Author: Murat Yazıcı
Date: 13 June 2019

A 88 yo female, was intubated with indication of agonal respiration on arrive and brought by EMS ambulance.
Complain: Shortness of breath before calling to EMS.
First vitals at ED: BP: 40/20 mmHg, SO2: 99%.
PoCUS performed by EP:
1. Enlarged right atrium +,
2. Moderate tricuspid regurgitation +,
3. Dilated IVC +,
4. Bilateral multiple B-lines in each intercostal space + (= White Lung)
5. Intraabdominal free fluid +.
Tricuspid regurgitation + Alveolar Pulmonary Edema+?.
Hospitalized in ICU.
* Reminder for IVC; Collapsibility index (CI) is essential in differential diagnosis of patients while breathing spontaneously; The reasons of increased right ventricular pressure, cause decreasing of CI. In contrast to, Distensibility Index (DI) has to be evaluated in patients on positive pressure ventilation

Comments

No comments found. Be a first.

Write a Comment

Course Calendar



Authors: Mehmet Ali Aslaner, Asst. Prof. · 24 January 2018