Faculty of Medicine, Vancouver Fraser Medical Program, University of British Columbia, Vancouver, BC, Canada.
Division of Cardiology, Department of Medicine, University of British Columbia, Vancouver, BC, Canada.
Echocardiography. 2021 Feb;38(2):329-342. doi: 10.1111/echo.14951. Epub 2020 Dec 17.
In the midst of the COVID-19 pandemic, unprecedented pressure has been added to healthcare systems around the globe. Imaging is a crucial component in the management of COVID-19 patients. Point-of-care ultrasound (POCUS) such as hand-carried ultrasound emerges in the COVID-19 era as a tool that can simplify the imaging process of COVID-19 patients, and potentially reduce the strain on healthcare providers and healthcare resources. The preliminary evidence available suggests an increasing role of POCUS in diagnosing, monitoring, and risk-stratifying COVID-19 patients. This scoping review aims to delineate the challenges in imaging COVID-19 patients, discuss the cardiopulmonary complications of COVID-19 and their respective sonographic findings, and summarize the current data and recommendations available. There is currently a critical gap in knowledge in the role of POCUS in the COVID-19 era. Nonetheless, it is crucial to summarize the current preliminary data available in order to help fill this gap in knowledge for future studies.
在 COVID-19 大流行期间，全球医疗系统承受了前所未有的压力。影像学检查是 COVID-19 患者管理的重要组成部分。在 COVID-19 时代，床旁超声（POCUS）等即时超声技术作为一种简化 COVID-19 患者影像学检查流程的工具应运而生，并可能减轻医疗保健提供者和医疗资源的压力。现有初步证据表明，POCUS 在诊断、监测和 COVID-19 患者风险分层方面的作用不断增加。本范围综述旨在阐明 COVID-19 患者影像学检查的挑战，讨论 COVID-19 的心肺并发症及其相应的超声表现，并总结现有数据和建议。目前，POCUS 在 COVID-19 时代的作用方面存在知识上的重大空白。尽管如此，总结目前现有的初步数据对于帮助填补未来研究中的这一知识空白至关重要。
