Transthoracic cardiac ultrasound in prone position: a technique variation description

Ugalde, Diego; Medel, Juan Nicolás; Romero, Carlos; Cornejo, Rodrigo

doi:10.1007/s00134-018-5049-4

Cited by 27 publications

(22 citation statements)

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“…We used the “swimmer position” to perform TTE on prone patients ( 3 ). To achieve this, the patient’s left arm was extended overhead at the shoulder with the elbow bent.…”

Section: Methodsmentioning

confidence: 99%

Transthoracic Echocardiography in Prone Patients With Acute Respiratory Distress Syndrome: A Feasibility Study

Gibson

Fenza

Bittner

et al. 2020

Critical Care Explorations

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“…We used the “swimmer position” to perform TTE on prone patients ( 3 ). To achieve this, the patient’s left arm was extended overhead at the shoulder with the elbow bent.…”

Section: Methodsmentioning

confidence: 99%

Transthoracic Echocardiography in Prone Patients With Acute Respiratory Distress Syndrome: A Feasibility Study

Gibson

Fenza

Bittner

et al. 2020

Critical Care Explorations

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“…The patient’s left shoulder needs to be elevated on a pillow and the transducer placed at 5th left intercostal space level in the midclavicular line to obtain all the measures associated with the apical plane. 75 ( Fig. 6 ).…”

Section: Echocardiographymentioning

confidence: 97%

Narrative review of ultrasound in the management of the critically ill patient with SARS-CoV-2 infection (COVID-19): clinical applications in intensive care medicine

Gutiérrez

Azcárate

Torres-García

et al. 2020

Medicina Intensiva (English Edition)

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The clinical picture of SARS-CoV-2 infection (COVID-19) is characterized in its more severe form, by an acute respiratory failure which can worsen to pneumonia and acute respiratory distress syndrome (ARDS), and get complicated with thrombotic events and heart dysfunction. Therefore, admission to the Intensive Care Unit (ICU) is common. Ultrasound, which has become an everyday tool in the ICU, can be very useful during COVID-19 pandemic, since it provides the clinician with information which can be interpreted and integrated within a global assessment during the physical examination. A description of some of the potential applications of ultrasound is depicted in this document, in order to supply the physicians taking care of these patients with a adapted guide to the intensive care setting. Some of its applications since ICU admission include verification of the correct position of the endotracheal tube, contribution to safe cannulation of lines, and identification of complications and thrombotic events. Furthermore, pleural and lung ultrasound can be an alternative diagnostic test to assess the degree of involvement of the lung parenchyma by means of the evaluation of specific ultrasound patterns, identification of pleural effusions and barotrauma. Echocardiography provides information of heart involvement, detects cor pulmonale and shock states.

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“…This test can be performed in both mechanically ventilated and spontaneously breathing patients and is fairly reliable even in the presence of arrhythmias. Moreover, FoCUS can be performed in COVID-19 patients undergoing prone ventilation, albeit with a minor modification in the image acquisition technique [22].…”

Section: Focused Cardiac Ultrasoundmentioning

confidence: 99%

Need for Objective Assessment of Volume Status in Critically Ill Patients with COVID-19: The Tri-POCUS Approach

2020

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As the coronavirus disease 2019 continues to spread across the globe, the knowledge of its epidemiology, clinical features, and management is rapidly evolving. Nevertheless, the data on optimal fluid management strategies for those who develop critical illness remain sparse. Adding to the challenge, the fluid volume status of these patients has been found to be dynamic. Some present with several days of malaise, gastrointestinal symptoms, and consequent hypovolemia requiring aggressive fluid resuscitation, while a subset develop acute respiratory distress syndrome with renal dysfunction and lingering congestion necessitating restrictive fluid management. Accurate objective assessment of volume status allows physicians to tailor the fluid management goals throughout this wide spectrum of critical illness. Conventional point-of-care ultrasonography (POCUS) enables the reliable assessment of fluid status and reducing the staff exposure. However, due to specific characteristics of COVID-19 (e.g., rapidly expanding lung lesions), a single imaging method such as lung POCUS will have significant limitations. Herein, we suggest a Tri-POCUS approach that represents concurrent bedside assessment of the lungs, heart, and the venous system. This combinational approach is likely to overcome the limitations of the individual methods and provide a more precise evaluation of the volume status in critically ill patients with COVID-19.

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Transthoracic cardiac ultrasound in prone position: a technique variation description

Cited by 27 publications

References 0 publications

Transthoracic Echocardiography in Prone Patients With Acute Respiratory Distress Syndrome: A Feasibility Study

Transthoracic Echocardiography in Prone Patients With Acute Respiratory Distress Syndrome: A Feasibility Study

Narrative review of ultrasound in the management of the critically ill patient with SARS-CoV-2 infection (COVID-19): clinical applications in intensive care medicine

Need for Objective Assessment of Volume Status in Critically Ill Patients with COVID-19: The Tri-POCUS Approach

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