Diaphragm ultrasound to stratify <scp>COVID</scp>‐19 patients in the emergency department?

Fayssoil, Abdallah; Beaune, Sébastien; Mansencal, Nicolas

doi:10.1002/jcu.23074

Cited by 2 publications

(2 citation statements)

References 13 publications

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“…Considering the respiratory muscles, and in particular the diaphragm, the application of ultrasound imaging (US) techniques to assess muscular dysfunction, morphological changes and/or responses to rehabilitation, are a valid strategy [12][13][14][15][16][17][18][19][20][21][22][23][24][25][26][27][28][29]. Two main ultrasound approaches to image the diaphragm have been consistently reported in the literature: the mid-axillary intercostal approach at the zone of apposition, and the subcostal approach using the liver or spleen as an acoustic window [28,30] (Figure 2).…”

Section: Ultrasound Imaging Techniquesmentioning

confidence: 99%

The Possible Impact of COVID-19 on Respiratory Muscles Structure and Functions: A Literature Review

et al. 2022

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The impact of SARS-CoV-2 infection on respiratory muscle functions is an important area of recent enquiry. COVID-19 has effects on the respiratory muscles. The diaphragm muscle is perturbed indirectly due to the mechanical-ventilation-induced-disuse, but also by direct mechanisms linked with SARS-CoV-2 viral infection. In this sense, a deeper understanding of the possible links between COVID-19 and alterations in structure and functions of the respiratory muscles may increase the success rate of preventive and supportive strategies. Ultrasound imaging alongside respiratory muscle strength tests and pulmonary function assessment are valid approaches to the screening and monitoring of disease, for mild to severe patients. The aim of the present review is to highlight the current literature regarding the links between COVID-19 and respiratory muscle functions. We examine from the pathophysiological aspects of disease, up to approaches taken to monitor and rehabilitate diseased muscle. We hope this work will add to a greater understanding of the pathophysiology and disease management of respiratory muscle pathology subsequent to SARS-CoV-2 infection.

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Section: Ultrasound Imaging Techniquesmentioning

confidence: 99%

The Possible Impact of COVID-19 on Respiratory Muscles Structure and Functions: A Literature Review

et al. 2022

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“…Diaphragm thickening fraction (DTF), a measurement of the difference in end-inspiratory and end-expiratory diaphragmatic thickness, expressed as a percentage and diaphragm excursion (DE), the diaphragmatic altitude difference between expiration and inspiration, can be assessed with ultrasound. DTF was used to assess COVID-19 patients with severe respiratory failure on non-invasive ventilation support; if altered, it showed a correlation with the need of invasive mechanical ventilation [66]. Furthermore, DTF was used during weaning from mechanical ventilation in COVID-19 patients and was significantly correlated with pH, PaO 2 /FiO 2 ratio, and hospital and ICU length of stay [67].…”

Section: Thrombotic and Hemorrhagic Assessmentmentioning

confidence: 99%

The Role of POCUS to Face COVID-19: A Narrative Review

Sartini,

Ferrari,

Cutuli

et al. 2024

JCM

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COVID-19 has been a challenging outbreak to face, with millions of deaths among the globe. Acute respiratory failure due to interstitial pneumonia was the leading cause of death other than prothrombotic activation and complications. Lung ultrasound (LUS) and point-of-care ultrasound (POCUS) are widely used not only to triage, to identify, and to monitor lungs involvement but also to assess hemodynamic status and thrombotic and hemorrhagic complications, mainly in critically ill patients. POCUS has gained growing consideration due to its bedside utilization, reliability, and reproducibility even in emergency settings especially in unstable patients. In this narrative review, we aim to describe LUS and POCUS utilization in COVID-19 infection based on the literature found on this topic. We reported the LUS patterns of COVID-19 pulmonary infection, the diagnostic accuracy with respect to CT lung scan, its prognostic value, the variety of scores and protocols proposed, and the utilization of POCUS to investigate the extra-lung complications.

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Diaphragm ultrasound to stratify COVID‐19 patients in the emergency department?

Cited by 2 publications

References 13 publications

The Possible Impact of COVID-19 on Respiratory Muscles Structure and Functions: A Literature Review

The Possible Impact of COVID-19 on Respiratory Muscles Structure and Functions: A Literature Review

The Role of POCUS to Face COVID-19: A Narrative Review

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