2021
DOI: 10.1002/ccr3.4075
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Modified BLUE protocol ultrasonography can diagnose thrombotic complications of COVID‐19 with normal lung ultrasound

Abstract: The BLUE protocol provides an excellent step‐by‐step approach for diagnosis of acute dyspnea. Adding FECHO (Focused Echocardiography) to the BLUE protocol completes the picture and helps make solid diagnoses, especially in submassive and massive PE (Pulmonary embolism). COVID‐19 infection can present with thrombotic manifestations like DVT (Deep vein thrombosis) and PE with no ultrasonographic evidence of lung parenchymal affection.

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Cited by 5 publications
(5 citation statements)
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“…Thus, an extensive use of POCUS was implemented, especially in those with sever hemodynamic worsening [63]. A case report reported how the BLUE protocol was integrated with a focused echocardiography to permit a stronger diagnosis in suspected pulmonary embolism in a case of COVID-19 with a normal lung ultrasound [64]. In a multicentric prospective study by Pieralli et al, they screened for DVT with POCUS in non-ICU settings in 227 patients with COVID-19 infection.…”
Section: Thrombotic and Hemorrhagic Assessmentmentioning
confidence: 99%
“…Thus, an extensive use of POCUS was implemented, especially in those with sever hemodynamic worsening [63]. A case report reported how the BLUE protocol was integrated with a focused echocardiography to permit a stronger diagnosis in suspected pulmonary embolism in a case of COVID-19 with a normal lung ultrasound [64]. In a multicentric prospective study by Pieralli et al, they screened for DVT with POCUS in non-ICU settings in 227 patients with COVID-19 infection.…”
Section: Thrombotic and Hemorrhagic Assessmentmentioning
confidence: 99%
“…BLUE is by far the best option for the assessment of PE along with other causes of acute respiratory distress by LUS. It may be expanded by echocardiography in order to assess right heart strain [ 74 ], to further increase sensitivity. There are 2 more protocols that use modified BLUE:…”
Section: Reviewmentioning
confidence: 99%
“…Помимо стандартного BLUE протокола, существует его модифицированная версия, направленная на диагностику тромботических осложнений у пациентов с COVID-19. Данная модификация включает применение фокусированной эхокардиографии, что совместно позволяет диагностировать тромбоэмболию легочной артерии [45].…”
Section: оценка с помощью стандартизированных протоколовunclassified