Abstract

Lung ultrasound is a well-defined diagnostic modality in the point of care emergency medicine concept. In the context of the coronavirus disease 2019 (COVID-19) pandemic, the lung ultrasound assumed an essential role in this disease, with a valid correlation of the imaging results with computed tomography. Recognize how the diagnostic possibilities of ultrasound in the approach of COVID-19 and its differential diagnoses are fundamental.

Highlights

  • Lung and pleural ultrasound has become very important in the assessment of patients in emergency and intensive care units

  • Several conditions can be evaluated by lung and pleural ultrasound, including consolidations, atelectasis, interstitial and alveolar edema, pneumothorax, and pleural effusion

  • This study reviews the primary chest ultrasound findings, highlighting those commonly seen in patients with COVID-19, and suggests standard ways of performing and reporting on the examination

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Summary

INTRODUCTION

Lung and pleural ultrasound has become very important in the assessment of patients in emergency and intensive care units. The use of the bedside lung ultrasound in emergency in acute respiratory syndrome (BLUE protocol) or the rapid ultrasound for shock and hypotension in circulatory shock (RUSH protocol) It is part of the renowned extended focus assessment sonography for trauma (e-FAST)(1–4). Several conditions can be evaluated by lung and pleural ultrasound, including consolidations, atelectasis, interstitial and alveolar edema, pneumothorax, and pleural effusion These findings are not all characteristic of patients with COVID-19. The objective here is to facilitate the understanding of these artifacts and to demystify pulmonary ultrasound In this context, this study reviews the primary chest ultrasound findings, highlighting those commonly seen in patients with COVID-19, and suggests standard ways of performing and reporting on the examination

HOW TO PERFORM THE ULTRASOUND EXAMINATION
Pleural line
Pleural effusion
Subcutaneous emphysema
Report suggestion CHEST ULTRASOUND
Left lung
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