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Tytuł:
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Point-of-care ultrasound during the COVID-19 pandemic: A multidisciplinary approach between intensivists and echocardiographers.
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Autorzy:
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Yuriditsky E; Department of Medicine, Leon H. Charney Division of Cardiology, NYU Langone Medical Center, New York, NY, USA.
Saric M; Department of Medicine, Leon H. Charney Division of Cardiology, NYU Langone Medical Center, New York, NY, USA.
Horowitz JM; Department of Medicine, Leon H. Charney Division of Cardiology, NYU Langone Medical Center, New York, NY, USA.
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Źródło:
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Echocardiography (Mount Kisco, N.Y.) [Echocardiography] 2021 Mar; Vol. 38 (3), pp. 446-449. Date of Electronic Publication: 2021 Feb 15.
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Typ publikacji:
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Journal Article
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Język:
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English
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Imprint Name(s):
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Publication: Hoboken, NJ : Wiley-Blackwell
Original Publication: Mount Kisco, N.Y. : Futura Pub. Co., [c1984-
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MeSH Terms:
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Critical Illness*
Pandemics*
COVID-19/*epidemiology
Echocardiography/*methods
Heart Diseases/*diagnosis
Point-of-Care Testing/*organization & administration
Comorbidity ; Heart Diseases/epidemiology ; Humans ; Retrospective Studies
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References:
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CJEM. 2020 Jul;22(4):445-449. (PMID: 32268930)
J Am Soc Echocardiogr. 2020 Apr;33(4):409-422.e4. (PMID: 32122742)
J Am Soc Echocardiogr. 2020 Jun;33(6):674-675. (PMID: 32503705)
Lancet Respir Med. 2020 May;8(5):e34. (PMID: 32275856)
Lancet Respir Med. 2020 May;8(5):506-517. (PMID: 32272080)
Chest. 2016 Oct;150(4):772-776. (PMID: 27568582)
J Am Soc Echocardiogr. 2020 Jun;33(6):648-653. (PMID: 32503700)
Echocardiography. 2021 Mar;38(3):446-449. (PMID: 33586797)
JAMA. 2020 May 26;323(20):2052-2059. (PMID: 32320003)
J Am Soc Echocardiogr. 2020 Jun;33(6):670-673. (PMID: 32503704)
J Am Soc Echocardiogr. 2020 Jun;33(6):676-682. (PMID: 32503706)
J Am Soc Echocardiogr. 2020 Jun;33(6):683-689. (PMID: 32503707)
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Contributed Indexing:
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Keywords: COVID-19; lung ultrasound; point-of-care ultrasound; venous ultrasonography
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Entry Date(s):
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Date Created: 20210215 Date Completed: 20210325 Latest Revision: 20210402
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Update Code:
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20240104
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PubMed Central ID:
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PMC8014226
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DOI:
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10.1111/echo.14996
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PMID:
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33586797
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Purpose: The coronavirus disease-2019 (COVID-19) led to a large influx of critically ill patients and altered echocardiography laboratory workflow. We developed a point-of-care ultrasound (POCUS) first approach to patients requiring echocardiography and describe our workflow and findings.
Methods: We performed a single-center retrospective analysis of all POCUS studies performed on critically ill patients with COVID-19. Sonography was performed by intensivists, uploaded and archived, and rapidly reviewed by echocardiographers. We evaluated each study based on the number of views obtained. Additionally, we provide a description of the workflow during the COVID-19 surge at a tertiary care hospital in New York City.
Results: Fifty patients had POCUS studies performed by intensivists and reviewed by echocardiographers obviating the need for sonographer-performed studies. Of the 48 cardiac POCUS studies, 17% of patients had 4 of 4 standard views available while 53% had 3 of 4 standard views. The parasternal long-axis view was obtained on 81%, subxiphoid view on 79%, apical 4-chamber view on 71%, and parasternal short-axis view on 63% of patients.
Conclusions: Our POCUS workflow allowed intensivists to perform cardiac sonography for rapid bedside diagnosis of pathology with immediate interpretation performed by echocardiographers. At least 3 views were obtained in the majority of cases.
(© 2021 Wiley Periodicals LLC.)
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