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10.1016/j.hrtlng.2021.05.003

http://scihub22266oqcxt.onion/10.1016/j.hrtlng.2021.05.003
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34107394!8165084!34107394
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suck abstract from ncbi


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pmid34107394      Heart+Lung 2021 ; 50 (5): 700-705
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  • Lung ultrasound score as a tool to monitor disease progression and detect ventilator-associated pneumonia during COVID-19-associated ARDS #MMPMID34107394
  • Dargent A; Chatelain E; Si-Mohamed S; Simon M; Baudry T; Kreitmann L; Quenot JP; Cour M; Argaud L
  • Heart Lung 2021[Sep]; 50 (5): 700-705 PMID34107394show ga
  • BACKGROUND: Lung ultrasound can accurately detect pandemic coronavirus disease (COVID-19) pulmonary lesions. A lung ultrasound score (LUS) was developed to improve reproducibility of the technique. OBJECTIVES: To evaluate the clinical value of LUS monitoring to guide COVID-19-associated acute respiratory distress syndrome (ARDS) management. METHODS: We conducted a single center, prospective observational study, including all patients admitted with COVID-19-associated ARDS between March and April 2020. A systematic daily LUS evaluation was performed. RESULTS: Thirty-three consecutive patients were included. LUS was significantly and negatively correlated to P(aO2)/F(IO2). LUS increased significantly over time in non-survivors compared to survivors. LUS increased in 83% of ventilatory associated pneumonia (VAP) episodes, when compared to the previous LUS evaluation. LUS was not significantly higher in patients presenting post-extubation respiratory failure. CONCLUSIONS: In conclusion, our study demonstrates that LUS variations are correlated to disease severity and progression, and LUS monitoring could contribute to the early diagnosis of VAPs.
  • |*COVID-19[MESH]
  • |*Pneumonia, Ventilator-Associated/diagnosis[MESH]
  • |*Respiratory Distress Syndrome/diagnosis/etiology[MESH]
  • |Disease Progression[MESH]
  • |Humans[MESH]
  • |Lung/diagnostic imaging[MESH]
  • |Reproducibility of Results[MESH]
  • |SARS-CoV-2[MESH]


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