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Article ; Online: Point-of-care ultrasound and COVID-19.

Fox, Steven / Dugar, Siddharth

2020

Abstract: ... the diagnosis and management of patients with COVID-19 infection. Lower extremity point-of-care ultrasound ... Point-of-care ultrasound has an important role in the management of patients with COVID-19 ... of the utmost priority that ultrasound not spread infection, so point-of-care ultrasound must be used only ...

Abstract	Point-of-care ultrasound has an important role in the management of patients with COVID-19 infection. Because the utility of each application varies by setting, individual institutions should consider how they can best use ultrasound within their specific environments. In general, procedural guidance and focused echocardiography are high yield. Lung ultrasound has the potential to aid the diagnosis and management of patients with COVID-19 infection. Lower extremity point-of-care ultrasound for deep vein thrombosis may help guide decision making regarding anticoagulation or undifferentiated shock. It is of the utmost priority that ultrasound not spread infection, so point-of-care ultrasound must be used only when clinically indicated. Institutions should have protocols for machine disinfection.
Keywords	covid19
Language	English
Publishing date	2020-05-14
Publishing country	United States
Document type	Journal Article
ZDB-ID	639116-3
ISSN	1939-2869 ; 0891-1150
ISSN (online)	1939-2869
ISSN	0891-1150
DOI	10.3949/ccjm.87a.ccc019
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Article ; Online: Emergency Department Point-of-Care Echocardiography and Lung Ultrasound in Predicting COVID-19 Severity.

Baloescu, Cristiana / Weingart, Gabriel E / Moore, Christopher L

Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine

2023 Volume 42, Issue 8, Page(s) 1841–1850

Abstract: Objectives: We sought to determine if point-of-care ultrasound (POCUS) performed on patients ... for COVID-19 at hospital admission or within 2 weeks of presentation and received heart or lung POCUS. Clips ... ED POCUS findings and development of severe COVID-19.: Results: A total of 155 patients met study ...

Abstract	Objectives: We sought to determine if point-of-care ultrasound (POCUS) performed on patients with COVID-19 in the emergency department (ED) can help predict disease course, severity, or identify complications. Methods: This was a retrospective cohort study of adult ED patients who tested positive for COVID-19 at hospital admission or within 2 weeks of presentation and received heart or lung POCUS. Clips were reviewed for presence of decreased left ventricular ejection fraction (LVEF), right ventricular dilation, presence of B-lines, and pleural line abnormalities. Patients with worsening hypoxemic respiratory failure or shock requiring higher level of care and patients who expired were considered to have developed severe COVID-19. Regression analysis was performed to determine if there was a correlation between ED POCUS findings and development of severe COVID-19. Results: A total of 155 patients met study criteria; 148 patients had documented cardiac views and 116 patients had documented lung views (113 with both). Mean age was 66.5 years old (±18.6) and 53% of subjects were female. Subjects with decreased LVEF that was not previously documented had increased odds of having severe COVID during their hospitalization compared to those with old or no dysfunction (OR 5.66, 95% CI: 1.55-19.95, P = .08). The presence of pleural line abnormalities was also predictive for development of severe COVID (OR 2.68, 95% CI: 1.04-6.92, P = .04). Conclusion: POCUS findings of previously unidentified decreased LVEF and pleural line abnormalities in patients with COVID-19 evaluated in the ED were correlated to a more severe clinical course and worse prognosis.
MeSH term(s)	Adult ; Humans ; Female ; Aged ; Male ; COVID-19/diagnostic imaging ; Point-of-Care Systems ; Retrospective Studies ; Stroke Volume ; Ventricular Function, Left ; Echocardiography ; Ultrasonography ; Lung/diagnostic imaging ; Emergency Service, Hospital
Language	English
Publishing date	2023-02-25
Publishing country	England
Document type	Journal Article
ZDB-ID	604829-8
ISSN	1550-9613 ; 0278-4297
ISSN (online)	1550-9613
ISSN	0278-4297
DOI	10.1002/jum.16205
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Zs.A 1793: Show issues			Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular Jg. 1995 - 2021: Lesesall (1.OG) ab Jg. 2022: Lesesaal (EG)
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Article: Delayed Diagnosis of Shoulder Septic Arthritis and Osteomyelitis During the COVID-19 Pandemic: The Role of Point-of-Care Ultrasound.

