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Ecografía en el manejo del paciente crítico con infección por SARS-CoV-2 (COVID-19): una revisión narrativa

The clinical picture of SARS-CoV-2 infection (COVID-19) is characterized in its more severe form, by an acute respiratory failure which can worsen to pneumonia and acute respiratory distress syndrome (ARDS) and get complicated with thrombotic events and heart dysfunction. Therefore, admission to the...

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Autores principales: Fraile Gutiérrez, V., Ayuela Azcárate, J.M., Pérez-Torres, D., Zapata, L., Rodríguez Yakushev, A., Ochagavía, A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier España, S.L.U. y SEMICYUC. 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7198178/
https://www.ncbi.nlm.nih.gov/pubmed/32527471
http://dx.doi.org/10.1016/j.medin.2020.04.016
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author Fraile Gutiérrez, V.
Ayuela Azcárate, J.M.
Pérez-Torres, D.
Zapata, L.
Rodríguez Yakushev, A.
Ochagavía, A.
author_facet Fraile Gutiérrez, V.
Ayuela Azcárate, J.M.
Pérez-Torres, D.
Zapata, L.
Rodríguez Yakushev, A.
Ochagavía, A.
author_sort Fraile Gutiérrez, V.
collection PubMed
description The clinical picture of SARS-CoV-2 infection (COVID-19) is characterized in its more severe form, by an acute respiratory failure which can worsen to pneumonia and acute respiratory distress syndrome (ARDS) and get complicated with thrombotic events and heart dysfunction. Therefore, admission to the Intensive Care Unit (ICU) is common. Ultrasound, which has become an everyday tool in the ICU, can be very useful during COVID-19 pandemic, since it provides the clinician with information which can be interpreted and integrated within a global assessment during the physical examination. A description of some of the potential applications of ultrasound is depicted in this document, in order to supply the physicians taking care of these patients with an adapted guide to the intensive care setting. Some of its applications since ICU admission include verification of the correct position of the endotracheal tube, contribution to safe cannulation of lines, and identification of complications and thrombotic events. Furthermore, pleural and lung ultrasound can be an alternative diagnostic test to assess the degree of involvement of the lung parenchyma by means of the evaluation of specific ultrasound patterns, identification of pleural effusions and barotrauma. Echocardiography provides information of heart involvement, detects cor pulmonale and shock states.
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spelling pubmed-71981782020-05-05 Ecografía en el manejo del paciente crítico con infección por SARS-CoV-2 (COVID-19): una revisión narrativa Fraile Gutiérrez, V. Ayuela Azcárate, J.M. Pérez-Torres, D. Zapata, L. Rodríguez Yakushev, A. Ochagavía, A. Med Intensiva Revisión The clinical picture of SARS-CoV-2 infection (COVID-19) is characterized in its more severe form, by an acute respiratory failure which can worsen to pneumonia and acute respiratory distress syndrome (ARDS) and get complicated with thrombotic events and heart dysfunction. Therefore, admission to the Intensive Care Unit (ICU) is common. Ultrasound, which has become an everyday tool in the ICU, can be very useful during COVID-19 pandemic, since it provides the clinician with information which can be interpreted and integrated within a global assessment during the physical examination. A description of some of the potential applications of ultrasound is depicted in this document, in order to supply the physicians taking care of these patients with an adapted guide to the intensive care setting. Some of its applications since ICU admission include verification of the correct position of the endotracheal tube, contribution to safe cannulation of lines, and identification of complications and thrombotic events. Furthermore, pleural and lung ultrasound can be an alternative diagnostic test to assess the degree of involvement of the lung parenchyma by means of the evaluation of specific ultrasound patterns, identification of pleural effusions and barotrauma. Echocardiography provides information of heart involvement, detects cor pulmonale and shock states. Elsevier España, S.L.U. y SEMICYUC. 2020-12 2020-05-04 /pmc/articles/PMC7198178/ /pubmed/32527471 http://dx.doi.org/10.1016/j.medin.2020.04.016 Text en © 2020 Elsevier España, S.L.U. y SEMICYUC. All rights reserved. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.
spellingShingle Revisión
Fraile Gutiérrez, V.
Ayuela Azcárate, J.M.
Pérez-Torres, D.
Zapata, L.
Rodríguez Yakushev, A.
Ochagavía, A.
Ecografía en el manejo del paciente crítico con infección por SARS-CoV-2 (COVID-19): una revisión narrativa
title Ecografía en el manejo del paciente crítico con infección por SARS-CoV-2 (COVID-19): una revisión narrativa
title_full Ecografía en el manejo del paciente crítico con infección por SARS-CoV-2 (COVID-19): una revisión narrativa
title_fullStr Ecografía en el manejo del paciente crítico con infección por SARS-CoV-2 (COVID-19): una revisión narrativa
title_full_unstemmed Ecografía en el manejo del paciente crítico con infección por SARS-CoV-2 (COVID-19): una revisión narrativa
title_short Ecografía en el manejo del paciente crítico con infección por SARS-CoV-2 (COVID-19): una revisión narrativa
title_sort ecografía en el manejo del paciente crítico con infección por sars-cov-2 (covid-19): una revisión narrativa
topic Revisión
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7198178/
https://www.ncbi.nlm.nih.gov/pubmed/32527471
http://dx.doi.org/10.1016/j.medin.2020.04.016
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