Bedside ultrasound in the management of critically ill patients; Echocardiographic signs of acute respiratory distress syndrome and pulmonary embolism can be very similar, and lung ultrasound can act as a key: A case report.
Adnan YamanogluNalan Gokce Celebi YamanoğluPublished in: Journal of clinical ultrasound : JCU (2020)
Right-sided heart failure (RHF) diagnosed at point-of-care-ultrasonography examination of critical patients may reveal an acute disease, such as pulmonary embolism (PE), requiring emergency thrombolytic treatment. However, acute respiratory distress syndrome (ARDS) and PE leading to acute RHF may exhibit very similar echocardiographic features. We report the case of a 27-year-old pregnant woman diagnosed with ARDS due to septic abortion, and in whom ARDS mimicked PE both clinically and on echocardiography. Such similarity may lead to inappropriate administration of thrombolytic therapy and/or delay the correct treatment. Lung ultrasonography may help avoiding this pitfall.
Keyphrases
- acute respiratory distress syndrome
- pulmonary embolism
- extracorporeal membrane oxygenation
- mechanical ventilation
- respiratory failure
- inferior vena cava
- magnetic resonance imaging
- heart failure
- left ventricular
- ejection fraction
- liver failure
- pulmonary hypertension
- end stage renal disease
- contrast enhanced
- emergency department
- healthcare
- public health
- computed tomography
- drug induced
- pregnant women
- chronic kidney disease
- newly diagnosed
- intensive care unit
- magnetic resonance
- dna methylation
- aortic dissection
- single cell
- contrast enhanced ultrasound
- acute ischemic stroke