Driver, Lachlan / McFadden, Kathleen / Al Jalbout, Nour / Shokoohi, Hamid

Cureus

2023 Volume 15, Issue 2, Page(s) e35460

Abstract: ... highlights the importance of alternative diagnostic tools, such as point-of-care ultrasound (POCUS), which is ... However, the diagnosis was delayed due to the impact of the COVID-19 pandemic on obtaining an outpatient MRI and ... The diagnosis and treatment of septic arthritis are complex and require collaboration ...

Abstract	The diagnosis and treatment of septic arthritis are complex and require collaboration among multiple medical services, especially in the emergency department (ED). This case report highlights the difficulties in diagnosing shoulder septic arthritis, which is a rare condition in adults and can present with subtle symptoms. The patient was eventually diagnosed with septic arthritis of the left shoulder. However, the diagnosis was delayed due to the impact of the COVID-19 pandemic on obtaining an outpatient MRI and a previous shoulder injury that added confusion. Delays in diagnosis and treatment can lead to a rapid destruction of the affected joint, causing significant morbidity and mortality. This case report also highlights the importance of alternative diagnostic tools, such as point-of-care ultrasound (POCUS), which is quick, inexpensive, and may lead to earlier detection of joint effusions and prompt arthrocentesis.
Language	English
Publishing date	2023-02-25
Publishing country	United States
Document type	Case Reports
ZDB-ID	2747273-5
ISSN	2168-8184
ISSN	2168-8184
DOI	10.7759/cureus.35460
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Article ; Online: Diagnostic accuracy of point-of-care lung ultrasound for COVID-19: a systematic review and meta-analysis.

Matthies, Ashley / Trauer, Michael / Chopra, Karl / Jarman, Robert David

Emergency medicine journal : EMJ

2023 Volume 40, Issue 6, Page(s) 407–417

Abstract: Background: Point-of-care (POC) lung ultrasound (LUS) is widely used in the emergency setting and ... to the proposal of various potential roles for LUS during the COVID-19 pandemic. This systematic review and ... COVID-19 infection.: Methods: Traditional and grey-literature searches were performed on 1 June 2021 ...

Abstract	Background: Point-of-care (POC) lung ultrasound (LUS) is widely used in the emergency setting and there is an established evidence base across a range of respiratory diseases, including previous viral epidemics. The necessity for rapid testing combined with the limitations of other diagnostic tests has led to the proposal of various potential roles for LUS during the COVID-19 pandemic. This systematic review and meta-analysis focused specifically on the diagnostic accuracy of LUS in adult patients presenting with suspected COVID-19 infection. Methods: Traditional and grey-literature searches were performed on 1 June 2021. Two authors independently carried out the searches, selected studies and completed the Quality Assessment Tool for Diagnostic Test Accuracy Studies (QUADAS-2). Meta-analysis was carried out using established open-source packages in Results: Twenty studies were included, published between October 2020 and April 2021, providing data from a total of 4314 patients. The prevalence and admission rates were generally high across all studies. Overall, LUS was found to be 87.2% sensitive (95% CI 83.6 to 90.2) and 69.5% specific (95% CI 62.2 to 72.5) and demonstrated overall positive and negative likelihood ratios of 3.0 (95% CI 2.3 to 4.1) and 0.16 (95% CI 0.12 to 0.22), respectively. Separate analyses for each reference standard revealed similar sensitivities and specificities for LUS. Heterogeneity was found to be high across the studies. Overall, the quality of studies was low with a high risk of selection bias due to convenience sampling. There were also applicability concerns because all studies were undertaken during a period of high prevalence. Conclusion: During a period of high prevalence, LUS had a sensitivity of 87% for the diagnosis of COVID-19 infection. However, more research is required to confirm these results in more generalisable populations, including those less likely to be admitted to hospital. Prospero registration number: CRD42021250464.
MeSH term(s)	Adult ; Humans ; COVID-19 ; Point-of-Care Systems ; Pandemics ; Lung/diagnostic imaging ; Sensitivity and Specificity ; Ultrasonography ; COVID-19 Testing
Language	English
Publishing date	2023-03-03
Publishing country	England
Document type	Meta-Analysis ; Systematic Review ; Journal Article
ZDB-ID	2040124-3
ISSN	1472-0213 ; 1472-0205
ISSN (online)	1472-0213
ISSN	1472-0205
DOI	10.1136/emermed-2021-212092
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Article: Implementation and Assessment of a Hybrid Training Course on Point-of-Care Pediatric Ultrasound in Vietnam During the COVID-19 Pandemic.

