Lung Ultrasound for Evaluation of COVID-19 in Children

Sainz, Talía; Udaondo, Clara; Méndez-Echevarría, Ana; Calvo, Cristina

doi:10.1016/j.arbres.2020.10.013

Cited by 9 publications

(22 citation statements)

References 10 publications

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“…LUS is widely implemented for the diagnosis of pulmonary disease in children [ 1 , 2 , 3 , 4 , 5 , 6 ], and the COVID-19 pandemic has shown its utility in daily practice [ 9 , 10 , 11 ]. Despite its utility, systems for pulmonary disease severity classification by LUS in a pediatric population are lacking [ 1 , 2 , 4 ], and the definition of a normal LUS examination remains unclear.…”

Section: Discussionmentioning

confidence: 99%

“…Further, if the former is the case, does this pulmonary damage relate to the severity of the disease? Many articles have focused on the role of LUS for the early diagnosis and follow-up of symptomatic COVID-19 in both adults [ 6 ] and children [ 9 , 10 , 11 , 12 ]. However, studies on the use of LUS evaluation in mid-term follow-up on asymptomatic pediatric COVID-19 patients are sparse.…”

Section: Introductionmentioning

confidence: 99%

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Lung Ultrasound Findings in Healthy Children and in Those Who Had Recent, Not Severe COVID-19 Infection

Cantinotti

Marchese

Assanta

et al. 2022

JCM

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Background: Lung ultrasound (LUS) is gaining consensus as a non-invasive diagnostic imaging method for the evaluation of pulmonary disease in children. Aim: To clarify what type of artifacts (e.g., B-lines, pleural irregularity) can be defined normal LUS findings in children and to evaluate the differences in children who did not experience COVID-19 and in those with recent, not severe, previous COVID-19. Methods: LUS was performed according to standardized protocols. Different patterns of normality were defined: pattern 1: no plural irregularity and no B-lines; pattern 2: only mild basal posterior plural irregularity and no B-lines; pattern 3: mild posterior basal/para-spine/apical pleural irregularity and no B-lines; pattern 4: like pattern 3 plus rare B-lines; pattern 5: mild, diffuse short subpleural vertical artifacts and rare B-lines; pattern 6: mild, diffuse short subpleural vertical artifacts and limited B-lines; pattern 7: like pattern 6 plus minimal subpleural atelectasis. Coalescent B-lines, consolidations, or effusion were considered pathological. Results: Overall, 459 healthy children were prospectively recruited (mean age 10.564 ± 3.839 years). Children were divided into two groups: group 1 (n = 336), those who had not had COVID-19 infection, and group 2 (n = 123), those who experienced COVID-19 infection. Children with previous COVID-19 had higher values of LUS score than those who had not (p = 0.0002). Children with asymptomatic COVID-19 had similar LUS score as those who did not have infections (p > 0.05), while those who had symptoms showed higher LUS score than those who had not shown symptoms (p = 0.0228). Conclusions: We report the pattern of normality for LUS examination in children. We also showed that otherwise healthy children who recovered from COVID-19 and even those who were mildly symptomatic had more “physiological” artifacts at LUS examinations.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Lung Ultrasound Findings in Healthy Children and in Those Who Had Recent, Not Severe COVID-19 Infection

Cantinotti

Marchese

Assanta

et al. 2022

JCM

View full text Add to dashboard Cite

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“…The patient was transferred to the intensive care unit after difficult ward management. Point of care ultrasound has been widely used in perioperative nerve block anaesthesia, and bedside ultrasound based on severe cases has played an important role during COVID-19 [6][7][8][9]. Perioperative evaluation bedside ultrasound practice is also increasing in anaesthesia [10][11][12].…”

Section: Discussionmentioning

confidence: 99%

A Case of Apnea in COPD Patients Induced by Sedatives

Zheng¹,

Yang²,

Xiong³

et al. 2021

SCR

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“…In children, the accuracy of lung-ultrasound in detecting pediatric pneumonia of any etiology seem to be comparable in the context of COVID-19 and is limited. Further studies are needed to assess usefulness of POCUS in children suffering from COVID-19 (Sainz, et al 2021).…”

Section: Lung-ultrasound a Valuable Alternative To Ct-scansmentioning

confidence: 99%

Tele-ultrasound in the Era of COVID-19: A Practical Guide

Uschnig

Recker

Blaivas

et al. 2022

Ultrasound in Medicine & Biology

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Telemedicine has evolved over the past 50 years with video consultations and tele-health (TH) mobile apps now widely used to support care in the management of chronic conditions, but are infrequently utilized in acute conditions such as emergencies. In the wake of the COVID-19 pandemic, demand is growing for video consultations as they minimize health provider-patient interactions and thereby risk of infection. Advanced applications such as tele-ultrasound (TUS) have not yet gained a foothold despite having achieved technical maturity and availability of software offering from numerous companies for TUS for their respective portable ultrasound devices. However, ultrasound is indispensable for triage in emergencies and also offers distinct advantages in the diagnosis of COVID-19 pneumonia for certain patient populations such as pregnant women, children, and immobilized patients. Additionally, recent work suggests lung ultrasound can accurately risk stratify patients for likely infection when immediate PCR testing is not available and has prognostic utility for positive patients regarding need for admission and ICU treatment. Though currently underutilized, a wider implementation of TUS in TH applications and processes may be an important stepping-stone for telemedicine. The addition of ultrasound to TH may allow it to cross the barrier from being an application mainly used for primary care and chronic conditions to an indispensable tool used in emergency care, disaster situations, remote areas, and low-income countries where it is difficult to obtain high quality diagnostic imaging. The objective of this review is to provide an overview of the current state of telemedicine, insights into current and future use scenarios, its practical application as well as current TUS uses and their potential value with an overview of currently available portable and handheld ultrasound devices. In the wake of the COVID-19 pandemic we point out an unmet need and use case of TUS as a supportive tool for health care providers and organizations in the management of affected patients.

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Lung Ultrasound for Evaluation of COVID-19 in Children

Cited by 9 publications

References 10 publications

Lung Ultrasound Findings in Healthy Children and in Those Who Had Recent, Not Severe COVID-19 Infection

Lung Ultrasound Findings in Healthy Children and in Those Who Had Recent, Not Severe COVID-19 Infection

A Case of Apnea in COPD Patients Induced by Sedatives

Tele-ultrasound in the Era of COVID-19: A Practical Guide

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