In this video the typical findings of lung ultrasound are described for critical patients with COVID infection.
Findings in lung ultrasound have been described as being present prior to symptoms for the patient develop. Lack of findings, however, does NOT mean that the patient does not have COVID.
Being a new virus the literature is in its infancy but the finding are similar to previously documented sonographic lung findings.
We are all learning together with this new pandemic. Post your experience and findings below for others to learn from when studying about this infection and lung ultrasound findings.
Studies are limited and number of participants in those studies are small but it is the best information we have at this point.
Resources:
POCUS GEEK - COVID - LUNG Ultrasound Handout
drive.google.com/open?id=1WZz...
radiopaedia.org/articles/covi...
Poggiali E, Dacrema A, Bastoni D, et al. Can Lung US Help Critical Care Clinicians in the Early Diagnosis of Novel Coronavirus (COVID-19) Pneumonia? Radiology. (2020)
pubs.rsna.org/doi/10.1148/rad...
Peng QY, Wang XT, Zhang LN, . Findings of lung ultrasonography of novel corona virus pneumonia during the 2019-2020 epidemic. Intensive care medicine. (2020)
www.ncbi.nlm.nih.gov/pmc/arti...
Huang, Yi, Wang, Sihan, Liu, Yue, Zhang, Yaohui, Zheng, Chuyun, Zheng, Yu, Zhang, Chaoyang, Min, Weili, Zhou, Huihui, Yu, Ming, Hu, Mingjun. A Preliminary Study on the Ultrasonic Manifestations of Peripulmonary Lesions of Non-Critical Novel Coronavirus Pneumonia (COVID-19). (2020)
doi.org/10.2139/ssrn.3544750
I have found lung and fluid volume status POCUS to be beneficial in patients being evaluated for COVID, even when the initial CXR is not COVID suggestive (and PCR is pending). Recently found a Pt in CHF that was not suspected (completed the physical on the COVID floor) and found small pleural effusions not visible on the AP CXR from the ED. All care was good...but incorporating POCUS routinely improves my bedside diagnostics (without a CT-chest or formal ECHO).
Sweet. Well done. Thank you
Thank you
THANK YOU VERYINFORMATIVE!
Very nice
Thank u
do you have data-set of patients of this category, i want to train a model?
Thank very much
Thank you for your explanation
Very good explanation of As and B's! COVID pneumonia has been notable to me for erasing the diaphragm and for how generalized it is, not localized like so many other pneumonias. Also for how difficult it is to get POCUS on these pt's with PPE on and sheathed probe, really sick pts.
I agree it is difficult. Keep in mind you want to limit your exposure as much as possible and should move through this study as quickly as possible.
Why not try to destroy coronavirus with ultrasound ?