COVID‐US: A simplified approach to cardiopulmonary ultrasound in suspected and confirmed COVID‐19 patients in surge crisis

Yang, Yang; Anstey, James; Yastrebov, Konstantin; Nanjayya, Vinodh Bhagyalakshmi; Orde, Sam; Nalos, Marek; Costello, Cartan; Ryan, Nicholas Patrick George

doi:10.1002/ajum.12209

Cited by 4 publications

(4 citation statements)

References 15 publications

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“…POCUS examinations conducted in pairs with only one healthcare provider interact with the patient in order to minimize nosocomial and fomite transmission has also been recommended 49 . The CLUE protocol has been proposed to help risk‐stratify patients presenting to the ED with suspected COVID‐19, 86 while a simplified cardiopulmonary ultrasound approach named COVID‐US was established to aid front‐line health workers in their decision‐making in a surge crisis 87 . An interdisciplinary team of intensive specialists has also established a consensus on the required qualifications to conduct LU, optimization of the transducer settings and LU protocol in managing COVID‐19 patients in the ICU 88 …”

Section: Current Guidelines and Recommendations For Covid‐19 Patientsmentioning

confidence: 99%

“…49 The CLUE protocol has been proposed to help risk-stratify patients presenting to the ED with suspected COVID-19, 86 while a simplified cardiopulmonary ultrasound approach named COVID-US was established to aid front-line health workers in their decision-making in a surge crisis. 87 An interdisciplinary team of intensive specialists has also established a consensus on the required qualifications to conduct LU, optimization of the transducer settings and LU protocol in managing COVID-19 patients in the ICU. 88 The ASE and the CSE have both published statements for echocardiographic studies during the COVID-19 era.…”

Section: Current G U Ideline S and Recommendati On S For Covid -19 Pa...mentioning

confidence: 99%

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Point‐of‐care ultrasound in the COVID‐19 era: A scoping review

et al. 2020

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In the midst of the COVID‐19 pandemic, unprecedented pressure has been added to healthcare systems around the globe. Imaging is a crucial component in the management of COVID‐19 patients. Point‐of‐care ultrasound (POCUS) such as hand‐carried ultrasound emerges in the COVID‐19 era as a tool that can simplify the imaging process of COVID‐19 patients, and potentially reduce the strain on healthcare providers and healthcare resources. The preliminary evidence available suggests an increasing role of POCUS in diagnosing, monitoring, and risk‐stratifying COVID‐19 patients. This scoping review aims to delineate the challenges in imaging COVID‐19 patients, discuss the cardiopulmonary complications of COVID‐19 and their respective sonographic findings, and summarize the current data and recommendations available. There is currently a critical gap in knowledge in the role of POCUS in the COVID‐19 era. Nonetheless, it is crucial to summarize the current preliminary data available in order to help fill this gap in knowledge for future studies.

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Section: Current Guidelines and Recommendations For Covid‐19 Patientsmentioning

confidence: 99%

Section: Current G U Ideline S and Recommendati On S For Covid -19 Pa...mentioning

confidence: 99%

Point‐of‐care ultrasound in the COVID‐19 era: A scoping review

et al. 2020

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“…This led to an 'explosion' of POCUS during the surge crisis. 8 In the era of evidence-based medicine, both enthusiastic users and sceptical opponents of POCUS are searching for Correspondence to email syastrebov@y7mail.com doi: 10.1002/ajum.12355 evidence of improved outcomes, particularly in mortality. Considering that POCUS is merely a diagnostic technique and cannot cure per se, the demand to demonstrate a direct impact on death rate is simply flawed.…”

mentioning

confidence: 99%

“…The COVID‐19 pandemic further exposed limitations of traditional clinical chest auscultation 7 and non‐bedside diagnostics that required in‐hospital and interhospital patient transport. This led to an ‘explosion’ of POCUS during the surge crisis 8 …”

mentioning

confidence: 99%

Point‐of‐care ultrasonography—An essential skill for medical graduates?

Yastrebov

Costello

Taylor

et al. 2023

Australas J Ultrason Med

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The recent proliferation of point‐of‐care ultrasonography (POCUS) in the clinical practice of many medical specialties has exposed persistent barriers to education, training and standardisation. Specialist training curriculums are already overwhelming, having grossly insufficient time available for the specialist trainees and for the small number of available trainers alike to incorporate POCUS into postgraduate education. The logical solution to overcome these barriers could be to incorporate basic POCUS education and training into the undergraduate university curriculums, introducing longitudinal integration with other relevant medical sciences. The Australasian Society of Ultrasound in Medicine already has well‐established educational programmes in POCUS with standardised assessment of competency, which could potentially offer the basis for symbiosis with the Australian and New Zealand medical schools.

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Longitudinal remotely mentored self-performed lung ultrasound surveillance of paucisymptomatic Covid-19 patients at risk of disease progression

2021

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COVID-19 has impacted human life globally and threatens to overwhelm health-care resources. Infection rates are rapidly rising almost everywhere, and new approaches are required to both prevent transmission, but to also monitor and rescue infected and at-risk patients from severe complications. Point-of-care lung ultrasound has received intense attention as a cost-effective technology that can aid early diagnosis, triage, and longitudinal follow-up of lung health. Detecting pleural abnormalities in previously healthy lungs reveal the beginning of lung inflammation eventually requiring mechanical ventilation with sensitivities superior to chest radiographs or oxygen saturation monitoring. Using a paradigm first developed for space-medicine known as Remotely Telementored Self-Performed Ultrasound (RTSPUS), motivated patients with portable smartphone support ultrasound probes can be guided completely remotely by a remote lung imaging expert to longitudinally follow the health of their own lungs. Ultrasound probes can be couriered or even delivered by drone and can be easily sterilized or dedicated to one or a commonly exposed cohort of individuals. Using medical outreach supported by remote vital signs monitoring and lung ultrasound health surveillance would allow clinicians to follow and virtually lay hands upon many at-risk paucisymptomatic patients. Our initial experiences with such patients are presented, and we believe present a paradigm for an evolution in rich home-monitoring of the many patients expected to become infected and who threaten to overwhelm resources if they must all be assessed in person by at-risk care providers.

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COVID‐US: A simplified approach to cardiopulmonary ultrasound in suspected and confirmed COVID‐19 patients in surge crisis

Cited by 4 publications

References 15 publications

Point‐of‐care ultrasound in the COVID‐19 era: A scoping review

Point‐of‐care ultrasound in the COVID‐19 era: A scoping review

Point‐of‐care ultrasonography—An essential skill for medical graduates?

Longitudinal remotely mentored self-performed lung ultrasound surveillance of paucisymptomatic Covid-19 patients at risk of disease progression

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