Critical care echocardiography in prone position patients during COVID-19 pandemic: a feasibility study

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dc.contributor.authorUgalde, Diego
dc.contributor.authorNicolas Medel, Juan
dc.contributor.authorMercado, Pablo
dc.contributor.authorPairumani, Ronald
dc.contributor.authorEisen, Daniela
dc.contributor.authorPetruska, Edward
dc.contributor.authorMontoya, Jorge
dc.contributor.authorMorales, Felipe
dc.contributor.authorAraya, Carla
dc.contributor.authorDaniel Valenzuela, Emilio
dc.date.accessioned2025-01-20T21:10:01Z
dc.date.available2025-01-20T21:10:01Z
dc.date.issued2022
dc.description.abstractPurpose Critical care echocardiography is a fundamental tool in the hemodynamic evaluation of critically ill patients and prone position ventilation might limit its application. We aim to evaluate the feasibility of transthoracic echocardiography to assess different measurements performed in prone vs supine position in patients during COVID-19 pandemic to answer our research question: What is the feasibility of classic echocardiographic measurements in COVID-19 patients in prone position ventilation? Methods Patients with covid-19 admitted to ICUs in four academic hospitals with respiratory failure and on mechanical ventilation were evaluated with critical care echocardiography. The first ultrasound assessment was compared between prone and supine patients recording feasibility of several echocardiographic measurements, using Fisher's exact test complementing with Crombach's Alpha. Results 139 patients were included. Sixty-eight (49%) were evaluated in prone position and seventy one (51%) in supine position. Most variables were highly feasible, left ventricular volumes and ejection fraction were more possible to obtain in prone position, while cardiac output was in supine position. Tricuspid regurgitation was the least feasible overall measurement. Conclusion Prone position ultrasound achieved a high feasibility of measurements compared with supine ultrasound in critically ill patients with COVID-19 respiratory failure and on mechanical ventilation. Registration Post hoc analysis of Echo-COVID study (NTC04628195, registered November 13, 2020, retrospectively registered).
dc.fuente.origenWOS
dc.identifier.doi10.1007/s40477-022-00652-9
dc.identifier.eissn1876-7931
dc.identifier.issn1971-3495
dc.identifier.urihttps://doi.org/10.1007/s40477-022-00652-9
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/93558
dc.identifier.wosidWOS:000780166000001
dc.issue.numero4
dc.language.isoen
dc.pagina.final859
dc.pagina.inicio855
dc.revistaJournal of ultrasound
dc.rightsacceso restringido
dc.subjectCOVID-19
dc.subjectRespiratory insufficiency
dc.subjectEchocardiography
dc.subjectProne position
dc.subjectMechanical ventilation
dc.subjectCritically ill
dc.subject.ods03 Good Health and Well-being
dc.subject.odspa03 Salud y bienestar
dc.titleCritical care echocardiography in prone position patients during COVID-19 pandemic: a feasibility study
dc.typeartículo
dc.volumen25
sipa.indexWOS
sipa.trazabilidadWOS;2025-01-12
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