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. 2020 Apr 30;10.1213/ANE.0000000000004929.
doi: 10.1213/ANE.0000000000004929. Online ahead of print.

Application of Lung Ultrasound During the COVID-19 Pandemic: A Narrative Review

Free PMC article

Application of Lung Ultrasound During the COVID-19 Pandemic: A Narrative Review

David Convissar et al. Anesth Analg. .
Free PMC article

Abstract

This review highlights the ultrasound findings reported from a number of studies and case reports and discusses the unifying findings from COVID-19 patients as well as from the avian (H7N9) and H1N1 influenza epidemics. We discuss the potential role for portable point-of-care ultrasound (PPOCUS) as a safe and effective bedside option in the initial evaluation, management, and monitoring of disease progression in patients with confirmed or suspected COVID-19 infection.

Conflict of interest statement

The authors declare no conflicts of interest.

Figures

Figure.
Figure.
Lung ultrasound examination of COVID-19 patients may reveal normal lungs with A lines (A; Supplemental Digital Content 1, Video 1, http://links.lww.com/AA/D94) during the earliest stage of the infection, isolated B lines (B; Supplemental Digital Content 2, Video 2, http://links.lww.com/AA/D95; Supplemental Digital Content 3, Video 3, http://links.lww.com/AA/D96; Supplemental Digital Content, Video 4, http://links.lww.com/AA/D97), confluent B lines (C; Supplemental Digital Content 2, Video 2, http://links.lww.com/AA/D95), thickened and irregular pleural lines (D; Supplemental Digital Content 2, Video 2, http://links.lww.com/AA/D95; Supplemental Digital Content 3, Video 3, http://links.lww.com/AA/D96; Supplemental Digital Content 4, Video 4, http://links.lww.com/AA/D97), thickening and jagged pleural lines (E; Supplemental Digital Content 4, Video 4, http://links.lww.com/AA/D97), and/or subpleural consolidation with air bronchograms (F; Supplemental Digital Content 5, Video 5, http://links.lww.com/AA/D98). COVID-19 indicates coronavirus disease 2019.

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