Point‐of‐care lung ultrasound in the diagnosis and monitoring of paediatric patients with spontaneous pneumothorax in <scp>SARS‐CoV‐2</scp> infection

Musolino, Anna Maria; Boccuzzi, Elena; Supino, Maria Chiara; Scialanga, Barbara; Sanctis, Francesco De; Buonsenso, Danilo; Sinibaldi, Serena; Tomà, Paolo

doi:10.1111/jpc.15410

Cited by 7 publications

(9 citation statements)

References 9 publications

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“… 87 On the other hand, On the other hand, CT, although the gold standard in the assessment of pneumothorax, is limited by the inconvenience of transporting critically ill patients and their high dose of radiation. 88 Nursing lung ultrasound can reduce the exposure of ionizing radiation, so it has become an effective auxiliary means for the diagnosis of pneumothorax in the post-diagnosis follow-up of children with SARS-CoV-2. 88 However, there are still reports showing that LUS incorrectly diagnosed COVID-19 in 45% of uninfected individuals, so LUS needs to be used reasonably in clinic.…”

Section: Clinical Characteristics Of Covid-19 In Childrenmentioning

confidence: 99%

“… 88 Nursing lung ultrasound can reduce the exposure of ionizing radiation, so it has become an effective auxiliary means for the diagnosis of pneumothorax in the post-diagnosis follow-up of children with SARS-CoV-2. 88 However, there are still reports showing that LUS incorrectly diagnosed COVID-19 in 45% of uninfected individuals, so LUS needs to be used reasonably in clinic. 85 …”

Section: Clinical Characteristics Of Covid-19 In Childrenmentioning

confidence: 99%

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Progress in the Diagnosis and Treatment of COVID-19 in Children: A Review

Wang¹,

Gan²,

Chen³

et al. 2021

IJGM

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Section: Clinical Characteristics Of Covid-19 In Childrenmentioning

confidence: 99%

Section: Clinical Characteristics Of Covid-19 In Childrenmentioning

confidence: 99%

Progress in the Diagnosis and Treatment of COVID-19 in Children: A Review

Wang¹,

Gan²,

Chen³

et al. 2021

IJGM

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“…To the best of our knowledge, there are a few reports of spontaneous pneumothorax and pneumomediastinum in adults and adolescents. 22 , 23…”

Section: Discussionmentioning

confidence: 99%

Severe and critical SARS‐COV‐2 delta variant infection in infants without underlying medical conditions

Borgi

Louati

Miraoui

et al. 2022

Respirology Case Reports

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We report herein a case series of infants, with no comorbidities, who developed a life‐threatening illness due to the SARS‐CoV‐2 Delta variant. We retrospectively reviewed the medical records of children, aged under 15 years, admitted to PICU, during the peak of Delta infection, between June 23 and August 16 2021, with severe and critical forms of SARS‐CoV‐2 infection, confirmed by RT‐PCR. Twenty infants were included, the median age was 47 days (IQR: 26.5–77) and sex ratio was 0.8. No underlying medical conditions were noted. Parents were not vaccinated. Respiratory involvement was the main feature observed. Eleven patients had paediatric acute respiratory distress (PARDS) with a median oxygen saturation index (OSI) of 9 (IQR: 7–11). PARDS was mild in four, moderate in five, and severe in two cases. Hemodynamic instability was observed in 4 cases. The main radiological finding was ground glass opacities in 11 cases. Seventeen patients were mechanically ventilated, and three of them were escalated to high‐frequency oscillatory ventilation. The median duration of mechanical ventilation was 6 days (IQR 2.5–12.5). The remaining patients were managed with high‐flow nasal cannula. Four patients died.

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“…The position of the lung point provided a semi-quantitative estimate of PNX size: in the case of a small PNX, the lung point was located over the anterior chest close to the parasternal line, while in a large PNX, it was located after the midaxillary line (17)(18)(19).…”

Section: Pocus Findingsmentioning

confidence: 99%

Lung Ultrasound to Detect Pneumothorax in Children Evaluated for Acute Chest Pain in the Emergency Department: An Observational Pilot Study

et al. 2022

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BackgroundSpontaneous pneumothorax is a relatively uncommon and poorly studied condition in children. While several protocols have been developed to evaluate the use of lung ultrasound for dyspneic adult patients in the emergency department, no specific guidelines are present for pediatric emergency physicians.ObjectivesWe prospectively analyzed children with acute chest pain and clinical suspicion of pneumothorax evaluated at the pediatric emergency department.MethodsWe consecutively enrolled children aged 5–17 years presenting to the pediatric emergency department with clinically suspected pneumothorax based on sudden onset of acute chest pain. After clinical examination, all children underwent lung ultrasound followed by chest X-ray (reference standard). We enrolled 77 children, of which 13 (16.9%) received a final diagnosis of pneumothorax.ResultsThe lung point had a sensitivity of 92.3% (95% CI 77.8–100) and a specificity of 100% (95% CI 94.4–100) for the detection of pneumothorax. The “barcode sign” had a sensitivity of 100% (95% CI 75.3–100) and a specificity of 100% (95% CI 94.4–100) for the detection of pneumothorax.ConclusionLung ultrasound is highly accurate in detecting or excluding pneumothorax in children with acute chest pain evaluated in the pediatric emergency department. If pneumothorax is suspected, but the lung point is not visible, the barcode sign should always be sought as it could be a form of massive pneumothorax.

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Point‐of‐care lung ultrasound in the diagnosis and monitoring of paediatric patients with spontaneous pneumothorax in SARS‐CoV‐2 infection

Cited by 7 publications

References 9 publications

Progress in the Diagnosis and Treatment of COVID-19 in Children: A Review

Progress in the Diagnosis and Treatment of COVID-19 in Children: A Review

Severe and critical SARS‐COV‐2 delta variant infection in infants without underlying medical conditions

Lung Ultrasound to Detect Pneumothorax in Children Evaluated for Acute Chest Pain in the Emergency Department: An Observational Pilot Study

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