Abstract
Point of care ultrasonography of the cardiac and pulmonary systems aids in rapid diagnosis of significant cardiac and pulmonary complications in the critically ill COVID-19 patient, facilitating early implementation of definitive therapy for a multitude of conditions associated with COVID-19 infection including thromboembolic disease, pleural effusion, pulmonary edema, and myocarditis. Through a protocolized approach to cleaning and disinfection, POCUS has numerous advantages over traditional imaging modalities in this patient population and in resource-limited settings. Cardiac POCUS identifies early ventricular dysfunction, wall motion abnormalities, and aids in intravascular volume assessment. Pulmonary POCUS can identify distinguishing features of ARDS, pneumonia, and congestive heart failure and is a useful adjunct in trending disease progression or resolution.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Mayo PH, Copetti R, Feller-Kopman D, et al. Thoracic ultrasonography: a narrative review. Intensive Care Med. 2019;45(9):1200–11. https://doi.org/10.1007/s00134-019-05725-8.
Peng QY, Wang XT, Zhang LN. Chinese critical care ultrasound study G. findings of lung ultrasonography of novel corona virus pneumonia during the 2019-2020 epidemic. Intensive Care Med. 2020;46(5):849–50. https://doi.org/10.1007/s00134-020-05996-6.
ACEP COVID-19 field guide. American College of Emergency Physicians https://www.acep.org/corona/covid-19-field-guide/work-safety/ultrasound-cleaning/.
Guidelines for cleaning and preparing external- and internal-use ultrasound transducers and equipment between patients as well as safe handling and use of ultrasound coupling gel. https://www.aium.org/officialStatements/57.
Johri AM, Galen B, Kirkpatrick JN, Lanspa M, Mulvagh S, Thamman R. ASE statement on point-of-care ultrasound during the 2019 novel coronavirus pandemic. J Am Soc Echocardiogr. 2020;33(6):670–3. https://doi.org/10.1016/j.echo.2020.04.017.
Jain SS, Liu Q, Raikhelkar J, et al. Indications for and findings on transthoracic echocardiography in COVID-19. J Am Soc Echocardiogr. 2020;33(10):1278–84. https://doi.org/10.1016/j.echo.2020.06.009.
Vasudev R, Guragai N, Habib H, et al. The utility of bedside echocardiography in critically ill COVID-19 patients: early observational findings from three northern New Jersey hospitals. Echocardiography. 2020;37(9):1362–5. https://doi.org/10.1111/echo.14825.
Zhang L, Wang B, Zhou J, Kirkpatrick J, Xie M, Johri AM. Bedside focused cardiac ultrasound in COVID-19 from the Wuhan epicenter: the role of cardiac point-of-care ultrasound, limited transthoracic echocardiography, and critical care echocardiography. J Am Soc Echocardiogr. 2020;33(6):676–82. https://doi.org/10.1016/j.echo.2020.04.004.
Mitchell C, Rahko PS, Blauwet LA, et al. Guidelines for performing a comprehensive transthoracic echocardiographic examination in adults: recommendations from the American Society of Echocardiography. J Am Soc Echocardiogr. 2019;32(1):1–64. https://doi.org/10.1016/j.echo.2018.06.004.
Moore CL, Rose GA, Tayal VS, Sullivan DM, Arrowood JA, Kline JA. Determination of left ventricular function by emergency physician echocardiography of hypotensive patients. Acad Emerg Med. 2002;9(3):186–93. https://doi.org/10.1111/j.1553-2712.2002.tb00242.x.
Grifoni S, Olivotto I, Cecchini P, et al. Short-term clinical outcome of patients with acute pulmonary embolism, normal blood pressure, and echocardiographic right ventricular dysfunction. Circulation. 2000;101(24):2817–22. https://doi.org/10.1161/01.cir.101.24.2817.
Gargani L, Soliman-Aboumarie H, Volpicelli G, Corradi F, Pastore MC, Cameli M. Why, when, and how to use lung ultrasound during the COVID-19 pandemic: enthusiasm and caution. Eur Heart J Cardiovasc Imaging. 2020;21(9):941–8. https://doi.org/10.1093/ehjci/jeaa163.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2021 The Author(s), under exclusive license to Springer Nature Switzerland AG
About this chapter
Cite this chapter
Haase, D., Teeter, W.A., Gill, J., Javed, A. (2021). Point of Care Echocardiography in the COVID-19 Patient. In: Shiber, J.R. (eds) Critical Care of COVID-19 in the Emergency Department. Springer, Cham. https://doi.org/10.1007/978-3-030-85636-6_16
Download citation
DOI: https://doi.org/10.1007/978-3-030-85636-6_16
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-85635-9
Online ISBN: 978-3-030-85636-6
eBook Packages: Biomedical and Life SciencesBiomedical and Life Sciences (R0)