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  1. Article ; Online: Usefulness of lung ultrasound in the early identification of severe COVID-19: results from a prospective study.

    Hernández-Píriz, Alba / Tung-Chen, Yale / Jiménez-Virumbrales, David / Ayala-Larrañaga, Ibone / Barba-Martín, Raquel / Canora-Lebrato, Jesús / Zapatero-Gaviria, Antonio / García De Casasola-Sánchez, Gonzalo

    Medical ultrasonography

    2021  Volume 24, Issue 2, Page(s) 146–152

    Abstract: Aim: There is growing evidence regarding the imaging findings of coronavirus disease 2019 (COVID-19) in lung ultrasound (LUS); however, its role in predicting the prognosis has yet to be explored. The aim of the study was to assess the relationship ... ...

    Abstract Aim: There is growing evidence regarding the imaging findings of coronavirus disease 2019 (COVID-19) in lung ultrasound (LUS); however, its role in predicting the prognosis has yet to be explored. The aim of the study was to assess the relationship between lung ultrasound findings with the degree of respiratory failure measured by the PaO2/FiO2 ratio (PaFi) andthe prognosis of these patients: need for non-invasive mechanical ventilation (NIMV), admission to the Intensive Care Unit (ICU) and mortality.
    Material and method: Prospective, longitudinal and observational study performed in patients with confirmed COVID-19 underwent a LUS examination and laboratory tests.
    Results: A total of 107 patients were enrolled: 93.4% with bilateral involvement and 73.83% presented at least one consolidation. A good inverse correlation (Rho Spearman coefficient -0.897) between the ultrasound score and PaFi was obtained. The AUC for identification of patients with more severe respiratory failure, a moderate and severe ARDS, was 0.97 (CI 95%: 0.95-1) and a cut-off score of 34.5 showed a sensitivity of 0.94 and a specificity of 0.91. The Kappa index showed a high concordance (0.83) of the classification by ultrasound lunginvolvement and ARDS.
    Conclusions: The combination of the ultrasound score and the presence of respiratory failure can easily identify patients with a higher risk to present complications.
    MeSH term(s) COVID-19/diagnostic imaging ; Humans ; Lung/diagnostic imaging ; Prospective Studies ; Respiratory Distress Syndrome/diagnostic imaging ; Respiratory Insufficiency ; Ultrasonography/methods
    Language English
    Publishing date 2021-11-10
    Publishing country Romania
    Document type Journal Article ; Observational Study
    ZDB-ID 2529606-1
    ISSN 2066-8643 ; 1844-4172
    ISSN (online) 2066-8643
    ISSN 1844-4172
    DOI 10.11152/mu-3263
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 6830: Show issues Location:
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    bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular
    ab Jg. 2022: Lesesaal (EG)

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  2. Article: Importance of Lung Ultrasound Follow-Up in Patients Who Had Recovered from Coronavirus Disease 2019: Results from a Prospective Study.

    Hernández-Píriz, Alba / Tung-Chen, Yale / Jiménez-Virumbrales, David / Ayala-Larrañaga, Ibone / Barba-Martín, Raquel / Canora-Lebrato, Jesús / Zapatero-Gaviria, Antonio / Casasola-Sánchez, Gonzalo García De

    Journal of clinical medicine

    2021  Volume 10, Issue 14

    Abstract: There is growing evidence regarding the imaging findings of coronavirus disease 2019 (COVID-19) in lung ultrasounds, however, their role in predicting the prognosis has yet to be explored. Our objective was to assess the usefulness of lung ultrasound in ... ...

    Abstract There is growing evidence regarding the imaging findings of coronavirus disease 2019 (COVID-19) in lung ultrasounds, however, their role in predicting the prognosis has yet to be explored. Our objective was to assess the usefulness of lung ultrasound in the short-term follow-up (1 and 3 months) of patients with SARS-CoV-2 pneumonia, and to describe the progression of the most relevant lung ultrasound findings. We conducted a prospective, longitudinal and observational study performed in patients with confirmed COVID-19 who underwent a lung ultrasound examination during hospitalization and repeated it 1 and 3 months after hospital discharge. A total of 96 patients were enrolled. In the initial ultrasound, bilateral involvement was present in 100% of the patients with mild, moderate or severe ARDS. The most affected lung area was the posteroinferior (93.8%) followed by the lateral (88.7%). Subpleural consolidations were present in 68% of the patients and consolidations larger than 1 cm in 24%. One month after the initial study, only 20.8% had complete resolution on lung ultrasound. This percentage rose to 68.7% at 3 months. Residual lesions were observed in a significant percentage of patients who recovered from moderate or severe ARDS (32.4% and 61.5%, respectively). In conclusion, lung injury associated with COVID-19 might take time to resolve. The findings in this report support the use of lung ultrasound in the short-term follow-up of patients recovered from COVID-19, as a radiation-sparing, easy to use, novel care path worth exploring.
    Language English
    Publishing date 2021-07-20
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2662592-1
    ISSN 2077-0383
    ISSN 2077-0383
    DOI 10.3390/jcm10143196
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Métodos alternativos de CPAP para el tratamiento de insuficiencia respiratoria grave secundaria a neumonía por COVID-19.

    Mateos-Rodríguez, Alonso / Ortega-Anselmi, Justo / Candel-González, Francisco Javier / Canora-Lebrato, Jesús / Fragiel-Saavedra, Marcos / Hernández-Píriz, Alba / Behzadi-Koocahni, Navid / González-Del Castillo, Juan / Pérez-Alonso, Antonio / de la Cruz-Conty, María Luisa / García-de Casasola, Gonzalo / Marco-Martínez, Javier / Zapatero-Gaviria, Antonio

    Medicina clinica

    2020  Volume 156, Issue 2, Page(s) 55–60

    Abstract: Introduction: The use of devices that provide continuous positive pressure in the airway has shown improvement in various pathologies that cause respiratory failure. In the COVID-19 pandemic episode the use of these devices has become widespread, but, ... ...

