Shunt in critically ill Covid-19 ARDS patients: Prevalence and impact on outcome (cross-sectional study)

Autor:	Ahlem Trifi, Asma Ouhibi, Asma Mahdi, Linda Masseoud, Eya Seghir, Amal Meftah, Salim Sellaouti, Cyrine Abdennebi, Foued Daly, Yosr Touil, Sami Abdellatif, Salah Ben Lakhal
Rok vydání:	2022
Předmět:	Respiratory Distress Syndrome Cross-Sectional Studies Critical Illness Prevalence COVID-19 Foramen Ovale Patent Humans Critical Care and Intensive Care Medicine Echocardiography Transesophageal
Zdroj:	Journal of Critical Care. 70:154048
ISSN:	0883-9441
Popis:	To examine critical Covid-19-acute respiratory distress syndrome (C-ARDS) patients requiring mechanical ventilation (MV), using transthoracic echocardiography (TTE) coupled with bubble test (BT), in order to search a right/left shunt.A Cross-sectional and comparative study comparing several parameters according to the presence or not of shunt.75 patients were included. Twenty-three shunts (31%) were detected: patent foramen oval (PFO) type [n=11 (15%)] and trans-pulmonary transit of bubbles (TPBT) [n = 12 (16%)]. The shunt did not affect P/F ratio (P/F=77 vs 81, p=0.97), nor mortality.A right/left shunt was detected in a third of studied patients similarly between PFO and TPBT without significant impact on P/F ratio or outcome.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::0d6813b5aceda2e5eb61d17343597f53 https://doi.org/10.1016/j.jcrc.2022.154048 Zobrazit plný text záznamu Full Text from ScienceDirect