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

• Main Authors: Döndü Genç Moralar (Author), Ülkü Aygen Türkmen (Author), Ayşe Vahapoğlu (Author), Hüseyin Gökçenoğlu (Author), Ayfer Kaya Gök (Author)
• Format: Book
• Published: Galenos Yayinevi, 2021-12-01T00:00:00Z.
• Subjects: article
• Online Access: Connect to this object online.
• Notes: 2146-6416; 2147-267X; 10.4274/tybd.galenos.2021.30592
• Keywords: lung ultrasonography; covid-19; intensive care; acute respiratory distress syndrome; prone position; intensive care unit; Medicine; R; Internal medicine; RC31-1245; Medical emergencies. Critical care. Intensive care. First aid; RC86-88.9
• Source: Türk Yoğun Bakim Derneği Dergisi, Vol 19, Iss 1, Pp 44-53 (2021)

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.