The Emerging Role of Lung Ultrasound in COVID-19 Pneumonia

Overview

Journal Eur J Rheumatol

Publisher Aves

Specialty Rheumatology

Date 2020 May 12

PMID 32392461

Citations 15

Authors

Gemma Lepri

Martina Orlandi

Chiara Lazzeri

Cosimo Bruni

Michael Hughes

Manuela Bonizzoli

Yukai Wang

Adriano Peris

Marco Matucci-Cerinic

Affiliations

Soon will be listed here.

Abstract

In the last decades lung ultrasound (LUS) has become of crucial importance in the evaluation and monitoring of a widely range of pulmonary diseases. One of the major benefits which favours this examination, is that this is a non-invasive, low-cost and radiation-free imaging modality which allows repeated imaging. LUS plays an important role in a wide range of pathologies, including cardiogenic oedema, acute respiratory distress syndrome and fibrosis. Specific LUS findings have proved useful and predictive of acute respiratory distress syndrome which is of particular relevance in the suspicion and monitoring of patients with lung disease. Furthermore, several studies have confirmed the role of LUS in the screening of interstitial lung diseases in connective tissue diseases. Given these data, LUS will likely play an important role in the management of COVID-19 patients from identification of specific abnormalities corresponding to definite pneumonia phases and CT scans findings. In addition, LUS could allow reduction in the exposure of health-care workers to potential infection. Herein, we provide a summary on emerging role of lung ultrasound in COVID-19 pneumonia.

Citing Articles

Comparison of lung ultrasound scoring systems for the prognosis of COVID-19 in the emergency department: An international prospective cohort study.

Snelling P, Jones P, Connolly R, Jelic T, Mirsch D, Myslik F Australas J Ultrasound Med. 2024; 27(2):75-88.

PMID: 38784699 PMC: 11109992. DOI: 10.1002/ajum.12364.

The utility of lung ultrasound in COVID-19: A systematic scoping review.

Trauer M, Matthies A, Mani N, McDermott C, Jarman R Ultrasound. 2023; 28(4):208-222.

PMID: 36959895 PMC: 10028381. DOI: 10.1177/1742271X20950779.

Point-of-care Lung Ultrasound, Lung CT and NEWS to Predict Adverse Outcomes and Mortality in COVID-19 Associated Pneumonia.

Bardakci O, Das M, Akdur G, Akman C, Siddikoglu D, Simsek G J Intensive Care Med. 2022; 37(12):1614-1624.

PMID: 36317355 PMC: 9623409. DOI: 10.1177/08850666221111731.

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

Pelosi P, Tonelli R, Torregiani C, Baratella E, Confalonieri M, Battaglini D J Clin Med. 2022; 11(6).

PMID: 35330029 PMC: 8952765. DOI: 10.3390/jcm11061704.

Point-of-Care Thoracic Ultrasonography in Patients With Cirrhosis and Liver Failure.

Kajal K, Premkumar M, Chaluvashetty S, Bhujade H, Kulkarni A Cureus. 2021; 13(6):e15559.

PMID: 34277182 PMC: 8271278. DOI: 10.7759/cureus.15559.

References

Volpicelli G, Elbarbary M, Blaivas M, Lichtenstein D, Mathis G, Kirkpatrick A . International evidence-based recommendations for point-of-care lung ultrasound. Intensive Care Med. 2012; 38(4):577-91. DOI: 10.1007/s00134-012-2513-4. View

Mayo P, Copetti R, Feller-Kopman D, Mathis G, Maury E, Mongodi S . Thoracic ultrasonography: a narrative review. Intensive Care Med. 2019; 45(9):1200-1211. DOI: 10.1007/s00134-019-05725-8. View

Soldati G, Smargiassi A, Inchingolo R, Sher S, Nenna R, Valente S . Lung ultrasonography may provide an indirect estimation of lung porosity and airspace geometry. Respiration. 2014; 88(6):458-68. DOI: 10.1159/000368086. View

Kalafat E, Yaprak E, Cinar G, Varli B, Ozisik S, Uzun C . Lung ultrasound and computed tomographic findings in pregnant woman with COVID-19. Ultrasound Obstet Gynecol. 2020; 55(6):835-837. DOI: 10.1002/uog.22034. View

Rambhia S, DAgostino C, Noor A, Villani R, Naidich J, Pellerito J . Thoracic Ultrasound: Technique, Applications, and Interpretation. Curr Probl Diagn Radiol. 2017; 46(4):305-316. DOI: 10.1067/j.cpradiol.2016.12.003. View

