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About:
Lung ultrasound in a Singapore COVID-19 intensive care unit patient and a review of its potential clinical utility in pandemic
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wasabi.inria.fr
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Type:
Academic Article
research paper
schema:ScholarlyArticle
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type
Academic Article
research paper
schema:ScholarlyArticle
isDefinedBy
Covid-on-the-Web dataset
has title
Lung ultrasound in a Singapore COVID-19 intensive care unit patient and a review of its potential clinical utility in pandemic
Creator
Ho,
Chan, Ting
Chan, Yi
Gare, Shivaji
Gare, Vui
Ho, Vui
Kang, Steffi
Kang, Ting
Lee, Shivaji
Lee, Yi
Peh,
Peh, Steffi
Wee, Ming
Source
Medline; PMC
abstract
BACKGROUND: Point-of-care bedside lung ultrasound is a diagnostic adjunct in the management of respiratory diseases. We describe the clinical progress and lung ultrasound findings of a Singaporean COVID-19 intensive care unit patient who was diagnosed with COVID-19 infection. METHODS: The clinical course of one COVID-19 patient managed in the intensive care unit was traced. The patient was diagnosed with COVID-19 virus infection and intubated after developing respiratory failure. Serial point-of-care bedside lung ultrasound was performed by the managing intensivist daily, and correlated with the clinical progress and chest X-ray imaging done for the patient. RESULTS: The patient exhibited lung ultrasound findings consistent with that described for viral pneumonias. This included numerous B-lines and subpleural consolidations with disrupted pleural lines distributed symmetrically, predominantly in bilateral upper BLUE points, and lower BLUE points bilaterally. Coalescing B-lines leading on to the development of bilateral “white lung” were associated with worsening acute respiratory distress syndrome. An increased density or reduction of the B-lines was associated with clinical improvement or deterioration, respectively. CONCLUSIONS: Trained clinicians, who are familiar with point-of-care lung ultrasonography, may consider point-of-care bedside ultrasound as an important adjunct to history and physical examination for the diagnosis and management of COVID-19 when advanced imaging is not available because of logistical reasons or infectious control. This applies in particular to cases where resources are limited, and patient transfers to facilities offering such services may prove hazardous.
has issue date
2020-06-15
(
xsd:dateTime
)
bibo:doi
10.15557/jou.2020.0025
bibo:pmid
32609971
has license
no-cc
sha1sum (hex)
a901704bb6b9d5013c0fb4736e4348b8f0cd89b7
schema:url
https://doi.org/10.15557/jou.2020.0025
resource representing a document's title
Lung ultrasound in a Singapore COVID-19 intensive care unit patient and a review of its potential clinical utility in pandemic
has PubMed Central identifier
PMC7409542
has PubMed identifier
32609971
schema:publication
J Ultrason
resource representing a document's body
covid:a901704bb6b9d5013c0fb4736e4348b8f0cd89b7#body_text
is
schema:about
of
named entity 'bilateral'
named entity 'progress'
named entity 'lung'
named entity 'point-of-care'
named entity 'traced'
named entity 'Methods'
named entity 'pandemic'
named entity 'utility'
named entity 'bilaterally'
named entity 'daily'
named entity 'logistical'
named entity 'ultrasonography'
named entity 'development'
named entity 'ultrasound'
named entity 'facilities'
named entity 'intensivist'
named entity 'points'
named entity 'disrupted'
named entity 'point-of-care'
named entity 'advanced'
named entity 'reasons'
named entity 'patient'
named entity 'managing'
named entity 'infection'
named entity 'intubated'
named entity 'distributed'
named entity 'BLUE'
named entity 'pleural'
named entity 'subpleural'
named entity 'ultrasound'
named entity 'ultrasound'
named entity 'lung'
named entity 'lung'
named entity 'COVID'
named entity 'COVID-19 pandemic'
named entity 'chest X-ray'
named entity 'measles'
named entity 'ICU'
named entity 'COVID'
named entity 'healthcare workers'
named entity 'white lung'
named entity 'intubation'
named entity 'acute respiratory distress syndrome'
named entity 'intensive care unit'
named entity 'chest X-ray'
named entity 'ultrasound'
named entity 'COVID'
named entity 'pleural'
named entity 'COVID'
named entity 'COVID'
named entity 'COVID-19'
named entity 'ultrasound machine'
named entity 'ARDS'
named entity 'case report'
named entity 'clinical features'
named entity 'Singapore'
named entity 'respiratory failure'
named entity 'intensive care unit'
named entity 'Lung ultrasound'
named entity 'point-of-care'
named entity 'disinfect'
named entity 'Hubei'
named entity 'hypoxia'
named entity 'proning'
named entity 'point-of-care ultrasound'
named entity 'Singapore'
named entity 'WHO'
named entity 'Wuhan'
named entity 'COVID-10 pandemic'
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