Lung ultrasound in COVID-19: Insights from the frontline and research experiences

Cogliati, Chiara; Bosch, Frank H.; Tung‐Chen, Yale; Smallwood, Nicholas; Torres‐Macho, Juan

doi:10.1016/j.ejim.2021.06.004

Cited by 12 publications

(13 citation statements)

References 24 publications

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“…Furthermore, according to the statistics presented by the World Human Organization, around two-thirds of the world population does not have easy access to a basic radiology or imagistic department [ 7 ]. Additionally, ultrasound equipment is readily available in many hospital departments, wards, and small clinics [ 62 ]. Unfortunately, this is not the case with radiographs or CTs.…”

Section: Discussionmentioning

confidence: 99%

Is Lung Ultrasound Helpful in COVID-19 Neonates?—A Systematic Review

et al. 2021

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Background: The SARS-CoV-2 infection has occurred in neonates, but it is a fact that radiation exposure is not recommended given their age. The aim of this review is to assess the evidence on the utility of lung ultrasound (LUS) in neonates diagnosed with COVID-19. Methods: A systematic literature review was performed so as to find a number of published studies assessing the benefits of lung ultrasound for newborns diagnosed with COVID and, in the end, to make a comparison between LUS and the other two more conventional procedures of chest X-rays or CT exam. The key terms used in the search of several databases were: “lung ultrasound”, “sonography”, “newborn”, “neonate”, and “COVID-19′. Results: In total, 447 studies were eligible for this review, and after removing the duplicates, 123 studies referring to LU were further examined, but only 7 included cases of neonates. These studies were considered for the present research paper. Conclusions: As a non-invasive, easy-to-use, and reliable method for lung lesion detection in neonates with COVID-19, lung ultrasound can be used as a useful diagnosis tool for the evaluation of COVID-19-associated lung lesions. The benefits of this method in this pandemic period are likely to arouse interest in opening new research horizons, with immediate practical applicability.

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Section: Discussionmentioning

confidence: 99%

Is Lung Ultrasound Helpful in COVID-19 Neonates?—A Systematic Review

et al. 2021

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“…Despite high resolution CT (HRCT) being considered the gold standard for diagnosis, staging, and follow-up of COVID-19 [ 36 , 37 , 38 ], it requires patient transportation and radiation exposure. Thanks to the elevated sensitivity and specificity of ultrasound in the field of pleural, parenchymal, and interstitial abnormalities, the whole international literature considers lung ultrasound (LUS) a useful support for the diagnosis of COVID-19 pneumonia in the emergency setting as well as for the clinical and therapeutic follow-up [ 39 , 40 , 41 , 42 , 43 , 44 , 45 ]. Indeed, LUS can be easily used at a patient’s bed without X-ray exposure, and it can be repeated several times, for example in pregnant women and children [ 46 ].…”

Section: The Pathophysiology Of Severe Pneumonia/ards Due To Covid-19...mentioning

confidence: 99%

Different Methods to Improve the Monitoring of Noninvasive Respiratory Support of Patients with Severe Pneumonia/ARDS Due to COVID-19: An Update

Pelosi

Tonelli

Torregiani

et al. 2022

JCM

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The latest guidelines for the hospital care of patients affected by coronavirus disease 2019 (COVID-19)-related acute respiratory failure have moved towards the widely accepted use of noninvasive respiratory support (NIRS) as opposed to early intubation at the pandemic onset. The establishment of severe COVID-19 pneumonia goes through different pathophysiological phases that partially resemble typical acute respiratory distress syndrome (ARDS) and have been categorized into different clinical–radiological phenotypes. These can variably benefit on the application of external positive end-expiratory pressure (PEEP) during noninvasive mechanical ventilation, mainly due to variable levels of lung recruitment ability and lung compliance during different phases of the disease. A growing body of evidence suggests that intense respiratory effort producing excessive negative pleural pressure swings (Ppl) plays a critical role in the onset and progression of lung and diaphragm damage in patients treated with noninvasive respiratory support. Routine respiratory monitoring is mandatory to avoid the nasty continuation of NIRS in patients who are at higher risk for respiratory deterioration and could benefit from early initiation of invasive mechanical ventilation instead. Here we propose different monitoring methods both in the clinical and experimental settings adapted for this purpose, although further research is required to allow their extensive application in clinical practice. We reviewed the needs and available tools for clinical–physiological monitoring that aims at optimizing the ventilatory management of patients affected by acute respiratory distress syndrome due to severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) infection.

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“…The protocol consisted of the evaluation of six regions in each hemithorax (two anterior, two lateral, two posterior); a scoring system (0-3) was used to evaluate and grade the presence of interstitial pattern (score 1 or 2) or consolidation (score 3) in each region. Data regarding the value of LUS in predicting the evolution toward ARDS and/or death have been recently published by our [3] and other groups [4]. The examination was repeated again if clinically indicated, mainly in the presence of worsening respiratory condition.…”

Section: Dear Editormentioning

confidence: 99%