None listed
Conditions
Brief summary
COVID-19 patients in intensive care will have their ongoing respiratory & ventilator management decided in one of two ways either 1. Using Lung Ultrasound imaging 2 The traditional method of using auscultation, arterial blood gases and ventilator settings such as static compliance Number of patients ventilated, length of stay (intensive care, hospital (time on ventilator , ventilator free days, mortality (in intensive care and at 28 day ) will be recorded and compared between the two groups. Both methods of management are standard in the intensive care units.
Interventions
Patients with pulmonary infection and COVID 19 will have their respiratory management during ICU admission decided in one of two ways
Method 1. Lung ultrasound will be used to make management decisions - this is a non-invasive way of ultrasounding the lungs
One hospital site will use method 1
Three hospitals will use method 2
Both methods are currently standard at the respective hospitals
The comparator treatment will be decided by the attending intensivist. The treatment will be different in e
Patients with pulmonary infection and COVID 19 will have their respiratory management during ICU admission decided in one of two ways Method 1. Lung ultrasound will be used to make management decisions - this is a non-invasive way of ultrasounding the lungs One hospital site will use method 1 Three hospitals will use method 2 Both methods are currently standard at the respective hospitals The comparator treatment will be decided by the attending intensivist. The treatment will be different in every patient. Depending on the results of the auscultation and waveform analysis, a different method of mechanical ventilation or respiratory physiotherapy may be chosen. Respiratory physiotherapy may be different in each case but will consist of either ventilator hyperinflation, positioning or manual techniques. The senior respiratory physiotherapist will decide the type of physiotherapy treatment delivered based on COVI 19 guidelines. This will be from admission to ICU to 28 days post hospital discharge
Sponsors
Griffith University
Eligibility
Sex/Gender
All
Age
18 Years to 80 Years
Healthy volunteers
No
Inclusion criteria
Positive for COVID 19 with pulmonary involvement - severe Admission or being considered for admission to intensive care unit
Exclusion criteria
Moribund or for palliative care
Outcome results
None listed