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Critical Care Transesophageal Echocardiography in Patients during the COVID-19 Pandemic.
Teran, Felipe; Burns, Katharine M; Narasimhan, Mangala; Goffi, Alberto; Mohabir, Paul; Horowitz, James M; Yuriditsky, Eugene; Nagdev, Arun; Panebianco, Nova; Chin, Eric J; Gottlieb, Michael; Koenig, Seth; Arntfield, Robert.
  • Teran F; Division of Emergency Ultrasound and Center for Resuscitation Science, Department of Emergency Medicine, University of Pennsylvania, Philadelphia, Pennsylvania. Electronic address: felipeteran@gmail.com.
  • Burns KM; Department of Emergency Medicine, Advocate Christ Medical Center, Oak Lawn, Illinois; University of Illinois at Chicago, Chicago, Illinois.
  • Narasimhan M; Division of Pulmonary, Critical Care and Sleep Medicine, Department of Medicine, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, New Hyde Park, New York.
  • Goffi A; Li Ka Shing Knowledge Institute, Department of Critical Care Medicine, St. Michael's Hospital, Unity Health Toronto, Toronto, Ontario, Canada; Department of Medicine and Interdepartmental Division of Critical Care Medicine, University of Toronto, Toronto, Ontario, Canada.
  • Mohabir P; Division of Pulmonary, Allergy and Critical Care Medicine, Department of Medicine, Stanford University School of Medicine, Stanford, California.
  • Horowitz JM; Leon H. Charney Division of Cardiology, Department of Medicine, NYU Langone Medical Center, New York, New York.
  • Yuriditsky E; Leon H. Charney Division of Cardiology, Department of Medicine, NYU Langone Medical Center, New York, New York.
  • Nagdev A; Division of Emergency Ultrasound, Department of Emergency Medicine, Highland General Hospital, Oakland, California.
  • Panebianco N; Division of Emergency Ultrasound, Department of Emergency Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.
  • Chin EJ; Department of Emergency Medicine, Brooke Army Medical Center, Fort Sam Houston, Texas.
  • Gottlieb M; Department of Emergency Medicine, Rush University Medical Center, Chicago, Illinois.
  • Koenig S; Division of Pulmonary, Department of Medicine, Albert Einstein School of Medicine, Bronx, New York.
  • Arntfield R; Division of Critical Care Medicine, Department of Medicine, Victoria Hospital, Critical Care Trauma Centre, Schulich School of Medicine & Dentistry, Western University, London, Ontario, Canada.
J Am Soc Echocardiogr ; 33(8): 1040-1047, 2020 08.
Artigo em Inglês | MEDLINE | ID: covidwho-342809
ABSTRACT

BACKGROUND:

The COVID-19 pandemic has placed an extraordinary strain on healthcare systems across North America. Defining the optimal approach for managing a critically ill COVID-19 patient is rapidly changing. Goal-directed transesophageal echocardiography (TEE) is frequently used by physicians caring for intubated critically ill patients as a reliable imaging modality that is well suited to answer questions at bedside.

METHODS:

A multidisciplinary (intensive care, critical care cardiology, and emergency medicine) group of experts in point-of-care echocardiography and TEE from the United States and Canada convened to review the available evidence, share experiences, and produce a consensus statement aiming to provide clinicians with a framework to maximize the safety of patients and healthcare providers when considering focused point-of-care TEE in critically ill patients during the COVID-19 pandemic.

RESULTS:

Although transthoracic echocardiography can provide the information needed in most patients, there are specific scenarios in which TEE represents the modality of choice. TEE provides acute care clinicians with a goal-directed framework to guide clinical care and represents an ideal modality to evaluate hemodynamic instability during prone ventilation, perform serial evaluations of the lungs, support cardiac arrest resuscitation, and guide veno-venous ECMO cannulation. To aid other clinicians in performing TEE during the COVID-19 pandemic, we describe a set of principles and practical aspects for performing examinations with a focus on the logistics, personnel, and equipment required before, during, and after an examination.

CONCLUSIONS:

In the right clinical scenario, TEE is a tool that can provide the information needed to deliver the best and safest possible care for the critically ill patients.
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Texto completo: Disponível Coleções: Bases de dados internacionais Base de dados: MEDLINE Assunto principal: Pneumonia Viral / Infecção Hospitalar / Ecocardiografia Transesofagiana / Infecções por Coronavirus / Cuidados Críticos / Síndrome Respiratória Aguda Grave / Pandemias Tipo de estudo: Estudo experimental / Estudo observacional / Estudo prognóstico / Pesquisa qualitativa / Ensaios controlados aleatorizados Limite: Feminino / Humanos / Masculino País/Região como assunto: América do Norte Idioma: Inglês Revista: J Am Soc Echocardiogr Assunto da revista: Diagnóstico por Imagem Ano de publicação: 2020 Tipo de documento: Artigo

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Texto completo: Disponível Coleções: Bases de dados internacionais Base de dados: MEDLINE Assunto principal: Pneumonia Viral / Infecção Hospitalar / Ecocardiografia Transesofagiana / Infecções por Coronavirus / Cuidados Críticos / Síndrome Respiratória Aguda Grave / Pandemias Tipo de estudo: Estudo experimental / Estudo observacional / Estudo prognóstico / Pesquisa qualitativa / Ensaios controlados aleatorizados Limite: Feminino / Humanos / Masculino País/Região como assunto: América do Norte Idioma: Inglês Revista: J Am Soc Echocardiogr Assunto da revista: Diagnóstico por Imagem Ano de publicação: 2020 Tipo de documento: Artigo