Point-of-care ultrasound during the COVID-19 pandemic: A multidisciplinary approach between intensivists and echocardiographers.
Echocardiography
; 38(3): 446-449, 2021 03.
Article
in English
| MEDLINE | ID: covidwho-1084702
ABSTRACT
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.Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Echocardiography
/
Critical Illness
/
Pandemics
/
Point-of-Care Testing
/
COVID-19
/
Heart Diseases
Type of study:
Diagnostic study
/
Experimental Studies
/
Observational study
/
Randomized controlled trials
Topics:
Long Covid
Limits:
Humans
Language:
English
Journal:
Echocardiography
Journal subject:
Cardiology
/
Diagnostic Imaging
Year:
2021
Document Type:
Article
Affiliation country:
Echo.14996
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