    Title translation Alternative CPAP methods for the treatment of secondary serious respiratory failure due to pneumonia by COVID-19.
    Abstract Introduction: The use of devices that provide continuous positive pressure in the airway has shown improvement in various pathologies that cause respiratory failure. In the COVID-19 pandemic episode the use of these devices has become widespread, but, due to the shortage of conventional continuous positive airway pressure (CPAP) devices, alternative devices have been manufactured. The objective of this study is to describe the use of these devices, as well as their efficacy.
    Material and methods: Data are collected from patients admitted for pneumonia due to COVID-19 at the IFEMA Field Hospital. Data are collected from 23 patients with respiratory failure and need for ventilatory support.
    Results: Study carried out on a total of 23 patients, dated admission to IFEMA. Alternative CPAP was used in five patients (21.7%), while ventilatory support with a reservoir mask or Ventimask Venturi effect was used in the remaining 18 patients (78.3%). A progressive increase in saturation is observed in those patients in whom alternative CPAP was used (from 94% on average to 98 and 99% on average after 30 and 60 minutes with the mask, respectively), although this change was not significant (p = 0.058 and p = 0.122, respectively). No significant change in RF was observed at the beginning and end of the measurement in patients who used alternative CPAP (p = 0.423), but among those who did not use alternative CPAP (p = 0.001). A statistically significant improvement in the variable oxygen saturation / fraction inspired by oxygen is observed in patients who used alternative CPAP (p = 0.040) CONCLUSION: The use of these devices has helped the ventilatory work of several patients by improving their oxygenation parameters. To better observe the evolution of patients undergoing this therapy and compare them with patients with other types of ventilatory support, further studies are necessary.
    MeSH term(s) Adult ; Aged ; Aged, 80 and over ; COVID-19/complications ; COVID-19/therapy ; Continuous Positive Airway Pressure/instrumentation ; Continuous Positive Airway Pressure/methods ; Female ; Humans ; Male ; Middle Aged ; Respiratory Insufficiency/therapy ; Respiratory Insufficiency/virology ; Treatment Outcome
    Language Spanish
    Publishing date 2020-11-06
    Publishing country Spain
    Document type Journal Article ; Observational Study
    ZDB-ID 411607-0
    ISSN 1578-8989 ; 0025-7753
    ISSN (online) 1578-8989
    ISSN 0025-7753
    DOI 10.1016/j.medcli.2020.09.006
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Ua VI Zs.279: Show issues Location:
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    bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular
    ab Jg. 2022: Lesesaal (EG)

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  4. Article ; Online: Alternative CPAP methods for the treatment of secondary serious respiratory failure due to pneumonia by COVID-19.

    Mateos-Rodríguez, Alonso / Ortega-Anselmi, Justo / Candel-González, Francisco Javier / Canora-Lebrato, Jesús / Fragiel-Saavedra, Marcos / Hernández-Píriz, Alba / Behzadi-Koocahni, Navid / González-Del Castillo, Juan / Pérez-Alonso, Antonio / de la Cruz-Conty, María Luisa / García-de Casasola, Gonzalo / Marco-Martínez, Javier / Zapatero-Gaviria, Antonio

    Medicina clinica (English ed.)

    2020  Volume 156, Issue 2, Page(s) 55–60

    Abstract: Introduction: The use of devices that provide continuous positive pressure in the airway has shown improvement in various pathologies that cause respiratory failure. In the COVID 19 pandemic episode the use of these devices has become widespread, but, ... ...

    Abstract Introduction: The use of devices that provide continuous positive pressure in the airway has shown improvement in various pathologies that cause respiratory failure. In the COVID 19 pandemic episode the use of these devices has become widespread, but, due to the shortage of conventional CPAP devices, alternative devices have been manufactured. The objective of this study is to describe the use of these devices, as well as their efficacy.
    Material and methods: Data are collected from patients admitted for Pneumonia due to COVID 19 at the IFEMA Field Hospital. Data are collected from 23 patients with respiratory failure and need for ventilatory support.
    Results: Study carried out on a total of 23 patients, dated admission to IFEMA. Alternative CPAP was used in five patients (21.7%), while ventilatory support with a reservoir mask or Ventimask Venturi effect was used in the remaining 18 patients (78.3%). A progressive increase in saturation is observed in those patients in whom alternative CPAP was used (from 94% on average to 98% and 99% on average after 30 and 60 min with the mask, respectively), although this change was not significant (p = 0.058 and p = 0.122 respectively). No significant change in RF was observed at the beginning and end of the measurement in patients who used alternative CPAP (p = 0.423), but among those who did not use alternative CPAP (p = 0.001). A statistically significant improvement in the variable oxygen saturation / fraction inspired by oxygen is observed in patients who used alternative CPAP (p = 0.040).
    Conclusion: The use of these devices has helped the ventilatory work of several patients by improving their oxygenation parameters. To better observe the evolution of patients undergoing this therapy and compare them with patients with other types of ventilatory support, further studies are necessary.
    Language English
    Publishing date 2020-12-17
    Publishing country Spain
    Document type Journal Article
    ISSN 2387-0206
    ISSN (online) 2387-0206
    DOI 10.1016/j.medcle.2020.09.003
    Database MEDical Literature Analysis and Retrieval System OnLINE

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