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POCUS in COVID-19 Pneumonia

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Cardiopulmonary Point of Care Ultrasound

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Abstract

Lung ultrasound is a useful and reliable tool in the assessment, triaging, and monitoring of patients with SARS CoV2 infection with COVID-19 pneumonia. The higher sensitivity of the modality compared to chest radiography has led to an increasing use by frontline clinicians at the bedside. Integrating LUS probability with the clinical suspicion would simplify the decision-making process, providing a clear guidance to the healthcare personnel allowing to rule-in or rule-out the possibility of COVID-19.

‘When we all think alike, then no one is thinking’

Walter Lippmann, American Writer (1889–1974 AD)

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References

  1. Guan WJ, Ni ZY, Hu Y, Liang WH, Ou CQ, He JX, Liu L, Shan H, Lei CL, Hui DSC, Du B, Li LJ, Zeng G, Yuen KY, Chen RC, Tang CL, Wang T, Chen PY, Xiang J, Li SY, Wang JL, Liang ZJ, Peng YX, Wei L, Liu Y, Hu YH, Peng P, Wang JM, Liu JY, Chen Z, Li G, Zheng ZJ, Qiu SQ, Luo J, Ye CJ, Zhu SY, Zhong NS. China medical treatment expert group for Covid-19. Clinical characteristics of coronavirus disease 2019 in China. N Engl J Med. 2020;382:1708–1720.

    Google Scholar 

  2. Rodriguez-Morales AJ, Cardona-Ospina JA, Gutie rrez-Ocampo E, Villamizar- Pe~na R, Holguin-Rivera Y, Escalera-Antezana JP, Alvarado-Arnez LE, Bonilla- Aldana DK, Franco-Paredes C, Henao-Martinez AF, Paniz-Mondolfi A, Lagos- Grisales GJ, Ramı rez-Vallejo E, Sua rez JA, Zambrano LI, Villamil-Go mez WE, Balbin-Ramon GJ, Rabaan AA, Harapan H, Dhama K, Nishiura H, Kataoka H, Ahmad T, Sah R. Latin American network of coronavirus disease 2019—COVID-19 Research (LANCOVID-19). Clinical, laboratory and imaging features of COVID-19: a systematic review and meta-analysis. Travel Med Infect Dis. 2020;34:101623.

    Google Scholar 

  3. Marini JJ, Gattinoni L. Management of COVID-19 respiratory distress. JAMA. 2020. https://doi.org/10.1001/jama.2020.6825.

    Article  PubMed  Google Scholar 

  4. Fang Y, Zhang H, Xie J, Lin M, Ying L, Pang P, Ji W. Sensitivity of chest CT for COVID-19: comparison to RT–PCR. Radiology. 2020. https://doi.org/10.1148/radiol.2020200432.

    Article  PubMed  Google Scholar 

  5. Ai T, Yang Z, Hou H, Zhan C, Chen C, Lv W, Tao Q, Sun Z, Xia L. Correlation of chest CT and RT–PCR testing in coronavirus disease 2019 (COVID-19) in China: a report of 1014 cases. Radiology 2020. https://doi.org/10.1148/radiol.2020200642.

  6. Bernheim A, Mei X, Huang M, Yang Y, Fayad ZA, Zhang N, Diao K, Lin B, Zhu X, Li K, Li S, Shan H, Jacobi A, Chung M. Chest CT findings in coronavirus disease-19 (COVID-19): relationship to duration of infection. Radiology. 2020. https://doi.org/10.1148/radiol.2020200463.

    Article  PubMed  PubMed Central  Google Scholar 

  7. Gargani L, Picano E. The risk of cumulative radiation exposure in chest imaging and the advantage of bedside ultrasound. Crit Ultrasound J. 2015;7:4.

    Article  PubMed  PubMed Central  Google Scholar 

  8. Millington SJ, Koenig S, Mayo P, Volpicelli G. Lung ultrasound for patients with coronavirus disease 2019 pulmonary disease. Chest. 2021;159(1):205–11. https://doi.org/10.1016/j.chest.2020.08.2054.

    Article  CAS  PubMed  Google Scholar 

  9. Volpicelli G, Lamorte A, Ville n T. What’s new in lung ultrasound during the COVID-19 pandemic. Intensive Care Med. 2020. https://doi.org/10.1007/s00134-020-06048-9.

