Recommendations for Point of Care Ultrasonography during the SARS CoV-2 Pandemic.
Main Article Content
Abstract
Abstract
Deaths caused by respiratory failure and multiple organ dysfunction constitute a central difficulty in patients with COVID-19. Experts have recommended early chest computed tomography (CT) to detect suspicious patients. However, the high transmissibility rate of SARSCoV-2 and the risk of transporting unstable patients with hypoxemia and hemodynamic instability make chest CT a very limited option for the patient with suspected or confirmed COVID-19. Pulmonary ultrasound achieves early detection of abnormalities that facilitate clinical decision making, with results similar to chest CT and superior to standard chest radiography, in patients with pneumonia or Acute Respiratory Distress Syndrome (ARDS). Considering the recent reports on the findings of lung ultrasound of new SARS CoV-2 pneumonia and the experience of our working group, we have made recommendations on the usefulness of lung ultrasound in the management of these patients.
Key words: COVID-19; lung ultrasound; SARS CoV-2; Respiratory insufficiency; Acute Respiratory Distress Syndrome.
Article Details
The magazine does not retain the reproduction rights (copyright) so the authors can republish their works with the sole mention of the original publication source.
References
2. Ludvigsson JF. Systematic review of COVID-19 in children shows milder cases and a better prognosis than adults. Acta Paediatr [Internet]. [cited 2020 Apr 4];n/a(n/a). Available from: https://onlinelibrary.wiley.com/doi/abs/10.1111/apa.15270
3. Xia W, Shao J, Guo Y, Peng X, Li Z, Hu D. Clinical and CT features in pediatric patients with COVID-19 infection: Different points from adults. Pediatr Pulmonol. 2020 Mar 5;
4. Buonsenso D, Pata D, Chiaretti A. COVID-19 outbreak: less stethoscope, more ultrasound. Lancet Respir Med [Internet]. 2020 Mar 20 [cited 2020 Apr 4]; Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7104316/
5. Buonsenso D, Piano A, Raffaelli F, Bonadia N, de Gaetano Donati K, Franceschi F. Point-ofCare Lung Ultrasound findings in novel coronavirus disease-19 pnemoniae: a case report and potential applications during COVID-19 outbreak [Internet]. European Review. 2020 [cited 2020 Apr 4]. Available from: https://www.europeanreview.org/article/20549
6. National Health Commission of the people’s Republic of China. Diagnosis and treatment of novel coronavirus pneumonia (trial, the fifth version) [EB/OL]. (2020‑02‑05)[2020‑02‑06]. http://www.nhc.gov.cn/yzygj /s7653 p/20200 2/3b09b 894ac 9b420 4a79d b5b89 12d44 40.shtml
7. Mayo PH, Copetti R, Feller‑Kopman D, Mathis G, Maury E, Mongodi S, Mojoli F, Volpicelli G, Zanobetti M (2019) Thoracic ultrasonography: a nar‑ rative review. Intensive Care Med 45:1200– 1211. https ://doi.org/10.1007/ s0013 4‑019‑05725 ‑8
8. Tian S, Hu W, Niu L, Liu H, Xu H, Xiao SY. Pulmonary pathology of early phase 2019 novel coronavirus (COVID-19) pneumonia in two patients with lung cancer. J Thorac Oncol. 2020 doi: 10.1016/j.jtho.2020.02.010. [Epub ahead of print]
9. Peng, Q., Wang, X. & Zhang, L. Findings of lung ultrasonography of novel corona virus pneumonia during the 2019–2020 epidemic. Intensive Care Med (2020). https://doi.org/10.1007/s00134020-05996.
10. Soummer A, Perbet S, Brisson H, Arbelot C, Constantin JM, Lu Q, Rouby JJ, Lung Ultrasound Study Group (2012) Ultrasound assessment of lung aeration loss during a successful weaning trial predicts postextuba‑ tion distress. Crit Care Med. 40(7):2064–2072. https ://doi.org/10.1097/ CCM.0b013 e3182 4e68a e