Research Article
Volume 4 Issue 8 - 2020
Revisiting the Role of Portable Chest X-Rays in Critically Ill Patients with COVID-19
Mohammed Alodat, Abdulrahman Alharthy, Wasim Alzayer, Huda Mhawish, Omar Ramadan, Ahmed Mady, Waleed Aletreby, Dimitrios Karakitsos and Abdullah Balhamar*
Critical Care Department, King Saud Medical City, Riyadh, Kingdom of Saudi Arabia
*Corresponding Author: Abdullah Balhamar, Critical Care Department, King Saud Medical City, Riyadh, Kingdom of Saudi Arabia.
Received: July 27, 2020; Published: July 31, 2020




Abstract

Portable chest X-ray is a traditional diagnostic and monitoring tool in the intensive care unit (ICU). In this report, chest X-rays of 98 ICU patients (76 males; 46 ± 8.6 years old with partial arterial pressure of oxygen/fractional inspired concentration of oxygen ratio of 155 ± 40.4, Acute Physiology and Chronic Health Evaluation II score of 19.5 ± 3.5, ICU length of stay 24 ± 12 days and time on mechanical ventilation 17 ± 9 days) due to severe COVID-19 pneumonia were retrospectively analyzed. Main chest X-ray findings in 97% of cases included bilateral infiltrates (61.2%), variable pulmonary infiltrates/wide patchy consolidations (61.2%) and an interstitial pattern (56.1%). Pulmonary embolism was diagnosed in twenty patients by chest computed tomography (CT) angiography. Chest X-rays of survivors (75.5%) showed gradual improvement 10 ± 2 days post-ICU admission. Although the role of chest CT in the diagnosis of COVID-19 pneumonia is well-established, exploring the putative monitoring role of chest X-rays in the critical care setting, especially in this era of crisis and resource limitations, warrants further attention.

Keywords: COVID-19; Chest X-Ray; Acute Respiratory Distress Syndrome; Intensive Care Unit

References

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Citation: Abdullah Balhamar., et al. “Revisiting the Role of Portable Chest X-Rays in Critically Ill Patients with COVID-19”. EC Emergency Medicine and Critical Care 4.8 (2020): 107-112.

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