Advantages of lung ultrasound in triage, diagnosis and monitoring COVID-19 patients: review

  • Bianca Emilia Ciurba Mures County Clinical Hospital
  • Hédi Katalin Sárközi Mures County Clinical Hospital and George Emil Palade University of Medicine, Pharmacy, Science and Technology of Targu Mures
  • István Adorján Szabó Mures County Clinical Hospital and George Emil Palade University of Medicine and Pharmacy, Science and Technology of Targu Mures
  • Nimród László
  • Edith Simona Ianosi Mures County Clinical Hospital and George Emil Palade University of Medicine, Pharmacy, Science and Technology of Targu Mures
  • Maria Ianosi George Emil Palade University of Medicine, Pharmacy, Science and Technology of Targu Mures
  • Gabriela Jimborean Mures County Clinical Hospital, George Emil Palade University of Medicine, Pharmacy, Science and Technology of Targu Mures
Keywords: lung ultrasound, COVID-19, pleura, diagnosis

Abstract

Over the last decades, especially during the  COVID-19 pandemic period, lung ultrasound (LUS) gained interest due to multiple advantages: radiation-free, repeatable, cost-effective, portable devices with a bedside approach. These advantages can help clinicians in triage, in positive diagnostic, stratification of disease forms according to severity and prognosis, evaluation of mechanically ventilated patients from Intensive Care Units, as well as monitoring the progress of COVID-19 lesions, thus reducing the health care contamination. LUS should be performed by standard protocol examination. The characteristic lesions from COVID-19 pneumonia are the abolished lung sliding, presence of multiple and coalescent B-lines, disruption and thickening of pleural line with subpleural consolidations. LUS is a useful method for post-COVID-19 lesions evaluation, highlight the remaining fibrotic lesions in some patients with moderate or severe forms of pneumonia.

Keywords: lung ultrasound, COVID-19, pleura, diagnosis

Author Biographies

Hédi Katalin Sárközi, Mures County Clinical Hospital and George Emil Palade University of Medicine, Pharmacy, Science and Technology of Targu Mures

Resident pneumology doctor at Pneumology Clinic from Mures County Clinical Hospital

and University Assistant at George Emil Palade University of Medicine, Pharmacy, Science and Technology of Targu Mures

István Adorján Szabó, Mures County Clinical Hospital and George Emil Palade University of Medicine and Pharmacy, Science and Technology of Targu Mures

Specialist cardiology doctor at Mures County Clinical Hospital 

and University Assistant at George Emil Palade University of Medicine and Pharmacy, Science and Technology of Targu Mures

Nimród László

Resident pneumology doctor at Mures County Clinical Hospital

Edith Simona Ianosi, Mures County Clinical Hospital and George Emil Palade University of Medicine, Pharmacy, Science and Technology of Targu Mures

Medical Director and primary pneumology doctor at Mures County Clinical Hospital

and University Lecturer at George Emil Palade University of Medicine, Pharmacy, Science and Technology of Targu Mures

Maria Ianosi, George Emil Palade University of Medicine, Pharmacy, Science and Technology of Targu Mures

General Medicine Student at George Emil Palade University of Medicine, Pharmacy, Science and Technology of Targu Mures

Gabriela Jimborean, Mures County Clinical Hospital, George Emil Palade University of Medicine, Pharmacy, Science and Technology of Targu Mures

Habilitation Profesor Doctor and Coordinator of Pneumology Department from "George Emil Palade" University of Medicine, Pharmacy, Science and Technology of Targu Mures.

Primary doctor at Pneumology Clinic from Mures County Clinical Hospital

Published
2021-06-06
How to Cite
1.
Ciurba B, Sárközi H, Szabó I, László N, Ianosi E, Ianosi M, Jimborean G. Advantages of lung ultrasound in triage, diagnosis and monitoring COVID-19 patients: review. amm [Internet]. 6Jun.2021 [cited 17Sep.2021];67(2). Available from: https://ojs.actamedicamarisiensis.ro/index.php/amm/article/view/82