  10. Volpicelli G, Gargani L. Sonographic signs and patterns of COVID-19 pneumonia. Ultrasound J. 2020;12:22.

    Article  PubMed  PubMed Central  Google Scholar 

  11. Gargani L. Ultrasound of the lungs: more than a room with a view. Heart Fail Clin. 2019;15:297–303.

    Article  PubMed  Google Scholar 

  12. Mojoli F, Bouhemad B, Mongodi S, Lichtenstein D. Lung ultrasound for critically ill patients. Am J Respir Crit Care Med. 2019;199:701–14.

    Article  PubMed  Google Scholar 

  13. Volpicelli G, Elbarbary M, Blaivas M, Lichtenstein DA, Mathis G, Kirkpatrick AW,Melniker L, Gargani L, Noble VE, Via G, Dean A, Tsung JW, Soldati G, Copetti R, Bouhemad B, Reissig A, Agricola E, Rouby JJ, Arbelot C, Liteplo A, Sargsyan A, Silva F, Hoppmann R, Breitkreutz R, Seibel A, Neri L, Storti E, Petrovic T; International Liaison Committee on Lung Ultrasound (ILC-LUS) for International Consensus Conference on Lung Ultrasound (ICC-LUS). International evidence based recommendations for point-of-care lung ultrasound. Intensive Care Med. 2012;38:577–591.

    Google Scholar 

  14. Gargani L, Soliman-Aboumarie H, Volpicelli G, Corradi F. Maria Concetta Pastore, Matteo Cameli, Why, when, and how to use lung ultrasound during the COVID-19 pandemic: enthusiasm and caution. Eur Hear J Cardiovasc Imaging. 2020;21(9):941–8. https://doi.org/10.1093/ehjci/jeaa163.

    Article  Google Scholar 

  15. Anderson KL, Fields JM, Panebianco NL, Jenq KY, Marin J, Dean AJ. Inter-rater reliability of quantifying pleural B-lines using multiple counting methods. J Ultrasound Med. 2013;32:115–20.

    Article  PubMed  Google Scholar 

  16. Gargani L, Sicari R, Raciti M, Serasini L, Passera M, Torino C, Letachowicz K, Ekart R, Fliser D, Covic A, Balafa O, Stavroulopoulos A, Massy ZA, Fiaccadori E, Caiazza A, Bachelet T, Slotki I, Shavit L, Martinez-Castelao A, Coudert-Krier MJ, Rossignol P, Kraemer TD, Hannedouche T, Panichi V, Wiecek A, Pontoriero G, Sarafidis P, Klinger M, Hojs R, Seiler-Mu ler S, Lizzi F, Onofriescu M, Zarzoulas F, Tripepi R, Mallamaci F, Tripepi G, Picano E, London GM, Zoccali C. Efficacy of a remote web-based lung ultrasound training for nephrologists and cardiologists: a LUST trial sub-project. Nephrol Dial Transplant. 2016;31:1982–1988.

    Google Scholar 

  17. Narula J, Chandrashekhar Y, Braunwald E. Time to add a fifth pillar to bedside physical examination: inspection, palpation, percussion, auscultation, and insonation. JAMA Cardiol. 2018;3:346–50.

    Article  PubMed  Google Scholar 

  18. Cardim N, Dalen H, Voigt JU, Ionescu A, Price S, Neskovic AN, Edvardsen T, Galderisi M, Sicari R, Donal E, Stefanidis A, Delgado V, Zamorano J, Popescu BA. The use of handheld ultrasound devices: a position statement of the European Association of Cardiovascular Imaging (2018 update). Eur Heart J Cardiovasc Imaging. 2019;20:245–52.

    Article  PubMed  Google Scholar 

  19. Pivetta E, Goffi A, Tizzani M, Locatelli SM, Porrino G, Losano I, Leone D, Calzolari G, Vesan M, Steri F, Ardito A, Capuano M, Gelardi M, Silvestri G, Dutto S, Avolio M, Cavallo R, Bartalucci A, Paglieri C, Morello F, Richiardi L, Maule MM, Lupia E. Molinette MedUrg Group on lung ultrasound. Lung ultrasonography for the diagnosis of SARS-CoV-2 pneumonia in the emergency department. Ann Emerg Med. 2021;77(4):385–94. https://doi.org/10.1016/j.annemergmed.2020.10.008. Epub 2020 Oct 13. PMID: 33461884; PMCID: PMC7552969.

