Abstract
The Corona virus disease 2019 (Covid-19) has brought a wide range of challenges in intensive care medicine. Understanding of the pathophysiology of Covid-19 relies on interpreting of its impact on the vascular, particularly microcirculatory system. Herein we report on the first use of the latest generation hand-held vital microscope to evaluate the sublingual microcirculation in a Covid-19 patient with subcutaneous emphysema, venous thrombosis and pneumomediastinum. Remarkably, microcirculatory parameters of the patient were increased during the exacerbation period, which is not a usual finding in critically ill patients mostly presenting with a loss of hemodynamic coherence. In contrast, recovery from the disease led to a subsequent amelioration of these parameters. This report clearly shows the importance of microcirculatory monitoring for evaluating the course and the adequacy of therapy in Covid-19 patients.
Original language | English |
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Article number | 624695 |
Journal | Frontiers in Medicine |
Volume | 7 |
DOIs | |
Publication status | Published - 28 Jan 2021 |
Keywords
- COVID-19
- IDF imaging
- pneumomediastinum
- subcutaneous emphysema
- sublingual microcirculation
- venous thrombosis