About: Haemodynamic Monitoring and Management in COVID-19 Intensive Care Patients: An International Survey

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An Entity of Type : schema:ScholarlyArticle, within Data Space : covidontheweb.inria.fr associated with source document(s)

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type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
title	Haemodynamic Monitoring and Management in COVID-19 Intensive Care Patients: An International Survey
Creator	Martin, Greg Constantin, Jean-Michel Lobo, Suzana Brussel, Universiteit Fumeaux, Thierry Gonzalez, Filipe Lng Malbrain, Manu Michard, Frédéric Pinho-Oliveira, Vitor
source	Elsevier; Medline; PMC
abstract	PURPOSE: To survey haemodynamic monitoring and management practices in ICU patients with the coronavirus disease 2019 (COVID-19). METHODS: A questionnaire was shared on social networks or via email by the authors and by Anaesthesia and/or Critical Care societies from France, Switzerland, Belgium, Brazil, and Portugal. Intensivists and anaesthetists involved in COVID-19 ICU care were invited to answer 14 questions about haemodynamic monitoring and management. RESULTS: Globally, 1000 questionnaires were available for analysis. Responses came mainly from Europe (n = 460) and America (n = 434). According to respondents, a majority of COVID-19 ICU patients frequently or very frequently received continuous vasopressor support (56%) and had an echocardiography performed (54%). Echocardiography revealed a normal cardiac function, a hyperdynamic state (43%), hypovolaemia (22%), a left ventricular dysfunction (21%) and a right ventricular dilation (20%). Fluid responsiveness was frequently assessed (84%), mainly using echo (62%), and cardiac output was measured in 69%, mostly with echo as well (53%). Venous oxygen saturation was frequently measured (79%), mostly from a CVC blood sample (94%). Tissue perfusion was assessed biologically (93%) and clinically (63%). Pulmonary oedema was detected and quantified mainly using echo (67%) and chest X-ray (61%). CONCLUSION: Our survey confirms that vasopressor support is not uncommon in COVID-19 ICU patients and suggests that different cardiac function phenotypes may be observed. Ultrasounds were used by many respondents, to assess cardiac function but also to predict fluid responsiveness and quantify pulmonary oedema. Although we observed regional differences, current international guidelines were apparently followed by most respondents.
has issue date	2020-08-09(xsd:dateTime)
bibo:doi	10.1016/j.accpm.2020.08.001
bibo:pmid	32781167
has license	no-cc
sha1sum (hex)	a5d5d1084770048de4becc974ee6bf8408e8c9a6
schema:url	https://doi.org/10.1016/j.accpm.2020.08.001
resource representing a document's title	Haemodynamic Monitoring and Management in COVID-19 Intensive Care Patients: An International Survey
has PubMed Central identifier	PMC7415168
has PubMed identifier	32781167
schema:publication	Anaesth Crit Care Pain Med
resource representing a document's body	covid:a5d5d1084770048de4becc974ee6bf8408e8c9a6#body_text
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