A middle-aged patient without any noticeable comorbidity has been admitted to our ICU due to respiratory failure caused by COVID-19 and had to be intubated. CT of the thorax was performed five days before our ultrasound examination: The thorax ultrasound (TUS) exam was performed. For a better description of the probe position use …
An 82-year-old patient underwent elective surgery (right hemicolectomy) due to the adenocarcinoma of the ascending colon. On the 5th day, the patient vomited intestinal content. She was admitted to the ICU for respiratory insufficiency several hours later. The patient had to be intubated (after short non-invasive ventilation). Shock developed during mechanical ventilation and levels of …
A male patient was admitted to the hospital fever exceeding 39 °C lasting one day and a new onset of haemodynamically significant atrial fibrillation with a rapid ventricular response. His history includes diabetes and nephrectomy on the left side for a tumour. CRP 96 mg/l, procalcitonin negative, leucocytes 17 600. He complained of chest pain …
Following cases show two patients who were admitted to the hospital for erysipelas. Both patients had to be admitted at ICU due to consciousness disorder (resulting probably either from septic encephalopathy or from toxaemia) requiring intubation and mechanical ventilation. Patient number 1 Mild disease course, local symptoms were already in regression, blood cultures were …
Let´s suppose your patient is in a shock. The question is whether to administer fluid or not, i.e. is the patient fluid responsive and will the administration of fluid result in an increase of the STROKE VOLUME? Assessment of so-called dynamic preload parameters may answer this question. E.g. hemodynamic reaction to raise of lower …
Healthy patient occurs from time to time: PLAX focused on the left ventricular cavity PLAX focused on the base of the heart PLAX, CFM Visualisation of diastolic flows: flow from the left atrium to the left ventricle (yellow arrow), flow from the right atrium to the right ventricle …
During the previous nightshift, the patient was intubated because of dyspnea, still hemodynamically stable. Pulmonary oedema is reported as a cause of respiratory failure. You are searching for an aetiology, thus performing ultrasonography of the heart and lungs: PSAX at the level of the mitral valve. Concentric left ventricular hypertrophy, akinesis of the …
