite low partial pressure of oxygen in arterial blood samples occur, due to leftward shift of the oxyhemoglobin dissociation curve induced by hypoxemia-driven hyperventilation as well as possible direct viral interactions with hemoglobin. Ventilation-perfusion mismatch, ranging from shunts to alveolar dead space ventilation, is the central hallmark and offers various therapeutic targets.
Publisher
BioMed Central,BioMed Central Ltd,Nature Publishing Group,BMC
Subject
/ Anoxemia
/ Bypasses
/ Complications and side effects
/ Coronavirus Infections - complications
/ Coronavirus Infections - epidemiology
/ COVID-19
/ Dyspnea
/ Humans
/ Medicine
/ Oxygen Consumption - physiology
/ Patients
/ Pneumology/Respiratory System
/ Pneumonia, Viral - complications
/ Pneumonia, Viral - epidemiology
/ Respiratory Insufficiency - complications
/ Respiratory Insufficiency - metabolism
/ Respiratory Insufficiency - physiopathology
/ Review
/ Severe acute respiratory syndrome coronavirus 2
/ Shunts
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