Fox Steven, Dugar Siddharth
Department of Critical Care Medicine, Respiratory Institute, Cleveland Clinic.
Cleve Clin J Med. 2020 May 14. doi: 10.3949/ccjm.87a.ccc019.
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.
床旁超声在新型冠状病毒肺炎(COVID-19)感染患者的管理中具有重要作用。由于每种应用的效用因环境而异,各机构应考虑如何在其特定环境中最佳地使用超声。一般来说,操作指导和重点超声心动图检查的收益较高。肺部超声有可能辅助COVID-19感染患者的诊断和管理。用于检测深静脉血栓形成的下肢床旁超声可能有助于指导抗凝或不明原因休克的决策。超声不传播感染是最优先考虑的事项,因此仅在临床有指征时才必须使用床旁超声。各机构应有机器消毒的方案。