Point‐of‐care lung ultrasound in patients with <scp>COVID</scp>‐19 – a narrative review
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- M. J. Smith
- School of Healthcare Sciences College of Biomedical and Life Sciences Cardiff University Cardiff UK
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- S. A. Hayward
- Blackpool Teaching Hospitals NHS Foundation Trust Blackpool UK
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- S. M. Innes
- School of Sport, Rehabilitation and Exercise Sciences University of Essex UK
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- A. S. C. Miller
- Department of Intensive Care Medicine Shrewsbury Telford Hospitals Telford UK
抄録
<jats:title>Summary</jats:title><jats:p>Ultrasound imaging of the lung and associated tissues may play an important role in the management of patients with <jats:styled-content style="fixed-case">COVID</jats:styled-content>‐19–associated lung injury. Compared with other monitoring modalities, such as auscultation or radiographic imaging, we argue lung ultrasound has high diagnostic accuracy, is ergonomically favourable and has fewer infection control implications. By informing the initiation, escalation, titration and weaning of respiratory support, lung ultrasound can be integrated into <jats:styled-content style="fixed-case">COVID</jats:styled-content>‐19 care pathways for patients with respiratory failure. Given the unprecedented pressure on healthcare services currently, supporting and educating clinicians is a key enabler of the wider implementation of lung ultrasound. This narrative review provides a summary of evidence and clinical guidance for the use and interpretation of lung ultrasound for patients with moderate, severe and critical <jats:styled-content style="fixed-case">COVID</jats:styled-content>‐19–associated lung injury. Mechanisms by which the potential lung ultrasound workforce can be deployed are explored, including a pragmatic approach to training, governance, imaging, interpretation of images and implementation of lung ultrasound into routine clinical practice.</jats:p>
収録刊行物
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- Anaesthesia
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Anaesthesia 75 (8), 1096-1104, 2020-04-28
Wiley