Lung Ultrasound Score in Covid 19 Infectious Disease in Critical Care
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 14
- 试验地点
- 1
- 主要终点
- LUS applicability with COVID 19
研究概览
简要总结
It might be necessary with Sars-Cov2 pneumopathy patient to repeat thoracic images, the tomodensitometry ones in particular. This task is difficult and nearly impossible for several reasons: respiratory and hemodynamic unstable patient, prone position and due to the high contagious nature of the disease.
The lung ultrasound is an easy tool, fast (between 5 and 10 minutes) and as a limited training.
In the context of the Sars-Cov2 epidemic, Buonsenso and al case report depict the first lung ultrasound for a Covid 19 patient.
Peng and al in Intensive Care Medicine accentuate the usefulness of this particular technic.
In the American Journal of Respiratory and Critical Care Medicine, a study has been published as a point-of-care, in which the doctors reported using the lung ultrasound with intensive and critical care patient.
In Critical Care 2016, it has been showed that ultrasound allowed with neat precisions, to predict severe ARDS patient response to the prone position, all-cause.
Another researchers team found a good correlation between lung ultrasound, the SOFA, APACHE II, CPIS score, and patient mortality.
And a new applicability in the pulmonary recruitment by PEEP titration has been presented.
The aim of this study is to evaluate the lung ultrasound in Covid19 ARDS.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 95 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Diagnosed Sars-Cov2 patient, with PCR method qualitative or quantitative as usual.
- •Intensive or critical care admission
- •ARDS with PaO2/FiO2 <300 at the admission
- •Ventilatory support or oxygen-therapy
排除标准
- •Age < 18 years-old
- •Pregnancy
- •Patient with tutor- or curatorship or in prison
结局指标
主要结局
LUS applicability with COVID 19
时间窗: 10 months
In dorsal position, or in prone position, the two hemithorax will be subdivided in 6 parts, and a score will be attributed with the following criteria : A-Lines (0 point), \> 3 B-lines (1 point), B-Lines coalscent (2 points), and pulmonary consolidation (3 points). For the echography we can use a convexe sonde, or a "cardiac" sonde.
次要结局
- Radiographic correlation (chest Xray and tomodensitometry)(10 months)
- LUS Mortality prediction(10 months)
- Prediction of Prone position response(10 months)