Point-of-Care Lung Ultrasound Findings in Patients with COVID-19 Pneumonia.
Point-of-Care Lung Ultrasound Findings in Patients with COVID-19 Pneumonia.
- 2020
Available online from MWHC library: 1998 - present (after 1year), Available in print through MWHC library: 1999 - 2006
Patients with novel coronavirus disease (COVID-19) typically present with bilateral multilobar ground-glass opacification with a peripheral distribution. The utility of point-of-care ultrasound has been suggested, but detailed descriptions of lung ultrasound findings are not available. We evaluated lung ultrasound findings in 10 patients admitted to the internal medicine ward with COVID-19. All of the patients had characteristic glass rockets with or without the Birolleau variant (white lung). Thick irregular pleural lines and confluent B lines were also present in all of the patients. Five of the 10 patients had small subpleural consolidations. Point-of-care lung ultrasound has multiple advantages, including lack of radiation exposure and repeatability. Also, lung ultrasound has been shown to be more sensitive than a chest radiograph in detecting alveolar-interstitial syndrome. The utilization of lung ultrasound may also reduce exposure of healthcare workers to severe acute respiratory syndrome-coronavirus-2 and may mitigate the shortage of personal protective equipment. Further studies are needed to evaluate the utility of lung ultrasound in the diagnosis and management of COVID-19.
English
0002-9637
10.4269/ajtmh.20-0280 [doi]
*Asthma/dg [Diagnostic Imaging]
*Betacoronavirus/py [Pathogenicity]
*Coronavirus Infections/dg [Diagnostic Imaging]
*Hypertension/dg [Diagnostic Imaging]
*Lung/dg [Diagnostic Imaging]
*Obesity/dg [Diagnostic Imaging]
*Pneumonia, Viral/dg [Diagnostic Imaging]
Adult
Aged
Asthma/pa [Pathology]
Asthma/th [Therapy]
Asthma/vi [Virology]
Betacoronavirus/ge [Genetics]
Coronavirus Infections/pa [Pathology]
Coronavirus Infections/th [Therapy]
Coronavirus Infections/vi [Virology]
Female
Humans
Hypertension/pa [Pathology]
Hypertension/th [Therapy]
Hypertension/vi [Virology]
Lung/de [Drug Effects]
Lung/pa [Pathology]
Lung/vi [Virology]
Male
Middle Aged
Obesity/pa [Pathology]
Obesity/th [Therapy]
Obesity/vi [Virology]
Oxygen/tu [Therapeutic Use]
Pandemics
Pneumonia, Viral/pa [Pathology]
Pneumonia, Viral/th [Therapy]
Pneumonia, Viral/vi [Virology]
Point-of-Care Systems
Retrospective Studies
Reverse Transcriptase Polymerase Chain Reaction
Ultrasonography
MedStar Washington Hospital Center
Medicine/Internal Medicine
Journal Article
Available online from MWHC library: 1998 - present (after 1year), Available in print through MWHC library: 1999 - 2006
Patients with novel coronavirus disease (COVID-19) typically present with bilateral multilobar ground-glass opacification with a peripheral distribution. The utility of point-of-care ultrasound has been suggested, but detailed descriptions of lung ultrasound findings are not available. We evaluated lung ultrasound findings in 10 patients admitted to the internal medicine ward with COVID-19. All of the patients had characteristic glass rockets with or without the Birolleau variant (white lung). Thick irregular pleural lines and confluent B lines were also present in all of the patients. Five of the 10 patients had small subpleural consolidations. Point-of-care lung ultrasound has multiple advantages, including lack of radiation exposure and repeatability. Also, lung ultrasound has been shown to be more sensitive than a chest radiograph in detecting alveolar-interstitial syndrome. The utilization of lung ultrasound may also reduce exposure of healthcare workers to severe acute respiratory syndrome-coronavirus-2 and may mitigate the shortage of personal protective equipment. Further studies are needed to evaluate the utility of lung ultrasound in the diagnosis and management of COVID-19.
English
0002-9637
10.4269/ajtmh.20-0280 [doi]
*Asthma/dg [Diagnostic Imaging]
*Betacoronavirus/py [Pathogenicity]
*Coronavirus Infections/dg [Diagnostic Imaging]
*Hypertension/dg [Diagnostic Imaging]
*Lung/dg [Diagnostic Imaging]
*Obesity/dg [Diagnostic Imaging]
*Pneumonia, Viral/dg [Diagnostic Imaging]
Adult
Aged
Asthma/pa [Pathology]
Asthma/th [Therapy]
Asthma/vi [Virology]
Betacoronavirus/ge [Genetics]
Coronavirus Infections/pa [Pathology]
Coronavirus Infections/th [Therapy]
Coronavirus Infections/vi [Virology]
Female
Humans
Hypertension/pa [Pathology]
Hypertension/th [Therapy]
Hypertension/vi [Virology]
Lung/de [Drug Effects]
Lung/pa [Pathology]
Lung/vi [Virology]
Male
Middle Aged
Obesity/pa [Pathology]
Obesity/th [Therapy]
Obesity/vi [Virology]
Oxygen/tu [Therapeutic Use]
Pandemics
Pneumonia, Viral/pa [Pathology]
Pneumonia, Viral/th [Therapy]
Pneumonia, Viral/vi [Virology]
Point-of-Care Systems
Retrospective Studies
Reverse Transcriptase Polymerase Chain Reaction
Ultrasonography
MedStar Washington Hospital Center
Medicine/Internal Medicine
Journal Article