Transesophageal Echocardiographic Assessment in Patients with Severe Respiratory Distress due to COVID-19 in the Prone Position: A Feasibility Study.
Acute respiratory distress syndrome
Coronavirus disease-2019
Prone position
Transesophageal echocardiographic screening
Journal
Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine
ISSN: 0972-5229
Titre abrégé: Indian J Crit Care Med
Pays: India
ID NLM: 101208863
Informations de publication
Date de publication:
Feb 2023
Feb 2023
Historique:
received:
21
12
2022
accepted:
30
12
2022
entrez:
3
3
2023
pubmed:
4
3
2023
medline:
4
3
2023
Statut:
ppublish
Résumé
Our aim was to assess the feasibility, safety, and utility of implementing transesophageal echocardiographic screening in patients with coronavirus disease-2019 (COVID-19)-related acute respiratory distress syndrome (ARDS), receiving mechanical ventilation (MV) and in prone position (PP). Prospective observational study performed in an intensive care unit; patients 18 years, with ARDS, invasive MV, in PP were included. A total of 87 patients were included. There was no need to change ventilator settings, hemodynamic support, or any difficulties with the insertion of the ultrasonographic probe. Mean duration of transesophageal echocardiography (TEE) was 20 minutes. No displacement of the orotracheal tube, vomiting, or gastrointestinal bleeding was observed. Frequent complication was displacement of the nasogastric tube in 41 (47%) patients. Severe right ventricular (RV) dysfunction was detected in 21 (24%) patients and acute cor pulmonale was diagnosed in 36 (41%) patients. Our results show the importance of assessing RV function during the course of severe respiratory distress and the value of TEE for hemodynamic assessment in PP. Sosa FA, Wehit J, Merlo P, Matarrese A, Tort B, Roberti JE,
Sections du résumé
Background and aim
UNASSIGNED
Our aim was to assess the feasibility, safety, and utility of implementing transesophageal echocardiographic screening in patients with coronavirus disease-2019 (COVID-19)-related acute respiratory distress syndrome (ARDS), receiving mechanical ventilation (MV) and in prone position (PP).
Methods
UNASSIGNED
Prospective observational study performed in an intensive care unit; patients 18 years, with ARDS, invasive MV, in PP were included. A total of 87 patients were included.
Results
UNASSIGNED
There was no need to change ventilator settings, hemodynamic support, or any difficulties with the insertion of the ultrasonographic probe. Mean duration of transesophageal echocardiography (TEE) was 20 minutes. No displacement of the orotracheal tube, vomiting, or gastrointestinal bleeding was observed. Frequent complication was displacement of the nasogastric tube in 41 (47%) patients. Severe right ventricular (RV) dysfunction was detected in 21 (24%) patients and acute cor pulmonale was diagnosed in 36 (41%) patients.
Conclusion
UNASSIGNED
Our results show the importance of assessing RV function during the course of severe respiratory distress and the value of TEE for hemodynamic assessment in PP.
How to cite this article
UNASSIGNED
Sosa FA, Wehit J, Merlo P, Matarrese A, Tort B, Roberti JE,
Identifiants
pubmed: 36865506
doi: 10.5005/jp-journals-10071-24396
pmc: PMC9973067
doi:
Types de publication
Journal Article
Langues
eng
Pagination
132-134Informations de copyright
Copyright © 2023; The Author(s).
Déclaration de conflit d'intérêts
Source of support: Nil Conflict of interest: None
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