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. 2020 Apr 28;75(8):1096–1104. doi: 10.1111/anae.15082

Table 1.

Summary of retrieved evidence (alphabetical order by first author)

Author [reference] Article type Peer reviewed Number of patients Clinical setting Patient population Scanning protocol Transducer type Sonographic elements/observations Recommendations
Buonsenso et al. 7 Letter Yes Not reported Hospital Children Not reported Linear wireless Recommendations for lung ultrasound to reduce SARS‐CoV‐2 transmission. Avoid the use of stethoscopes, chest radiographs and CT to reduce cross‐infection rates.
Buonsenso et al. 8 Case report Yes 1 Emergency Department Adult 12 areas ConvexWireless Bilateral involvement; irregular pleura; confluent B‐lines; small consolidations and spared areas. Use of lung ultrasound to minimise number of clinicians that patient is exposed to and triage high/low‐risk patients. A portable device is easier to clean.
Corradi et al. 9 Letter Yes Not applicable Not reported Not reported Not reported Not reported Opinion on quantification of B‐lines relevant to patients with COVID‐19. Visual estimation of B‐line number and frequency has high inter‐ and intra‐observer variability.
Huang et al. 1 Case series No 20 Emergency Department Adults 12 areas Convex or linear Bilateral involvement; posterior and inferior involvement; coalescent B‐lines; irregular pleura; small consolidations; air bronchograms; and small pleural effusions. Lung characteristics of patients with COVID‐19 are ideal to image with ultrasound.
Moro et al. 10 Clinical recommendation Yes Not reported Not reported Pregnant women Not reported Convex or linear Thickened/irregular pleura; spared areas; small consolidations; lobar consolidations; and air bronchograms. Tips include: set focus on pleural line; to view the pleura, reduce the gain; scan in sitting or side lying to avoid prone lying.
Peng et al. 11 Letter Yes Not reported Critical care Critically unwell adults 12 areas Not reported Thickened/irregular pleura; variety of B‐line patterns; non‐translobar and translobar consolidation; small consolidations; air bronchograms; and pleural effusions (rare). Use of lung ultrasound to track disease evolution; monitor lung recruitment; response to prone position; management of extracorporeal membrane oxygenation; and guide weaning and liberation from mechanical ventilation.
Poggiali et al. 12 Letter Yes 12 Emergency Department Adults Not reported Not reported Bilateral involvement; B‐lines; spared areas; and small consolidations, mainly posteriorly. Recommends the use of lung ultrasound in the Emergency Department for patients with COVID‐19.
Soldati et al. 13 Letter Yes Not reported Emergency Department, wards, and critical care Not reported 16 areas Convex or linear Bilateral involvement, confluent B‐lines; multiple areas of B‐lines; small consolidations; large consolidation in dependent areas; and air bronchograms. Use of lung ultrasound to triage at home and pre‐hospital; diagnose COVID‐19; prognostic stratification; track evolution towards consolidation; guide mechanical ventilation and weaning; and monitor the effects of therapeutic interventions.
Soldati et al. 14 Clinical recommendation Yes Not reported Wards and critical care Adults 14 areas Convex or linear An expert consensus proposal for lung ultrasound scanning protocol in patients with COVID‐19. Tips include: use a hand‐held device and set the focus on the pleural line.
Thomas et al. 15 Case report Yes 1 Ward and critical care Adult Not reported Convex Multifocal B‐lines; pleural thickening; and small consolidations. Lung ultrasound may be useful to assess patients with COVID‐19.
Vetrugno et al. 16 Clinical recommendation Yes Not reported Critical care Adults 12 areaLUS score Convex Confluent B‐lines; pleural thickening/disruption; and small consolidations. Use of lung ultrasound to diagnose and monitor; monitor patient trajectory; and reduce the need for radiographic imaging.