“…Full PPE is worn in Category 1 and 2, with basic PPE worn when scanning category 3 patients. 15,16 Additional aspects such as providing a face mask to the patient and requesting the patient to turn their face away from the operator may be employed to further limit the risk.…”
Section: Approach To Delivering the Hhe Studymentioning
The COVID-19 pandemic has altered our approach to inpatient echocardiography delivery. There is now a greater focus to address key clinical questions likely to make an immediate impact in management, particularly during the period of widespread infection. Handheld echocardiography (HHE) can be used as a first-line assessment tool, limiting scanning time and exposure to high viral load. This article describes a potential role for HHE during a pandemic. We propose a protocol with a reporting template for a focused core dataset necessary in delivering an acute echocardiography service in the setting of a highly contagious disease, minimising risk to the operator. We cover the scenarios typically encountered in the acute cardiology setting and how an expert trained echocardiography team can identify such pathologies using a limited imaging format and include cardiac presentations encountered in those patients acutely unwell with COVID-19.
“…Full PPE is worn in Category 1 and 2, with basic PPE worn when scanning category 3 patients. 15,16 Additional aspects such as providing a face mask to the patient and requesting the patient to turn their face away from the operator may be employed to further limit the risk.…”
Section: Approach To Delivering the Hhe Studymentioning
The COVID-19 pandemic has altered our approach to inpatient echocardiography delivery. There is now a greater focus to address key clinical questions likely to make an immediate impact in management, particularly during the period of widespread infection. Handheld echocardiography (HHE) can be used as a first-line assessment tool, limiting scanning time and exposure to high viral load. This article describes a potential role for HHE during a pandemic. We propose a protocol with a reporting template for a focused core dataset necessary in delivering an acute echocardiography service in the setting of a highly contagious disease, minimising risk to the operator. We cover the scenarios typically encountered in the acute cardiology setting and how an expert trained echocardiography team can identify such pathologies using a limited imaging format and include cardiac presentations encountered in those patients acutely unwell with COVID-19.
“…En este contexto, el manejo de la vía aérea y la colocación de la sonda probablemente deberían proceder con las máximas precauciones de barrera. También es razonable que el equipo de la vía aérea (anestesiólogo o especialista en cuidados del enfermo en estado crítico) coloque y desplace la sonda transesofágica durante el estudio para minimizar los riesgos infecciosos de los operadores 14 . -Si el paciente permanece en la unidad médica de primer contacto, los servicios locales deben brindarle apoyo continuo:…”
Section: Manejo Médico Temprano Protección Personal Y Preservación De La Vidaunclassified
“…[11][12] These important considerations apply to all aerosolizing procedures, including bronchoscopy and transesophageal echocardiography, as well as the clinical care of these patients in the interventional suite and operating room environments. [10][11][12][13] The leadership of extracorporeal membrane oxygenation (ECMO) services during this pandemic should design strategies to manage the personnel, equipment, facilities, and support systems for this life-saving therapy. 3-5; 14-15 Although ECMO has been recommended in COPVID-19 by the World Health Organization, recent guidelines from the Extracorporeal Life Support Organization have highlighted that this modality should be employed in experienced centers as a rescue strategy for severe adult respiratory distress syndrome.…”
Section: Consider the Challenges In Critical Care For Acute Respiratomentioning
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