Significance of Lung Ultrasonography in the Follow-up and Treatment of Patients with Coronavirus Disease-2019 Having Respiratory Failure

Objective:Lung involvement is commonly seen in patients with coronavirus disease-2019. In such cases, mechanical ventilation support and patient positioning are used to improve oxygenation. This study aimed to evaluate the effect of positioning performed under the guidance of ultrasound-guided patie...

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Main Authors: Döndü Genç Moralar, Ülkü Aygen Türkmen, Ayşe Vahapoğlu, Hüseyin Gökçenoğlu, Ayfer Kaya Gök
Format: Article
Language:English
Published: Galenos Yayinevi 2021-12-01
Series:Türk Yoğun Bakim Derneği Dergisi
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Online Access: http://www.turkishjic.org/archives/archive-detail/article-preview/significance-of-lung-ultrasonography-in-the-follow/47552
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Summary:Objective:Lung involvement is commonly seen in patients with coronavirus disease-2019. In such cases, mechanical ventilation support and patient positioning are used to improve oxygenation. This study aimed to evaluate the effect of positioning performed under the guidance of ultrasound-guided patient positioning.Materials and Methods:Patients were divided into two groups: those who underwent lung ultrasonography and those who did not. Patients who underwent lung ultrasonography were positioned in a way that the region with larger infiltration area was upwards and then the groups were compared.Results:Arterial blood gas values of 103 patients were evaluated. An increased partial pressure of oxygen (PaO2) values at 2 and 12 hours after positioning was statistically significant in patients who were positioned under ultrasound guidance. In the group who did not undergo ultrasonography, an increased PaO/values was observed at 12 hours. When patients were evaluated according to their positions, an increased PaO2 values at 2 and 12 hours was statistically significant in the right lateral decubitus position. An increased PaO2 values was observed in prone position; however, it was not statistically significant.Conclusion:In our study, an increased oxygenation was observed in a short time, i.e., 2 hours, when patients were positioned under ultrasound guidance.
ISSN:2146-6416
2147-267X