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Canadian Journal of Anesthesia/Journal canadien d'anesthésie

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21.05.2020 | COVID-19 | Special Article Zur Zeit gratis

A proposed lung ultrasound and phenotypic algorithm for the care of COVID-19 patients with acute respiratory failure

verfasst von: André Y. Denault, MD, PhD, FRCPC, FASE, FCCSm, ABIM-CCM, Stéphane Delisle, PhD, RRT, FCCM, David Canty, MBBS, MD, PhD, FANZCA, Alistair Royse, MBBS, MD, FRACS, FCSANZ, Colin Royse, MBBS, MD, FANZCA, Ximena Cid Serra, MD, Caroline E. Gebhard, MD, Étienne J. Couture, MD, FRCPC, Martin Girard, MD, FRCPC, Yiorgos Alexandros Cavayas, MD, MSc, FRCPC, Nicolas Peschanski, MD, PhD, Stéphan Langevin, MD, FRCPC, Paul Ouellet, PhD, RRT, FCCM

Erschienen in: Canadian Journal of Anesthesia/Journal canadien d'anesthésie | Ausgabe 10/2020

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Abstract

Pulmonary complications are the most common clinical manifestations of coronavirus disease (COVID-19). From recent clinical observation, two phenotypes have emerged: a low elastance or L-type and a high elastance or H-type. Clinical presentation, pathophysiology, pulmonary mechanics, radiological and ultrasound findings of these two phenotypes are different. Consequently, the therapeutic approach also varies between the two. We propose a management algorithm that combines the respiratory rate and oxygenation index with bedside lung ultrasound examination and monitoring that could help determine earlier the requirement for intubation and other surveillance of COVID-19 patients with respiratory failure.

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Titel: A proposed lung ultrasound and phenotypic algorithm for the care of COVID-19 patients with acute respiratory failure
verfasst von: André Y. Denault, MD, PhD, FRCPC, FASE, FCCSm, ABIM-CCM
Stéphane Delisle, PhD, RRT, FCCM
David Canty, MBBS, MD, PhD, FANZCA
Alistair Royse, MBBS, MD, FRACS, FCSANZ
Colin Royse, MBBS, MD, FANZCA
Ximena Cid Serra, MD
Caroline E. Gebhard, MD
Étienne J. Couture, MD, FRCPC
Martin Girard, MD, FRCPC
Yiorgos Alexandros Cavayas, MD, MSc, FRCPC
Nicolas Peschanski, MD, PhD
Stéphan Langevin, MD, FRCPC
Paul Ouellet, PhD, RRT, FCCM
Publikationsdatum: 21.05.2020
Verlag: Springer International Publishing
Schlagwort: COVID-19
Erschienen in: Canadian Journal of Anesthesia/Journal canadien d'anesthésie / Ausgabe 10/2020
Print ISSN: 0832-610X
Elektronische ISSN: 1496-8975
DOI: https://doi.org/10.1007/s12630-020-01704-6

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A proposed lung ultrasound and phenotypic algorithm for the care of COVID-19 patients with acute respiratory failure

Abstract

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Abstract

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