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. |