COVID-19 Daily: Lung Ultrasound Triage, Telemedicine Guide

These are the coronavirus stories you need to know about today.
Source: WebMD Health - Category: Consumer Health News Source Type: news

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Over the past few months, coronavirus disease 2019 (COVID-19) has provided an unprecedented challenge to critical care teams across the world. As the number of cases increases exponentially, we are seeing an unparalleled strain on intensive care resources.
Source: Journal of Cardiothoracic and Vascular Anesthesia - Category: Anesthesiology Authors: Tags: Letter to the Editor Source Type: research
PROVIDING ADEQUATE care to the large number of patients critically ill with coronavirus disease 2019 (COVID-19) with severe acute respiratory distress syndrome (ARDS) is a resource-intensive task. Reducing duration of mechanical ventilation may assist in decompressing intensive care units (ICUs). Standard of care in managing ARDS includes lung-protective ventilation and appropriate diuresis.1,2 Recent literature regarding using portable ultrasonography at the bedside (point-of-care ultrasound or POCUS) on critically ill patients suggested current use in modern ICUs.
Source: Journal of Cardiothoracic and Vascular Anesthesia - Category: Anesthesiology Authors: Tags: Letter to the Editor Source Type: research
Considering that female sexual hormones may modulate the inflammatory response and also exhibit direct effects on the cells of the immune system, herein, we intend to discuss the sex differences and the role of estradiol in modulating the lung and systemic inflammatory response, focusing on its possible application as a treatment modality for SARS-CoV-2 patients. COVID-19 patients develop severe hypoxemia early in the course of the disease, which is silent most of the time. Small fibrinous thrombi in pulmonary arterioles and a tumefaction of endothelial were observed in the autopsies of fatal COVID-19 cases. Studies showed...
Source: Clinics - Category: General Medicine Source Type: research
Conclusions:In COVID-19 infection, LV systolic function is preserved in the majority of patients, but LV diastolic and RV function are impaired. Elevated troponin and poorer clinical grade are associated with worse RV function. In patients presenting with clinical deterioration at follow-up, acute RV dysfunction, with or without DVT, is more common, but acute LV systolic dysfunction was noted in ≈20%. PMID: 32469253 [PubMed - as supplied by publisher]
Source: Circulation - Category: Cardiology Authors: Tags: Circulation Source Type: research
Conditions:   SARS-CoV 2;   COVID Interventions:   Behavioral: Telephonic medical visit;   Procedure: Gastrointestinal endoscopy;   Procedure: Abdominal ultrasound Sponsor:   Hospital del Río Hortega Recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
A NOVEL coronavirus was discovered in the lower respiratory tract of a group of patients with pneumonia in Wuhan, Hubei province, China, in December 2019.1 The disease caused by this novel coronavirus officially was named coronavirus disease-2019 (COVID-19) by the World Health Organization on February 11, 2020, and it has a highly infectious rate and a high mortality rate. As of April 1, there were 754,948 global infections of COVID-19, with 36,571 deaths (https://www.who.int/diagnostics_laboratory/EUL/en/).
Source: Journal of Cardiothoracic and Vascular Anesthesia - Category: Anesthesiology Authors: Tags: Letter to the Editor Source Type: research
A novel coronavirus (2019-nCoV) was identified as the cause of a cluster of pneumonia in Wuhan, China at the end of 2019. Since then more than four million confirmed cases of coronavirus disease 2019 (COVID-19) have been reported around the globe. The current gold standard for etiological diagnosis is reverse transcription polymerase chain reaction (rRT-PCR) analysis of respiratory tract specimens, but the test has a high false-negative rate due to both nasopharyngeal swab sampling error and viral burden.
Source: Ultrasound in Medicine and Biology - Category: Radiology Authors: Source Type: research
AbstractNon-protocolized fluid administration in critically ill patients, especially those with acute respiratory distress syndrome (ARDS), is associated with poor outcomes. Therefore, fluid administration in patients with Coronavirus  disease (COVID-19) should be properly guided. Choice of an index to guide fluid management during a pandemic with mass patient admissions carries an additional challenge due to the relatively limited resources. An ideal test for assessment of fluid responsiveness during this pandemic should be acc urate in ARDS patients, economic, easy to interpret by junior staff, valid in patients in ...
Source: Journal of Anesthesia - Category: Anesthesiology Source Type: research
let P 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 earl...
Source: Canadian Journal of Anaesthesia - Category: Anesthesiology Authors: Tags: Can J Anaesth Source Type: research
Abstract OBJECTIVE: To evaluate the effects of coronavirus disease 2019 (COVID-19) on maternal, perinatal and neonatal outcomes by performing a systematic review of available published literature on pregnancies affected by COVID-19. METHODS: We performed a systematic review to evaluate the effects of COVID-19 on pregnancy, perinatal and neonatal outcomes. We conducted a comprehensive literature search using PubMed, EMBASE, the Cochrane Library, China National Knowledge Infrastructure Database and Wan Fang Data until 20 April 2020 (studies were identified through PubMed alert after that date). For the research...
Source: The Ultrasound Review of Obstetrics and Gynecology - Category: Radiology Authors: Tags: Ultrasound Obstet Gynecol Source Type: research
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