Cardiac index is associated with oxygenation in COVID-19 acute respiratory distress syndrome

Hooman D Poor; Kevin Rurak; Daniel Howell; Alison G Lee; Elena Colicino; Alexandra S Reynolds; Kaitlin Reilly; Thomas Tolbert; Ali Mustafa; Corey E Ventetuolo

doi:10.1177/20458940211019626

Cardiac index is associated with oxygenation in COVID-19 acute respiratory distress syndrome

Pulm Circ. 2021 May 26;11(2):20458940211019626. doi: 10.1177/20458940211019626. eCollection 2021 Apr-Jun.

Authors

Hooman D Poor¹, Kevin Rurak¹, Daniel Howell¹, Alison G Lee¹, Elena Colicino², Alexandra S Reynolds^{3

4}, Kaitlin Reilly^{3

4}, Thomas Tolbert¹, Ali Mustafa⁵, Corey E Ventetuolo^{6

7}

Affiliations

¹ Division of Pulmonary, Critical Care, and Sleep Medicine, Icahn School of Medicine at Mount Sinai, New York, USA.
² Department of Environmental Medicine and Public Health, Icahn School of Medicine at Mount Sinai, New York, USA.
³ Department of Neurosurgery, Icahn School of Medicine at Mount Sinai, New York, USA.
⁴ Department of Neurology, Icahn School of Medicine at Mount Sinai, New York, USA.
⁵ Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, USA.
⁶ Department of Medicine, Brown University, Providence, USA.
⁷ Department of Health Services, Policy and Practice, Brown University, Providence, USA.

Abstract

Eleven participants with COVID-19 acute respiratory distress syndrome requiring mechanical ventilation underwent pulmonary artery catheterization for clinical indications. Clinical interventions or events concurrent with hemodynamic were recorded. Increased cardiac index was associated with worse hypoxemia. Modulation of cardiac index may improve hypoxemia in patients with COVID-19 acute respiratory distress syndrome.

Keywords: COVID-19; acute respiratory distress syndrome; cardiac index; pulmonary vasodilation; transcranial Doppler.

Abstract

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