Journal of critical care · 2022
Shunt in critically ill Covid-19 ARDS patients: Prevalence and impact on outcome (cross-sectional study).
Письмо в редакциюНазвание и аннотация: Перевод в очереди
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Trifi Ahlem, Ouhibi Asma, Mahdi Asma, Masseoud Linda, Seghir Eya, Meftah Amal, Sellaouti Salim, Abdennebi Cyrine, Daly Foued, Touil Yosr, Abdellatif Sami, Ben Lakhal Salah
Аннотация
PURPOSE: To examine critical Covid-19-acute respiratory distress syndrome (C-ARDS) patients requiring mechanical ventilation (MV), using transthoracic echocardiography (TTE) coupled with bubble test (BT), in order to search a right/left shunt.
METHODS: A Cross-sectional and comparative study comparing several parameters according to the presence or not of shunt.
RESULTS: 75 patients were included. Twenty-three shunts (31%) were detected: patent foramen oval (PFO) type [n=11 (15%)] and trans-pulmonary transit of bubbles (TPBT) [n = 12 (16%)]. The shunt did not affect P/F ratio (P/F=77 vs 81, p=0.97), nor mortality.
CONCLUSION: A right/left shunt was detected in a third of studied patients similarly between PFO and TPBT without significant impact on P/F ratio or outcome.
METHODS: A Cross-sectional and comparative study comparing several parameters according to the presence or not of shunt.
RESULTS: 75 patients were included. Twenty-three shunts (31%) were detected: patent foramen oval (PFO) type [n=11 (15%)] and trans-pulmonary transit of bubbles (TPBT) [n = 12 (16%)]. The shunt did not affect P/F ratio (P/F=77 vs 81, p=0.97), nor mortality.
CONCLUSION: A right/left shunt was detected in a third of studied patients similarly between PFO and TPBT without significant impact on P/F ratio or outcome.