Intravascular volume status in patients with moderate to severe COVID-19: a case series
Abstract
Coronavirus disease 2019 (COVID-19) is a transmissible disease instigated by the coronavirus (SARS-CoV-2) which has been identify for few years. Patients with COVID-19 may present with hypovolemia due to vomiting, anorexia, or diarrhea. However, treatment guidelines recommend a “conservative” fluid administration strategy with dynamic measuring parameters to assess fluid response. Since physical examination has a limited ability to predict volume status, other non-invasive methods such as point-of-care ultrasound (POCUS) have been extensively used for this purpose in other diseases. In this case series, we describe intravascular volume status in patients with moderate to severe COVID-19 as measured by inferior vena cava (IVC) calibre and distensibility.
2. Koratala A, Ronco C, Kazory A. Need for objective assessment of volume status in critically ill patients with COVID-19: the Tri-POCUS approach. Cardiorenal Med. 2020;10(4):209-16.
3. Finnerty NM, Panchal AR, Boulger C, et al. Inferior vena cava measurement with ultrasound: what is the best view and best mode? West J Emerg Med. 2017;18(3):496-501.
4. Silversides JA, Major E, Ferguson AJ, et al. Conservative fluid management or deresuscitation for patients with sepsis or acute respiratory distress syndrome following the resuscitation phase of critical illness: a systematic review and meta-analysis. Intensive Care Med. 2017;43(2):155-70.
5. Boyd JH, Sirounis D, Maizel J, Slama M. Echocardiography as a guide for fluid management. Crit Care. 2016;20(1):274.
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| Issue | Vol 8 No 3 (2024): Summer (July) | |
| Section | Letter to the editor | |
| DOI | 10.18502/fem.v8i3.16336 | |
| Keywords | ||
| COVID 19 Ultrasonography Dehydration. | ||
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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
