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10.3233/CH-200925

http://scihub22266oqcxt.onion/10.3233/CH-200925
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33285628!ä!33285628

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suck abstract from ncbi


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pmid33285628      Clin+Hemorheol+Microcirc 2021 ; 77 (4): 355-365
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  • Interstitial lung opacities in patients with severe COVID-19 pneumonia by bedside high-resolution ultrasound in association to CO2 retention #MMPMID33285628
  • Peschel G; Jung EM; Fisser C; Putz FJ; Wertheimer T; Sinner B; Lunz D; Jung F; Muller M
  • Clin Hemorheol Microcirc 2021[]; 77 (4): 355-365 PMID33285628show ga
  • BACKGROUND: Coronavirus disease 2019 (COVID-19) can cause acute respiratory distress syndrome (ARDS). OBJECTIVE: This single centre cross-section study aimed to grade the severity of pneumonia by bed-side lung ultrasound (LUS). METHODS: A scoring system discriminates 5 levels of lung opacities: A-lines (0 points),>/=3 B-line (1 point), coalescent B-lines (2 points), marked pleural disruptions (3 points), consolidations (4 points). LUS (convex 1-5 MHz probe) was performed at 6 defined regions for each hemithorax either in supine or prone position. A lung aeration score (LAS, maximum 4 points) was allocated for each patient by calculating the arithmetic mean of the examined lung areas. Score levels were correlated with ventilation parameters and laboratory markers. RESULTS: LAS of 20 patients with ARDS reached from 2.58 to 3.83 and was highest in the lateral right lobe (Mean 3.67). Ferritin levels (Mean 1885mug/l; r = 0.467; p = 0.051) showed moderate correlation in spearman roh calculation. PaCO2 level (Mean 46.75 mmHg; r = 0.632; p = 0.005) correlated significantly with LAS, while duration of ventilation, Horovitz index, CRP, LDH and IL-6 did not. CONCUSIONS: The proposed LAS describes severity of lung opacities in COVID-19 patients and correlates with CO2 retention in patients with ARDS.
  • |Adult[MESH]
  • |Aged[MESH]
  • |COVID-19/*diagnostic imaging/*metabolism[MESH]
  • |Carbon Dioxide/*metabolism[MESH]
  • |Cross-Sectional Studies[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Lung Diseases, Interstitial/diagnostic imaging/metabolism/virology[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |SARS-CoV-2/isolation & purification[MESH]


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