Point-of-Care Lung Ultrasound Findings in Patients with COVID-19 Pneumonia.

MedStar author(s):
Citation: American Journal of Tropical Medicine & Hygiene. 102(6):1198-1202, 2020 06.PMID: 32333544Institution: MedStar Washington Hospital CenterDepartment: Medicine/Internal MedicineForm of publication: Journal ArticleMedline article type(s): Journal ArticleSubject headings: *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 | UltrasonographyYear: 2020Local holdings: Available online from MWHC library: 1998 - present (after 1year), Available in print through MWHC library: 1999 - 2006ISSN:
  • 0002-9637
Name of journal: The American journal of tropical medicine and hygieneAbstract: 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.All authors: Minami T, Yasukawa KOriginally published: American Journal of Tropical Medicine & Hygiene. 2020 Apr 24Fiscal year: FY2020Original title: Point-of-Care Lung Ultrasound Findings in Patients with Novel Coronavirus Disease (COVID-19) Pneumonia.Digital Object Identifier: Date added to catalog: 2020-07-09
Holdings
Item type Current library Collection Call number Status Date due Barcode
Journal Article MedStar Authors Catalog Article 32333544 Available 32333544

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.

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