Mori, Takaaki / Chor, Yek Kee / Bui, Thanh Liem / Do, Hong Anh / Ong, Gene Yong-Kwang

Cureus

2023 Volume 15, Issue 9, Page(s) e45758

Abstract: Background As point-of-care ultrasound (POCUS) has gained popularity, some educational guidelines ... This was challenging, especially during the COVID-19 pandemic. Objectives This study aimed to implement ... a three-month hybrid training course for pediatric POCUS training in Vietnam using both online and face ...

Abstract	Background As point-of-care ultrasound (POCUS) has gained popularity, some educational guidelines have been developed. However, in Vietnam, no training course in pediatric POCUS has yet been developed. This was challenging, especially during the COVID-19 pandemic. Objectives This study aimed to implement a three-month hybrid training course for pediatric POCUS training in Vietnam using both online and face-to-face hands-on sessions and to assess participants' self-efficacy level and change in their attitudes towards pediatric POCUS. Methods A hybrid training course in pediatric POCUS was implemented at a children's hospital in Vietnam. This study developed a standardized training course, including online learning, live lectures, hands-on sessions, and skill assessment based on the POCUS consensus educational guidelines. Physicians interested in pediatric POCUS were recruited for participation. They completed a self-evaluation survey before and after the course using a Likert score to assess their background, self-efficacy in performing POCUS, overall satisfaction with the course, and change in their attitudes towards POCUS three months after the course. Results A total of 19 physicians participated in the course. The mean post-training self-efficacy score was significantly higher than the pre-course assessment score: 73.1 (standard deviation (SD): 7.2) vs. 48.9 (SD: 12.5) (p <0.05). The efficacy level was retained three months after the course. Furthermore, overall satisfaction with the course was high at 9.5 (SD: 0.6). After the course, almost all participants strongly agreed to increase the use of POCUS in their clinical practice. Conclusion A hybrid training course in pediatric POCUS was successfully implemented in Vietnam and found the participants' self-efficacy level to be significantly higher after the course and the effect to be retained after the course. The training course could positively affect the participants' attitudes towards POCUS, encouraging them to use POCUS more frequently in their clinical practice.
Language	English
Publishing date	2023-09-22
Publishing country	United States
Document type	Journal Article
ZDB-ID	2747273-5
ISSN	2168-8184
ISSN	2168-8184
DOI	10.7759/cureus.45758
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Article: Point-of-care lung ultrasound during and after the COVID-19 pandemic.

Lesser, F D / Smallwood, N / Dachsel, M

Ultrasound (Leeds, England)

2021 Volume 29, Issue 3, Page(s) 140

Language	English
Publishing date	2021-08-04
Publishing country	United States
Document type	Editorial
ZDB-ID	2298926-2
ISSN	1743-1344 ; 1742-271X
ISSN (online)	1743-1344
ISSN	1742-271X
DOI	10.1177/1742271X211033737
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Article: Point-of-care contrast enhanced lung ultrasound and COVID-19.

