The role of Point of Care Ultrasound (POCUS) and focused echocardiography in optimization of non-invasive mechanical ventilation: from diaphragmatic functionality to hemodynamic monitoring

Abstract This case shows the use of ultrasound guidance to optimize non-invasive mechanical ventilation for a 62-year-old patient with a complex medical history. Point-of-care ultrasound (POCUS) was used to assess diaphragmatic function and hemodynamics, leading to adjustments in ventilator setting....

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Veröffentlicht in:Journal of mechanical ventilation 2023-12, Vol.4 (4), p.151-158
Hauptverfasser: Pavone, Mauro, Biondi, Giuseppina, Matruzzo, Claudio, Rapisarda, Federico, D’Amico, Leda, Gullo, Raimondo, Circo, Maira, Torrisi, Sebastiano, Puglisi, SIlvia, Lombardo, Daniele, Bellanti, Maria, Compagnone, Domenico, Oliveri, Rosario
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Sprache:eng
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Zusammenfassung:Abstract This case shows the use of ultrasound guidance to optimize non-invasive mechanical ventilation for a 62-year-old patient with a complex medical history. Point-of-care ultrasound (POCUS) was used to assess diaphragmatic function and hemodynamics, leading to adjustments in ventilator setting. The approach improved gas exchange, resolved respiratory acidosis, and enhanced hemodynamics, providing a promising strategy for ventilator management in complex clinical cases. Keywords: Non-Invasive Mechanical Ventilation, Point-of-Care Ultrasound, Diaphragmatic Ultrasound, Focused Echocardiography, Ventilator-Induced Diaphragmatic Dysfunction, Hemodynamics.
ISSN:2694-0450
2694-0450
DOI:10.53097/JMV.10090