PICU, Ramón y Cajal Universitary Hospital, Madrid, Spain.
Eur Rev Med Pharmacol Sci. 2020 Jul;24(14):7801-7803. doi: 10.26355/eurrev_202007_22284.
SARS-CoV-2 infection in children is uncommon compared to adult population. However, some children required hospital and/or PICU admission. The aim of this short communication is to share our experience with Point-of-Care Ultrasound (POCUS) when managing these patients. Remarkably, all cases presented pleural and pericardial effusions, detected by POCUS, despite showing an adequate urinary output and prior to receiving any kind of fluid resuscitation. Effusions have been described as rare among SARS-CoV-2 infection in adult population. By performing portable chest X-Ray they would have gone unnoticed in our patients. Other POCUS findings consisted of all types of consolidations and coalescent B-line patterns. POCUS was also performed in order to optimize PEEP, checking adequate endotracheal intubation positioning (avoiding the risk of contagiousness related to auscultation in this framework), and to assess volemia status, cardiac performance, and brain neuro-monitoring. There was not cross-infection. In pediatric SARS-CoV-19 effusions are frequent but easily unnoticed unless lung and echo POCUS are performed.
与成人相比，儿童感染 SARS-CoV-2 的情况并不常见。然而，一些儿童需要住院治疗和/或进入 PICU。本短篇通讯旨在分享我们在管理这些患者时使用即时超声（POCUS）的经验。值得注意的是，所有病例均通过 POCUS 检测到胸腔和心包积液，尽管它们的尿量充足，且在接受任何形式的液体复苏之前。在成人 SARS-CoV-2 感染中，积液并不常见。如果进行便携式胸部 X 光检查，我们的患者可能会忽略这些积液。其他 POCUS 发现包括各种实变和融合的 B 线模式。还进行了 POCUS 以优化 PEEP，检查适当的气管内插管位置（避免在此框架下听诊的传染性风险），并评估血容量状态、心脏功能和脑神经监测。没有交叉感染。在儿科 SARS-CoV-19 中，积液很常见，但除非进行肺部和超声 POCUS，否则很容易被忽视。
