Lung Ultrasound in COVID-19 pandemic: Why? How? And When?

Khrystyna  Pronyuk; Andriy  Vysotskyi

doi:10.31640/JVD.5-6.2020(1)

Khrystyna Pronyuk O. O. Bogomolets national medical university, infection diseases department (head of department – prof. O. A. Golubovska)
Andriy Vysotskyi Olexandrivska clinical hospital

DOI: https://doi.org/10.31640/JVD.5-6.2020(1)

Keywords: COVID-19; SARS-Cov-2; Lung Ultrasound; Chest Computer Tomography; X-Ray; interstitial syndrome; pneumonia.

Abstract

During COVID-19 pandemic Lung ultrasound has rapidly become a tool for diagnosis and monitoring of lung involvement and it’s severity. Accurate evaluation of lung pathologic entities at the bedside, especially in critically ill patients, and those on mechanical ventilation, remains problematic. CT should not be frequently repeated and is not available everywhere, especially for critically ill patients. Limitations of bedside chest X-ray have been well described and lead to poor-quality X-ray films with low sensitivity.The lung ultrasound has been shown to be a useful tool in intensive care patients with adult respiratory distress syndrome (ARDS) and can be used forassessing severity of lung involvement in COVID-19. In this paper the accuracy of bedside LUS, chest X-ray and computer tomography are compared based on clinical cases, typical for COVID-19 lung ultrasound appearance is evaluated. There have been shown that lung ultrasound can predict the deterioration of the patient's conditionand can be used for risk stratification and clinical decision making, reducethe use of both chest x‐rays and computer tomography, what is very important especially in limited resources settings.

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