A single-center comparative study of lung ultrasound &lt;em&gt;versus&lt;/em&gt; chest computed tomography during the COVID-19 era

Давидовна, Кобалава Жанна; Сафарова, А. Ф.; Cabello, F. E.; Vatsik-Gorodetskaya, M. V.; Karaulova, Y; Zorya, O. T.; Valeryevna, Arutina Olga; Rajan, Rajesh; Jarallah, Mohammed Al; Brady, Peter A.; Al‐Zakwani, Ibrahim

doi:10.4081/mrm.2021.766

Cited by 3 publications

(1 citation statement)

References 23 publications

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“…Several studies showed that in COVID-19 pneumonia still at an early stage, LUS can detect early lung lesions even when CT scan is almost normal. Furthermore, there was a relationship between the abnormalities detected by the LUS and CT, especially between the presence of more than 2 B-lines on LUS and ground glass opacity areas on CT and between subpleural consolidations on LUS and consolidation areas on CT [ 36 , 37 , 38 , 50 ]. Recently, Lupia et al enrolled 208 patients with COVID-19 respiratory symptoms who underwent nasal swab and LUS according to a scanning protocol [ 47 ].…”

Section: The Pathophysiology Of Severe Pneumonia/ards Due To Covid-19...mentioning

confidence: 99%

Different Methods to Improve the Monitoring of Noninvasive Respiratory Support of Patients with Severe Pneumonia/ARDS Due to COVID-19: An Update

Pelosi

Tonelli

Torregiani

et al. 2022

JCM

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The latest guidelines for the hospital care of patients affected by coronavirus disease 2019 (COVID-19)-related acute respiratory failure have moved towards the widely accepted use of noninvasive respiratory support (NIRS) as opposed to early intubation at the pandemic onset. The establishment of severe COVID-19 pneumonia goes through different pathophysiological phases that partially resemble typical acute respiratory distress syndrome (ARDS) and have been categorized into different clinical–radiological phenotypes. These can variably benefit on the application of external positive end-expiratory pressure (PEEP) during noninvasive mechanical ventilation, mainly due to variable levels of lung recruitment ability and lung compliance during different phases of the disease. A growing body of evidence suggests that intense respiratory effort producing excessive negative pleural pressure swings (Ppl) plays a critical role in the onset and progression of lung and diaphragm damage in patients treated with noninvasive respiratory support. Routine respiratory monitoring is mandatory to avoid the nasty continuation of NIRS in patients who are at higher risk for respiratory deterioration and could benefit from early initiation of invasive mechanical ventilation instead. Here we propose different monitoring methods both in the clinical and experimental settings adapted for this purpose, although further research is required to allow their extensive application in clinical practice. We reviewed the needs and available tools for clinical–physiological monitoring that aims at optimizing the ventilatory management of patients affected by acute respiratory distress syndrome due to severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) infection.

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Section: The Pathophysiology Of Severe Pneumonia/ards Due To Covid-19...mentioning

confidence: 99%

Different Methods to Improve the Monitoring of Noninvasive Respiratory Support of Patients with Severe Pneumonia/ARDS Due to COVID-19: An Update

Pelosi

Tonelli

Torregiani

et al. 2022

JCM

View full text Add to dashboard Cite

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A new approach in the diagnosis of lung lesions in patients with COVID-19: lung ultrasound protocol versus CT scan

Saidova

Avalyan²,

Galaeva³

et al. 2022

Terapevticheskii arkhiv

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Aim. To develop a protocol for ultrasound diagnostics of COVID-19 pneumonia and to assess the diagnostic capabilities of the method in comparison with computer tomography (CT). Materials and methods. The study included 59 patients with a new coronavirus infection. In order to identify changes in the lung tissue characteristic of a new coronavirus infection, we used a special protocol for ultrasound of the lungs, which was developed by us in such a way that the data obtained were compared by segment with the results of CT of the lungs. Results. When comparing the results of lung ultrasound with the data of CT diagnostics, according to the new protocol, the percentage of lung tissue damage during ultrasound of the lungs averaged 70.8% in the group [62.5; 87.5], and according to the results of CT 70.0% [60.0; 72.5] (p=0.427). Thus, the ultrasound of the lung lesions was almost completely consistent with the changes revealed by CT. In order to assess the diagnostic value of lung ultrasound in identifying severe lung tissue lesions corresponding to CT 34, ROC analysis was performed, which showed the high diagnostic value of lung ultrasound in identifying severe lung tissue lesions. Conclusion. A new protocol was developed for assessing the severity of lung tissue damage according to ultrasound data, which showed a high diagnostic value in detecting COVID-19 pneumonia in comparison with CT. The results obtained give reason to recommend this protocol of ultrasound of the lungs as a highly sensitive method in diagnosing the severity of COVID-19 pneumonia. Its application is very important for dynamic examination of patients, especially in conditions of low availability of CT.

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Role of point-of-care lung ultrasound in different respiratory disorders

Сафарова

2021

Medicinskij alfavit

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Point-of-care lung ultrasound either standalone or in a combination with other ultrasound techniques is a useful diagnostic method for patients with different respiratory disorders. Nowadays lung ultrasound helps to identify emergency conditions, such as acute respiratory distress syndrome, pneumothorax, cardiac arrest, acute respiratory failure, pneumonia. Moreover, a semi-quantitative evaluation of pulmonary congestion can be performed to determine the severity of interstitial syndrome and COVID‑19 associated pneumonia. In this review the basic semiotics of ultrasound are described, as well as the role of point-of-care lung ultrasound in various respiratory disorders.

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A single-center comparative study of lung ultrasound <em>versus</em> chest computed tomography during the COVID-19 era

Cited by 3 publications

References 23 publications

Different Methods to Improve the Monitoring of Noninvasive Respiratory Support of Patients with Severe Pneumonia/ARDS Due to COVID-19: An Update

Different Methods to Improve the Monitoring of Noninvasive Respiratory Support of Patients with Severe Pneumonia/ARDS Due to COVID-19: An Update

A new approach in the diagnosis of lung lesions in patients with COVID-19: lung ultrasound protocol versus CT scan

Role of point-of-care lung ultrasound in different respiratory disorders

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