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Approach to Echocardiography in ARDS Patients in the Prone Position: A Systematic Review
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  • Mustafa Ajam,
  • Matthew Drake ,
  • Ran Ran ,
  • Srini Mukundan ,
  • Ahmad Masri,
  • Hind Rahmouni
Mustafa Ajam
Oregon Health & Science University

Corresponding Author:m_ijam@yahoo.com

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Matthew Drake
Oregon Health & Science University
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Ran Ran
Oregon Health & Science University
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Srini Mukundan
Oregon Health & Science University
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Ahmad Masri
Oregon Health & Science University
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Hind Rahmouni
Oregon Health & Science University
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Abstract

Echocardiography is commonly utilized in patients with acute respiratory distress syndrome (ARDS) for assessment of cardiac function, volume status, and the potential development of acute cor pulmonale. In severe ARDS, prone positioning is frequently used, which imposes technical challenges during transthoracic echocardiography (TTE) image acquisition. Moreover, prone positioning can affect cardiopulmonary function in ways that are reflected on the echocardiographic findings in this position. Historically, a transesophageal approach was recommended when a patient is prone, with few studies reporting utility of TTE in this setting. However, recent publications have begun to address this knowledge gap. This review explores recent literature addressing the use of TTE in prone patients with ARDS, with a special focus on the cardiopulmonary effects of proning and potential solutions to the technical difficulties that arise in this position.
08 Aug 2021Submitted to Echocardiography
11 Aug 2021Submission Checks Completed
11 Aug 2021Assigned to Editor
22 Aug 2021Reviewer(s) Assigned
25 Sep 2021Review(s) Completed, Editorial Evaluation Pending
04 Oct 2021Editorial Decision: Revise Major
18 Nov 20211st Revision Received
18 Nov 2021Submission Checks Completed
18 Nov 2021Assigned to Editor
18 Nov 2021Reviewer(s) Assigned
03 Dec 2021Review(s) Completed, Editorial Evaluation Pending
13 Dec 2021Editorial Decision: Accept
Feb 2022Published in Echocardiography volume 39 issue 2 on pages 330-338. 10.1111/echo.15294