Hemodynamic Characteristics of Mechanically Ventilated COVID-19 Patients: A Cohort Analysis.

Hemodynamic Characteristics of Mechanically Ventilated COVID-19 Patients: A Cohort Analysis. Crit Care Res Pract. 2021;2021:8882753 Authors: Boerma EC, Bethlehem C, Stellingwerf F, de Lange F, Streng KW, Koetsier PM, Bootsma IT Abstract Background: Solid data on cardiovascular derangements in critically ill COVID-19 patients remain scarce. The aim of this study is to describe hemodynamic characteristics in a cohort of COVID-19-related critically ill patients. Methods: A retrospective observational cohort study in twenty-eight consecutive mechanically ventilated COVID-19 patients. Pulse contour analysis-derived data were obtained from all patients, using the PiCCO® system. Results: The mean arterial pressure increased from 77 ± 10 mmHg on day 1 to 84 ± 9 mmHg on day 21 (p=0.04), in combination with the rapid tapering and cessation of norepinephrine and the gradual use of antihypertensive drugs in the vast majority of patients. The cardiac index increased significantly from 2.8 ± 0.7 L/min/m2 on day 1 to 4.0 ± 0.8 L/min/m2 on day 21 (p
Source: Critical Care Research and Practice - Category: Intensive Care Tags: Crit Care Res Pract Source Type: research

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CONCLUSION: ECMO is a supportive intervention for COVID-19 associated pneumonia that could be considered if the optimum mechanical ventilation is deemed ineffective. Biomarkers such as D-dimer, LDH, and troponin could help with discerning the clinical prognosis in patients with COVID-19 pneumonia. PMID: 33021147 [PubMed - as supplied by publisher]
Source: Perfusion - Category: Cardiovascular & Thoracic Surgery Authors: Tags: Perfusion Source Type: research
PMID: 33021144 [PubMed - as supplied by publisher]
Source: Perfusion - Category: Cardiovascular & Thoracic Surgery Authors: Tags: Perfusion Source Type: research
o RFM Abstract COVID-19 is an infection caused by the SARS-CoV-2 virus, initially identified in the city of Wuhan, China, in December 2019. Since then, the virus has spread to the continents, causing a major pandemic. The impacts of this pandemic on the education of human anatomy interfere in at least two aspects: (1) receiving and managing anatomical specimens in anatomy laboratories and (2) adaptations for classes on remote virtual teaching. Therefore, this study reviewed and discussed the legal and bioethical aspects, considering the scenario of a South American Country, aiming to stimulate the debate on these ...
Source: Annals of Anatomy - Category: Anatomy Authors: Tags: Ann Anat Source Type: research
Abstract Extracorporeal membrane oxygenation (ECMO) is considered a salvage therapy in patients with acute respiratory distress syndrome (ARDS) and refractory hypoxemia (hypoxemia persisting despite lung-protective ventilation). One aspect of ECMO is whether there would be an application of the technology related to the Coronavirus pandemic. The number of people diagnosed with Coronavirus disease (COVID19) has crossed the five million mark on 9 August 2020, with a case fatality rate of 5.2%. Due to this exponential increase in the number of coronavirus disease (COVID19) cases particularly the ones associated with ...
Source: Perfusion - Category: Cardiovascular & Thoracic Surgery Authors: Tags: Perfusion Source Type: research
Masimo won FDA clearance for its Rad-G pulse oximeter, a rugged device developed with the help of The Bill &Melinda Gates Foundation. Originally created to spot-check patients for SpO2 (oxygen saturation), respiration rate from the plethysmograph...
Source: Medgadget - Category: Medical Devices Authors: Tags: Cardiology Emergency Medicine Geriatrics Pediatrics Public Health Source Type: blogs
Source: Journal of Nuclear Medicine - Category: Nuclear Medicine Tags: SNMMI Newsline Source Type: research
We report the case of a 72-year-old woman with acute respiratory distress syndrome and circulatory failure following COVID-19, who was treated with VAV-ECMO. PMID: 33008007 [PubMed - as supplied by publisher]
Source: Medicina (Kaunas) - Category: Universities & Medical Training Authors: Tags: Medicina (Kaunas) Source Type: research
ConclusionQ-SPECT/CT has clinical utility for diagnosing PE in patients with COVID-19 where there is a contraindication for iodinated contrast media and a moderate or high pre-test probability for PE.
Source: European Journal of Nuclear Medicine and Molecular Imaging - Category: Nuclear Medicine Source Type: research
Conditions:   Covid-19;   Asthma;   Healthy Interventions:   Other: V/Q SPECT-CT;   Other: St. George's Respiratory Questionnaire (SGRQ);   Other: mMRC (Modified Medical Research Council) Dyspnea Scale;   Other: Six-minute walk test (6MWT);   Other: Spirometry;   Other: Plethysmography & DLCO;   Other: Airwave Oscillometry Sponsors:   McMaster University;   Research St. Joseph's - Hamilton;   Cyclomedica Australia Pty Ltd Recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
SUMMARY: There is increasing evidence to suggest that complications of coronavirus disease 2019 (COVID-19) infection are not only limited to the pulmonary system but can also involve the central nervous system. Here, we report 6 critically ill patients with COVID-19 infection and neuroimaging findings of leukoencephalopathy. While these findings are nonspecific, we postulate that they may be a delayed response to the profound hypoxemia the patients experienced due to the infection. No abnormal enhancement, hemorrhage, or perfusion abnormalities were noted on MR imaging. In addition, Severe Acute Respiratory Syndrome corona...
Source: American Journal of Neuroradiology - Category: Radiology Authors: Tags: ADULT BRAIN Source Type: research
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