Shunt in critically ill Covid-19 ARDS patients: Prevalence and impact on outcome (cross-sectional study).
J Crit Care
; 70: 154048, 2022 08.
Article
in English
| MEDLINE | ID: covidwho-1804459
ABSTRACT
PURPOSE:
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.METHODS:
A Cross-sectional and comparative study comparing several parameters according to the presence or not of shunt.RESULTS:
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.CONCLUSION:
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.Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Respiratory Distress Syndrome
/
Foramen Ovale, Patent
/
COVID-19
Type of study:
Experimental Studies
/
Observational study
/
Prognostic study
/
Randomized controlled trials
Limits:
Humans
Language:
English
Journal:
J Crit Care
Journal subject:
Critical Care
Year:
2022
Document Type:
Article
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