Shunt in critically ill Covid-19 ARDS patients: Prevalence and impact on outcome (cross-sectional study).
Acute respiratory distress syndrome
Covid-19
Echocardiography
Shunt
Journal
Journal of critical care
ISSN: 1557-8615
Titre abrégé: J Crit Care
Pays: United States
ID NLM: 8610642
Informations de publication
Date de publication:
08 2022
08 2022
Historique:
received:
22
11
2021
revised:
14
04
2022
accepted:
16
04
2022
pubmed:
30
4
2022
medline:
9
6
2022
entrez:
29
4
2022
Statut:
ppublish
Résumé
To examine critical Covid-19-acute respiratory distress syndrome (C-ARDS) patients requiring mechanical ventilation (MV), using transthoracic echocardiography (TTE) coupled with bubble test (BT), in order to search a right/left shunt. A Cross-sectional and comparative study comparing several parameters according to the presence or not of shunt. 75 patients were included. Twenty-three shunts (31%) were detected: patent foramen oval (PFO) type [n=11 (15%)] and trans-pulmonary transit of bubbles (TPBT) [n = 12 (16%)]. The shunt did not affect P/F ratio (P/F=77 vs 81, p=0.97), nor mortality. A right/left shunt was detected in a third of studied patients similarly between PFO and TPBT without significant impact on P/F ratio or outcome.
Identifiants
pubmed: 35487113
pii: S0883-9441(22)00077-6
doi: 10.1016/j.jcrc.2022.154048
pmc: PMC9040705
pii:
doi:
Types de publication
Letter
Langues
eng
Sous-ensembles de citation
IM
Pagination
154048Informations de copyright
Copyright © 2022 Elsevier Inc. All rights reserved.