Right Ventricle Dilation Detected on Point-of-Care Ultrasound Is a Predictor of Poor Outcomes in Critically Ill Patients With COVID-19.
Publication/Presentation Date
9-1-2021
Abstract
BACKGROUND: During the COVID-19 pandemic, the need for judicious use of diagnostic tests and to limit personnel exposure has led to increased use and dependence on point-of-care ultrasound (POCUS) examinations. We reviewed POCUS findings in patients admitted to the intensive care unit (ICU) for acute respiratory failure with COVID-19 and correlated the findings to severity of illness and 30-day outcomes.
METHODS: Patients admitted to the ICU in March and April 2020 were reviewed for inclusion (acute hypoxemic respiratory failure secondary to COVID-19 pneumonia; documentation of POCUS findings).
RESULTS: Forty-three patients met inclusion criteria. B lines and pleural thickening were associated with a lower PaO
CONCLUSIONS: Although lung ultrasound abnormalities are prevalent in patients with severe disease, RV involvement seems to be predictive of outcomes. Further studies are needed to discern the etiology and pathophysiology of RV dilation in COVID-19.
Volume
38
Issue
9
First Page
396
Last Page
401
ISSN
1078-4497
Published In/Presented At
Belligund, P., Lee, D., Balasubramaniam, M., Khanijao, S., Damania, D., Vallumsetla, N., Sajawal, Q., Perez-Gandara, B., Perez-Perez, J., Shalom, I., Dubey, G., Sanghavi, S., Lu, C., Mitre, C., Zein, J., & Al-Ajam, M. (2021). Right Ventricle Dilation Detected on Point-of-Care Ultrasound Is a Predictor of Poor Outcomes in Critically Ill Patients With COVID-19. Federal practitioner : for the health care professionals of the VA, DoD, and PHS, 38(9), 396–401. https://doi.org/10.12788/fp.0177
Disciplines
Medicine and Health Sciences
PubMedID
34737535
Department(s)
Department of Medicine
Document Type
Article