Copetti R, Soldati G, Copetti P . Chest sonography: a useful tool to differentiate acute cardiogenic pulmonary edema from acute respiratory distress syndrome. Cardiovasc Ultrasound. 2008; 6:16. PMC: 2386861. DOI: 10.1186/1476-7120-6-16. View

Yousefifard M, Baikpour M, Ghelichkhani P, Asady H, Shahsavari Nia K, Jafari A . Screening Performance Characteristic of Ultrasonography and Radiography in Detection of Pleural Effusion; a Meta-Analysis. Emerg (Tehran). 2016; 4(1):1-10. PMC: 4744606. View

Bouhemad B, Dransart-Raye O, Mojoli F, Mongodi S . Lung ultrasound for diagnosis and monitoring of ventilator-associated pneumonia. Ann Transl Med. 2018; 6(21):418. PMC: 6275403. DOI: 10.21037/atm.2018.10.46. View

Picano E, Matucci-Cerinic M . Unnecessary radiation exposure from medical imaging in the rheumatology patient. Rheumatology (Oxford). 2010; 50(9):1537-9. DOI: 10.1093/rheumatology/keq412. View

10.

Gutierrez M, Tardella M, Rodriguez L, Mendoza J, Clavijo-Cornejo D, Garcia A . Ultrasound as a potential tool for the assessment of interstitial lung disease in rheumatic patients. Where are we now?. Radiol Med. 2019; 124(10):989-999. DOI: 10.1007/s11547-019-01053-5. View

11.

Sanjan A, Krishnan S, Abraham S, Palatty B . Utility of Point-of-Care Lung Ultrasound for Initial Assessment of Acute Respiratory Distress Syndrome Patients in the Emergency Department. J Emerg Trauma Shock. 2019; 12(4):248-253. PMC: 6883501. DOI: 10.4103/JETS.JETS_47_19. View

12.

Via G, Storti E, Gulati G, Neri L, Mojoli F, Braschi A . Lung ultrasound in the ICU: from diagnostic instrument to respiratory monitoring tool. Minerva Anestesiol. 2012; 78(11):1282-96. View

13.

Gu C, Xie Y, Zheng T, Ren H, Wang G, Ren J . [Predictive value of lung ultrasound score on weaning outcome in patients with intro-abdominal infection undergoing mechanical ventilation]. Zhonghua Wei Zhong Bing Ji Jiu Yi Xue. 2020; 32(1):94-98. DOI: 10.3760/cma.j.cn121430-20191127-00017. View

14.

Soldati G, Demi M, Smargiassi A, Inchingolo R, Demi L . The role of ultrasound lung artifacts in the diagnosis of respiratory diseases. Expert Rev Respir Med. 2019; 13(2):163-172. DOI: 10.1080/17476348.2019.1565997. View

15.

Wang Y, Gargani L, Barskova T, Furst D, Cerinic M . Usefulness of lung ultrasound B-lines in connective tissue disease-associated interstitial lung disease: a literature review. Arthritis Res Ther. 2017; 19(1):206. PMC: 5604136. DOI: 10.1186/s13075-017-1409-7. View

16.

Blanco P, Cianciulli T . Pulmonary Edema Assessed by Ultrasound: Impact in Cardiology and Intensive Care Practice. Echocardiography. 2016; 33(5):778-87. DOI: 10.1111/echo.13182. View

17.

Islam M, Levitus M, Eisen L, Shiloh A, Fein D . Lung Ultrasound for the Diagnosis and Management of Acute Respiratory Failure. Lung. 2020; 198(1):1-11. DOI: 10.1007/s00408-019-00309-1. View

18.

Huang Y, Cheng W, Zhao N, Qu H, Tian J . CT screening for early diagnosis of SARS-CoV-2 infection. Lancet Infect Dis. 2020; 20(9):1010-1011. PMC: 7195153. DOI: 10.1016/S1473-3099(20)30241-3. View

19.

Soldati G, Smargiassi A, Inchingolo R, Buonsenso D, Perrone T, Briganti D . Is There a Role for Lung Ultrasound During the COVID-19 Pandemic?. J Ultrasound Med. 2020; 39(7):1459-1462. PMC: 7228238. DOI: 10.1002/jum.15284. View

20.

Smith M, Hayward S, Innes S, Miller A . Point-of-care lung ultrasound in patients with COVID-19 - a narrative review. Anaesthesia. 2020; 75(8):1096-1104. PMC: 7262296. DOI: 10.1111/anae.15082. View