A proposed lung ultrasound and phenotypic algorithm for the care of COVID-19 patients with acute respiratory failure
| Autor: | Yiorgos Alexandros Cavayas, Caroline E. Gebhard, Martin Girard, Colin Royse, Alistair Royse, Etienne J. Couture, André Y. Denault, Ximena Cid Serra, Nicolas Peschanski, Stephan Langevin, David Canty, Stéphane Delisle, Paul Ouellet |
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| Přispěvatelé: | Université de Montréal (UdeM), CHU Pontchaillou [Rennes], Richard I. Kaufman Endowment Fund in Anesthesia and Critical Care, Montreal Heart Institute Foundation |
| Rok vydání: | 2020 |
| Předmět: |
and oxygenation index
medicine.medical_specialty Respiratory rate Point-of-Care Systems [SDV]Life Sciences [q-bio] medicine.medical_treatment Pneumonia Viral respiratory rate Special Article 03 medical and health sciences 0302 clinical medicine Internal medicine Anesthesiology Humans Medicine Intubation Respiratory system Lung Pandemics Ultrasonography lung ultrasound business.industry Ultrasound respiratory failure COVID-19 030208 emergency & critical care medicine General Medicine medicine.disease 3. Good health Oxygen Pneumonia Phenotype Anesthesiology and Pain Medicine medicine.anatomical_structure 030228 respiratory system Respiratory failure Anesthesia Acute Disease Cardiology Coronavirus Infections Respiratory Insufficiency business Algorithms |
| Zdroj: | Canadian Journal of Anesthesia / Journal canadien d'anesthésie Canadian Journal of Anesthesia / Journal canadien d'anesthésie, Springer Verlag, 2020, 67 (10), pp.1393-1404. ⟨10.1007/s12630-020-01704-6⟩ Canadian Journal of Anaesthesia Canadian Journal of Anesthesia/Journal canadien danesthésie |
| ISSN: | 1496-8975 0832-610X |
| DOI: | 10.1007/s12630-020-01704-6 |
| Popis: | Pulmonary complications are the most common clinical manifestations of coronavirus disease (COVID-19). From recent clinical observation, two phenotypes have emerged: a low elastance or L-type and a high elastance or H-type. Clinical presentation, pathophysiology, pulmonary mechanics, radiological and ultrasound findings of these two phenotypes are different. Consequently, the therapeutic approach also varies between the two. We propose a management algorithm that combines the respiratory rate and oxygenation index with bedside lung ultrasound examination and monitoring that could help determine earlier the requirement for intubation and other surveillance of COVID-19 patients with respiratory failure.RéSUMé: Les complications pulmonaires du coronavirus (COVID-19) constituent ses manifestations cliniques les plus fréquentes. De récentes observations cliniques ont fait émerger deux phénotypes : le phénotype à élastance faible ou type L (low), et le phénotype à élastance élevée, ou type H (high). La présentation clinique, la physiopathologie, les mécanismes pulmonaires, ainsi que les observations radiologiques et échographiques de ces deux différents phénotypes sont différents. L’approche thérapeutique variera par conséquent selon le phénotype des patients atteints de COVID-19 souffrant d’insuffisance respiratoire. |
| Databáze: | OpenAIRE |
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