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10.1111/echo.14996

http://scihub22266oqcxt.onion/10.1111/echo.14996
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33586797!8014226!33586797
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suck abstract from ncbi


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pmid33586797      Echocardiography 2021 ; 38 (3): 446-449
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  • Point-of-care ultrasound during the COVID-19 pandemic: A multidisciplinary approach between intensivists and echocardiographers #MMPMID33586797
  • Yuriditsky E; Saric M; Horowitz JM
  • Echocardiography 2021[Mar]; 38 (3): 446-449 PMID33586797show ga
  • 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.
  • |*Critical Illness[MESH]
  • |*Pandemics[MESH]
  • |COVID-19/*epidemiology[MESH]
  • |Comorbidity[MESH]
  • |Echocardiography/*methods[MESH]
  • |Heart Diseases/*diagnosis/epidemiology[MESH]
  • |Humans[MESH]
  • |Point-of-Care Testing/*organization & administration[MESH]


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