Sartini Stefano, Ferrari Lorenzo, Cutuli Ombretta, Castellani Luca, Cristina Maria Luisa, Arboscello Eleonora, Sartini Marina
Emergency Medicine Department, IRCCS Policlinico San Martino, Largo Rosanna Benzi 10, 16132 Genoa, Italy.
Emergency Medicine Post-Graduate School, University of Genoa, Via Balbi 5, 16126 Genoa, Italy.
J Clin Med. 2024 May 7;13(10):2756. doi: 10.3390/jcm13102756.
COVID-19 has been a challenging outbreak to face, with millions of deaths among the globe. Acute respiratory failure due to interstitial pneumonia was the leading cause of death other than prothrombotic activation and complications. Lung ultrasound (LUS) and point-of-care ultrasound (POCUS) are widely used not only to triage, to identify, and to monitor lungs involvement but also to assess hemodynamic status and thrombotic and hemorrhagic complications, mainly in critically ill patients. POCUS has gained growing consideration due to its bedside utilization, reliability, and reproducibility even in emergency settings especially in unstable patients. In this narrative review, we aim to describe LUS and POCUS utilization in COVID-19 infection based on the literature found on this topic. We reported the LUS patterns of COVID-19 pulmonary infection, the diagnostic accuracy with respect to CT lung scan, its prognostic value, the variety of scores and protocols proposed, and the utilization of POCUS to investigate the extra-lung complications.
新型冠状病毒肺炎（COVID-19）疫情是一场极具挑战性的全球性公共卫生事件，已造成全球数百万人死亡。除血栓前状态激活和并发症外，间质性肺炎所致急性呼吸衰竭是主要死因。肺部超声（LUS）和床旁超声（POCUS）不仅广泛应用于COVID-19患者的分诊、病情识别及肺部病变监测，还用于评估血流动力学状态以及血栓形成和出血并发症，主要针对危重症患者。POCUS因其可在床旁使用、可靠性高且具有可重复性，即使在紧急情况下，尤其是不稳定患者中也越来越受到重视。在本叙述性综述中，我们旨在根据该主题的文献描述LUS和POCUS在COVID-19感染中的应用情况。我们报告了COVID-19肺部感染的LUS表现、相对于胸部CT扫描的诊断准确性、其预后价值、提出的各种评分和方案，以及POCUS用于研究肺外并发症的情况。