Tee, Alice / Yusuf, Gibran Timothy / Wong, Adrian / Rao, Deepak / Tran, Sa / Sidhu, Paul S

Ultrasound (Leeds, England)

2021 Volume 30, Issue 3, Page(s) 201–208

Abstract: ... COVID-19 diagnosis and for prognosticating and monitoring progress in confirmed COVID-19 patients ... ultrasound method was used to evaluate B-lines, small (subpleural) consolidation and the pleura. Areas ... Contrast-enhanced ultrasound is clearly very different to CT, the gold standard, and while there are ...

Abstract	Objectives: Bedside lung ultrasound has been indispensable during the coronavirus disease 2019 (COVID-19) pandemic, allowing us to rapidly assess critically unwell patients. We demonstrate the unique application of contrast-enhanced ultrasound with the aim of further understanding this disease. Methods: Patient demographics were recorded alongside recent cross-sectional imaging and inflammatory markers. Ultrasound was conducted by experienced operators in a portable setting. Conventional six-point lung ultrasound method was used to evaluate B-lines, small (subpleural) consolidation and the pleura. Areas of small consolidation were targeted after intravenous administration of ultrasound contrast. Results: The areas of small consolidations, a potential sign of pneumonia on B-mode lung ultrasound, usually enhance on contrast-enhanced ultrasound. Our study revealed these areas to be avascular, indicating an underlying thrombotic/infarction process. Findings were present in 100% of the patients we examined. We have also shown that the degree of infarction correlates with CT severity (r = 0.4) and inflammatory markers, and that these areas improve as patients recover. Conclusions: We confirmed the theory of immune thrombus by identifying the presence of microthrombi in the lungs of 100% of our patients, despite 79% having had a recent negative CT pulmonary angiogram study. contrast-enhanced ultrasound can be utilised to add confidence to an uncertain COVID-19 diagnosis and for prognosticating and monitoring progress in confirmed COVID-19 patients. Contrast-enhanced ultrasound is clearly very different to CT, the gold standard, and while there are specific pathologies that can only be detected on CT, contrast-enhanced ultrasound has many advantages, most notability the ability to pick up microthrombi at the periphery of the lungs.
Language	English
Publishing date	2021-10-18
Publishing country	United States
Document type	Journal Article
ZDB-ID	2298926-2
ISSN	1743-1344 ; 1742-271X
ISSN (online)	1743-1344
ISSN	1742-271X
DOI	10.1177/1742271X211047945
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Article: Global point-of-care ultrasound education and training in the age of COVID-19.

Eke, Onyinyechi F / Henwood, Patricia C / Wanjiku, Grace W / Fasina, Abiola / Kharasch, Sigmund J / Shokoohi, Hamid

International journal of emergency medicine

2021 Volume 14, Issue 1, Page(s) 12

Abstract: The COVID-19 pandemic has disrupted traditional global point-of-care ultrasound (POCUS) education ... using a virtual platform. Tele-ultrasound and video-conferencing are alternative and supportive tools ... and training, as a result of travel restrictions. It has also provided an opportunity for innovation ...

Abstract	The COVID-19 pandemic has disrupted traditional global point-of-care ultrasound (POCUS) education and training, as a result of travel restrictions. It has also provided an opportunity for innovation using a virtual platform. Tele-ultrasound and video-conferencing are alternative and supportive tools to augment global POCUS education and training. There is a need to support learners and experts to ensure that maximum benefit is gained from the use of these innovative modalities.
Language	English
Publishing date	2021-02-18
Publishing country	England
Document type	Journal Article
ZDB-ID	2411462-5
ISSN	1865-1380 ; 1865-1372
ISSN (online)	1865-1380
ISSN	1865-1372
DOI	10.1186/s12245-021-00338-9
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Article ; Online: The correlation between point-of-care ultrasound and digital tomosynthesis when used with suspected COVID-19 pneumonia patients in primary care.

