Self-Performed Lung Ultrasound for Home Monitoring of a Patient Positive for Coronavirus Disease 2019

Pivetta, Emanuele; Girard, Erin; Locascio, Francesca; Lupia, Enrico; Martin, John D.; Stone, Mike

doi:10.1016/j.chest.2020.05.604

Cited by 18 publications

(19 citation statements)

References 9 publications

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“…Such lesions are easily detected in a lung ultrasound (LUS), where B-line artifacts are searched for. However, without considering clinical data, differentiating the etiology of lesions affecting the interstitium is much more difficult [2][3][4][5]. Consequently, searching for further possibilities for differentiating a pulmonary from cardiogenic etiology of interstitial lesions using LUS is well grounded.…”

Section: Introductionmentioning

confidence: 99%

Clinical Impact of Vertical Artifacts Changing with Frequency in Lung Ultrasound

et al. 2021

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Background: This study concerns the application of lung ultrasound (LUS) for the evaluation of the significance of vertical artifact changes with frequency and pleural line abnormalities in differentiating pulmonary edema from pulmonary fibrosis. Study Design and Methods: The study was designed as a diagnostic test. Having qualified patients for the study, an ultrasound examination was performed, consistent with a predetermined protocol, and employing convex and linear transducers. We investigated the possibility of B-line artifact conversion depending on the set frequency (2 MHz and 6 MHz), and examined pleural line abnormalities. Results: The study group comprised 32 patients with interstitial lung disease (ILD) (and fibrosis) and 30 patients with pulmonary edema. In total, 1941 cineloops were obtained from both groups and analyzed. The employment of both types of transducers (linear and convex) was most effective (specificity 91%, specificity 97%, positive predictive value (PPV) 97%, negative predictive value (NPV) 91%, LR(+) 27,19, LR(−) 0.097, area under curve (AUC) = 0.936, p = 7 × 10−6). Interpretation: The best accuracy in differentiating the etiology of B-line artifacts was obtained with the use of both types of transducers (linear and convex), complemented with the observation of the conversion of B-line artifacts to Z-line.

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Section: Introductionmentioning

confidence: 99%

Clinical Impact of Vertical Artifacts Changing with Frequency in Lung Ultrasound

et al. 2021

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“…Telemedicine lacks a traditional physical examination but can use video clues, as noted in the “Telehealth Ten” by Benziger et al 1 Although ultrasound lung images are also transmittable via telehealth, patients at home would have to image themselves—a practice only described in case reports. 2 Notably, the anteroapical lung window is easily accessible for self-imaging and the presence of B-lines, which are ultrasound findings indicating edema or inflammation, at this site has clinical significance in congestive heart failure (CHF) 3 and in coronavirus disease 2019 (COVID-19). 4 We wish to report the feasibility of instructing patients on a simplified process of self-imaging and identify predictors of their proficiency.…”

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confidence: 99%

The Novel Concept of Patient Self-Imaging: Success in COVID-19 and Cardiopulmonary Disorders

Resnikoff

Shi

Bagsic

et al. 2021

The American Journal of Medicine

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“…In 20% of patients who had a false negative nasal swab, ultrasound showed typical parenchymal abnormalities for COVID-19. Due to the persistence of pathological ultrasound aspects after the acute phase, thoracic ultrasonography has also been chosen among the tools for COVID-19 follow-up after patient discharge [ 47 , 51 ]. Thus, when combined with clinical data, LUS can provide a potent monitoring aid in patients with suspected COVID-19 pneumonia, reflecting and anticipating CT findings.…”

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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Self-Performed Lung Ultrasound for Home Monitoring of a Patient Positive for Coronavirus Disease 2019

Cited by 18 publications

References 9 publications

Clinical Impact of Vertical Artifacts Changing with Frequency in Lung Ultrasound

Clinical Impact of Vertical Artifacts Changing with Frequency in Lung Ultrasound

The Novel Concept of Patient Self-Imaging: Success in COVID-19 and Cardiopulmonary Disorders

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

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