  20. Volpicelli G, Gargani L, Perlini S, Spinelli S, Barbieri G, Lanotte A, Casasola GG, Nogué-Bou R, Lamorte A, Agricola E, Villén T, Deol PS, Nazerian P, Corradi F, Stefanone V, Fraga DN, Navalesi P, Ferre R, Boero E, Martinelli G, Cristoni L, Perani C, Vetrugno L, McDermott C, Miralles-Aguiar F, Secco G, Zattera C, Salinaro F, Grignaschi A, Boccatonda A, Giostra F, Infante MN, Covella M, Ingallina G, Burkert J, Frumento P, Forfori F, Ghiadoni L. on behalf of the International Multicenter Study Group on LUS in COVID-19. Lung ultrasound for the early diagnosis of COVID-19 pneumonia: an international multicenter study. Intensive Care Med. 2021;47(4):444–54. https://doi.org/10.1007/s00134-021-06373-7. Epub 2021 Mar 20. PMID: 33743018; PMCID: PMC7980130.

  21. Gattinoni L, et al. COVID-19 pneumonia: different respiratory treatments for different phenotypes?. Intensive Care Med. 2020;46.6:1099–102.

    Google Scholar 

  22. Bouhemad B, Mongodi S, Via G, Rouquette I. Ultrasound for “lung monitoring” of ventilated patients. Anesthesiology. 2015;122(2):437–47. https://doi.org/10.1097/ALN.0000000000000558. PMID: 25501898.

    Article  PubMed  Google Scholar 

  23. Gattinoni L, Chiumello D, Caironi P, et al. COVID-19 pneumonia: different respiratory treatments for different phenotypes? Intensive Care Med. 2020;46:1099–102. https://doi.org/10.1007/s00134-020-06033-2.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  24. Arntfield R, VanBerlo B, Alaifan T, et al. Development of a convolutional neural network to differentiate among the etiology of similar appearing pathological B lines on lung ultrasound: a deep learning study. BMJ Open. 2021;11:e045120. https://doi.org/10.1136/bmjopen-2020-045120.

  25. Skulstad H, et al. COVID-19 pandemic and cardiac imaging: EACVI recommendations on precautions, indications, prioritization, and protection for patients and healthcare personnel Eur Hear J Cardiovasc Imaging. 2020; 21.6:592–598.

    Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Anaesthetics and Critical Care, Harefield Hospital. Royal Brompton and Harefield Hospitals, London, UK

    Hatem Soliman-Aboumarie

  2. University of Pisa, Pisa, Italy

    Luna Gargani

  3. Emergency Medicine, San Luigi Gonzaga University Hospital, Torino, Italy

    Giovanni Volpicelli

Authors
  1. Hatem Soliman-Aboumarie
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  2. Luna Gargani
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  3. Giovanni Volpicelli
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Corresponding author

Correspondence to Hatem Soliman-Aboumarie .

Editor information

Editors and Affiliations

  1. Department of Anaesthetics and Critical Care, Royal Brompton and Harefield Hospitals, London, UK

    Hatem Soliman-Aboumarie

  2. Federal University of Health Sciences of Porto Alegre (UFCSPA), Porto Alegre, Brazil

    Marcelo Haertel Miglioranza

  3. Department of Surgical, Medical and Molecular Pathology and Critical Care Medicine, University of Pisa, Pisa, Italy

    Luna Gargani

  4. San Luigi Gonzaga University Hospital, Orbassano, Italy

    Giovanni Volpicelli

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Soliman-Aboumarie, H., Gargani, L., Volpicelli, G. (2023). POCUS in COVID-19 Pneumonia. In: Soliman-Aboumarie, H., Haertel Miglioranza, M., Gargani, L., Volpicelli, G. (eds) Cardiopulmonary Point of Care Ultrasound. Springer, Cham. https://doi.org/10.1007/978-3-031-29472-3_14

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  • DOI: https://doi.org/10.1007/978-3-031-29472-3_14

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-29471-6

  • Online ISBN: 978-3-031-29472-3

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