Fabuel Ortega, Pablo / Almendros Lafuente, Noelia / Cánovas García, Sandra / Martínez Gálvez, Laura / González-Vidal, Aurora

The ultrasound journal

2022 Volume 14, Issue 1, Page(s) 11

Abstract: Background: The use of lung ultrasound (LU) with COVID-19 pneumonia patients should be validated ... imaging in PC patients with suspected COVID-19 pneumonia.: Methods: This observational, prospective and ... multicentre study was carried out with patients from a PC health area whose tests for COVID-19 and suspected ...

Abstract	Background: The use of lung ultrasound (LU) with COVID-19 pneumonia patients should be validated in the field of primary care (PC). Our study aims to evaluate the correlation between LU and radiographic imaging in PC patients with suspected COVID-19 pneumonia. Methods: This observational, prospective and multicentre study was carried out with patients from a PC health area whose tests for COVID-19 and suspected pneumonia had been positive and who then underwent LU and a digital tomosynthesis (DT). Four PC physicians obtained data regarding the patients' symptoms, examination, medical history and ultrasound data for 12 lung fields: the total amount of B lines (zero to four per field), the irregularity of the pleural line, subpleural consolidation, lung consolidation and pleural effusion. These data were subsequently correlated with the presence of pneumonia by means of DT, the need for hospital admission and a consultation in the hospital emergency department in the following 15 days. Results: The study was carried out between November 2020 and January 2021 with 70 patients (40 of whom had pneumonia, confirmed by means of DT). Those with pneumonia were older, had a higher proportion of arterial hypertension and lower oxygen saturation (sO Conclusions: LU has great sensitivity and specificity for the diagnosis of COVID-19 pneumonia in PC. Clinical ultrasound findings, along with age and saturation, could, therefore, improve decision-making in this field.
Language	English
Publishing date	2022-02-22
Publishing country	Italy
Document type	Journal Article
ZDB-ID	2965029-X
ISSN	2524-8987 ; 2036-3176
ISSN (online)	2524-8987
ISSN	2036-3176
DOI	10.1186/s13089-022-00257-7
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Article: Point-of-Care Ultrasound (POCUS)-Guided Management of Cardiogenic Shock in COVID-19 Fulminant Myocarditis With Combined Veno-Arterial Extracorporeal Membrane Oxygenation and Impella (ECPELLA): A Case Report.

Kato, Shunichi / Kurosaka, Eiji / Nakata, Kentaro

Cureus

2024 Volume 16, Issue 5, Page(s) e60665

Abstract: ... due to COVID-19, there are limitations on the tests that can be performed. In this regard, point ... of-care ultrasound (POCUS) allows repeated bedside evaluations while maintaining infection protection ... The COVID-19 pandemic, which has been raging globally, has been reported to cause not only ...

Abstract	The COVID-19 pandemic, which has been raging globally, has been reported to cause not only pneumonia but also various cardiovascular diseases. In particular, myocarditis poses a serious risk if it becomes severe. As a characteristic of myocardial damage in this disease, right ventricular dysfunction is frequently reported, and biventricular failure is not uncommon. In cases where cardiogenic shock occurs, ECPELLA, which combines veno-arterial extracorporeal membrane oxygenation and Impella, is used for management. Currently, in Japan, ECPELLA is the central treatment for severe biventricular failure in the acute phase. However, its management method has not been established. Weaning from ECPELLA requires the following three conditions: (1) improvement of left ventricular function; (2) improvement of right ventricular function; and (3) optimization of circulating plasma volume. However, since these conditions change moment by moment, frequent and detailed assessments are necessary. Nevertheless, considering the need for isolation due to COVID-19, there are limitations on the tests that can be performed. In this regard, point-of-care ultrasound (POCUS) allows repeated bedside evaluations while maintaining infection protection. We report that in the case of severe COVID-19-related myocarditis, the use of POCUS enabled the preservation of cardiac function and appropriate timing for weaning from ECPELLA.
Language	English
Publishing date	2024-05-20
Publishing country	United States
Document type	Case Reports
ZDB-ID	2747273-5
ISSN	2168-8184
ISSN	2168-8184
DOI	10.7759/cureus.60665
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