지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2021.1
- 수록면
- 60 - 68 (9page)
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초록· 키워드
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BACKGROUND: There is scarce literature on point-of-care ultrasound (POCUS) assessment characteristics in coronavirus disease 2019 (COVID-19) pneumonia with hypoxic respiratory failure. METHODS: This study was an observational, prospective, single-center study, including adults suspected to have COVID-19 who were transferred to the intensive care unit (ICU). An intensivist in critical care ultrasound performed lung ultrasound (LUS) and echocardiology within 12 hours of patients' admission to the ICU. We calculated the trans mitral E/A ratio, E/e′, left ventricular ejection fraction (EF), inferior vena cava (IVC) diameter, right ventricle (RV) size and systolic function. RESULTS: In the group of patients with confirmed COVID-19 pneumonia, echocardiographic findings revealed normal E/e′, deceleration time (DT), and transmittal E/A ratio compared to those in the non-COVID-19 patients (p = 0.001, 0.0001, and 0.0001, respectively). IVC diameter was < 2 cm with > 50% collapsibility in 62 (81%) patients with COVID-19 pneumonia; a diameter of > 2 cm and < 50% collapsibility was detected among those with non-COVID-19 pneumonia (p-value of 0.001). In patients with COVID-19 pneumonia, there were 3 cases of myocarditis (3.9%) with poor EF, severe RV systolic dysfunction was seen in 9 cases (11.6%), and 3 cases exhibited RV thrombus. Lung US revealed 4 signs suggestive of COVID-19 pneumonia in 77 patients (98.6%) (sensitivity 96.9%; confidence interval, 85%?99.5%) when compared with reverse transcriptase-polymerase chain reaction results. CONCLUSIONS: POCUS plays an important role in the bedside diagnosis, hemodynamic assessment and management of patients with acute hypoxic respiratory and circulatory failure with COVID-19 pneumonia.
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등록된 정보가 없습니다.
참고문헌 (20)
참고문헌 신청
Clerkin KJ / 2020 / COVID-19 and Cardiovascular Disease / Circulation 141:1648~1655
Peng QY / 2020 / Using echocardiography to guide the treatment of novel coronavirus pneumonia / Crit Care 24:143
Johri AM / 2020 / ASE statement on point-of-care ultrasound during the 2019 novel coronavirus pandemic / J Am Soc Echocardiogr 33:670~673
World Health Organization / Volume 2. IMAI district clinician manual. Hospital care for adolescents and adults [Internet]
Peng QY / 2020 / Findings of lung ultrasonography of novel corona virus pneumonia during the 2019-2020 epidemic / Intensive Care Med 46:849~850
Peng QY / 2020 / Using echocardiography to guide the treatment of novel coronavirus pneumonia / Crit Care 24:143
Johri AM / 2020 / ASE statement on point-of-care ultrasound during the 2019 novel coronavirus pandemic / J Am Soc Echocardiogr 33:670~673
World Health Organization / Volume 2. IMAI district clinician manual. Hospital care for adolescents and adults [Internet]
Peng QY / 2020 / Findings of lung ultrasonography of novel corona virus pneumonia during the 2019-2020 epidemic / Intensive Care Med 46:849~850
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