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Ecografía en el manejo del paciente crítico con infección por SARS-CoV-2
(COVID-19): una revisión narrativa
#MMPMIDC7198178
Fraile Gutiérrez V
; Ayuela Azcárate JM
; Pérez-Torres D
; Zapata L
; Rodríguez Yakushev A
; Ochagavía A
Med Intensiva
2020[Dec]; 44
(9
): 551-65
PMIDC7198178
show ga
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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