Answering to the Call of Critically Ill Patients: Limiting Sonographer Exposure to COVID-19 with Focused Protocols

Kaminski, Abigail; Payne, Abby; Roemer, Sarah; Ignatowski, Denise; Khandheria, Bijoy K.

doi:10.1016/j.echo.2020.05.006

Cited by 17 publications

(13 citation statements)

References 3 publications

(4 reference statements)

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“…Especially PH and RVD were frequently documented, mostly in critically ill patients, with acute respiratory distress syndrome and respiratory failure [ 5 , 6 , 12 ], treated in Intensive Care Units. The incidence of PH has been appreciated around 15% [ 5 ], but it could be much higher when taking into account the difficulty of performing TTE in severely ill, often mechanically ventilated, patients [ 22 , 23 ]. Actual studies analyzed patients with COVID-19 altogether, with most of them being older people with comorbidities, mainly associated cardiovascular diseases [ 24 ].…”

Section: Discussionmentioning

confidence: 99%

Evidence of Pulmonary Hypertension after SARS-CoV-2 Infection in Subjects without Previous Significant Cardiovascular Pathology

Tudoran

Lăzureanu

et al. 2021

JCM

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Background: Coronavirus (Covid-19) infection represents a serious medical condition, often associated with cardiovascular complications, pulmonary hypertension (PH), and right ventricle dysfunction (RVD). The aim of this study is to show, by means of transthoracic echocardiography (TTE), the presence of an increased estimated systolic pressure in the pulmonary artery (esPAP) and altered right ventricular global longitudinal strain (RV-GLS) in patients without history of PH. Methods: In a group of 91 patients, aged under 55 years, hospitalized for a moderate Covid-19 infection, a thorough cardiologic and TTE examination were performed two months after discharge. Their initial thorax computer-tomography (TCT) images and laboratory data were accessed from the electronic data base of the hospital. Results: We observed an increased prevalence of PH (7.69%) and RVD (10.28%), significantly correlated with the initial levels of the TCT score and inflammatory factors (p ˂ 0.001), but borderline changes were observed in more patients. Multivariate regression analysis showed that these factors and RV-GLS explain 89.5% of elevated esPAP. Conclusions: In COVID-19 infection, PH and RVD are common complications, being encountered after the recovery even in moderate cases. It appears to be a connection between their severity and the extent of the initial pulmonary injury and of the inflammatory response.

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Section: Discussionmentioning

confidence: 99%

Evidence of Pulmonary Hypertension after SARS-CoV-2 Infection in Subjects without Previous Significant Cardiovascular Pathology

Tudoran

Lăzureanu

et al. 2021

JCM

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“…According to international societies, during the COVID‐19 pandemic to reduce the risk of contamination and consumption of personal protective equipment (PPE), examinations were performed only if they provide clinical benefit taking into account patient characteristics, blood test abnormalities, and hemodynamic stability 11–13 …”

Section: Methodsmentioning

confidence: 99%

“…According to international societies, during the COVID-19 pandemic to reduce the risk of contamination and consumption of personal protective equipment (PPE), examinations were performed only if they provide clinical benefit taking into account patient characteristics, blood test abnormalities, and hemodynamic stability. [11][12][13] The echocardiograms were performed at the bedside, with patients in the left lateral decubitus position when possible, but mostly in supine or sitting position with a machine dedicated to COVID-19infected patients (Vivid S6 echocardiograph-GE-Medical System, Milwaukee WI). Personnel were provided with adequate PPE.…”

Section: Echocardiographic Examinationmentioning

confidence: 99%

Prognostic utility of quantitative offline 2D‐echocardiography in hospitalized patients with COVID‐19 disease

et al. 2020

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Purpose: To assess the prognostic utility of quantitative 2D-echocardiography, including strain, in patients with COVID-19 disease. Methods: COVID-19-infected patients admitted to the San Paolo University Hospital of Milan that underwent a clinically indicated echocardiographic examination were included in the study. To limit contamination, all measurements were performed offline. Quantitative measurements were obtained by an operator blinded to the clinical data. Results: Among the 49 patients, nonsurvivors (33%) had worse respiratory parameters, index of multiorgan failure, and worse markers of lung involvement. Right ventricular (RV) dysfunction (as assessed by conventional and 2-dimensional speckle tracking) was a common finding and a powerful independent predictor of mortality. At the ROC curve analyses, RV free wall longitudinal strain (LS) showed an AUC

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“…7 In this case, we show that prone positioning was beneficial to oxygenation and biventricular function in a patient infected with COVID-19 pneumonitis. We recommend following established protocols 8 to help guide management as well as to reduce risk to frontline sonographers.…”

Section: Discussionmentioning

confidence: 99%

Focus, Not Point-of-Care, Echocardiography in Prone Position: It Can Be Done in COVID-19 Patients

Jaglan

Kaminski

Payne

et al. 2021

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Answering to the Call of Critically Ill Patients: Limiting Sonographer Exposure to COVID-19 with Focused Protocols

Cited by 17 publications

References 3 publications

Evidence of Pulmonary Hypertension after SARS-CoV-2 Infection in Subjects without Previous Significant Cardiovascular Pathology

Evidence of Pulmonary Hypertension after SARS-CoV-2 Infection in Subjects without Previous Significant Cardiovascular Pathology

Prognostic utility of quantitative offline 2D‐echocardiography in hospitalized patients with COVID‐19 disease

Focus, Not Point-of-Care, Echocardiography in Prone Position: It Can Be Done in COVID-19 Patients

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