Lung ultrasound: the possibilities of diagnosing of lung damage associated with the new coronavirus infection COVID-19
https://doi.org/10.18093/0869-0189-2020-30-5-577-586
Abstract
This publication is devoted to the ultrasound method of lung examination, which has gained particular relevance during the pandemic of the new coronavirus infection 2019. The lecture discusses the general provisions of lung ultrasound, ultrasonic signs of lung damage, features of ultrasound semiotics in the viral nature of lung lesions, differences from the bacterial nature of lung damage, presents aspects of the use of lung ultrasound during the pandemic of the coronavirus infection 2019. The lecture is based on the experience of domestic and foreign researchers, as well as on the authors’ own experience, which demonstrates the value of this method both in intensive care units and in a therapeutic clinic.
About the Authors
G. V. Nekludova
Federal Pulmonology Research Institute, Federal Medical and Biological Agency of Russia; I.M.Sechenov First Moscow State Medical University, Healthcare Ministry of Russia (Sechenov University)
Russian Federation
Russian Federation
Galina V. Nekludova – Doctor of Medicine, Leading Researcher, Federal Pulmonology Research Institute, Federal Medical and Biological Agency of Russia; Associate Professor, N.V.Sklifosovskiy Institute of Clinical Medicine, I.M.Sechenov First Moscow State Medical University, Healthcare Ministry of Russia (Sechenov University). SPIN: 8956-9125, Author ID: 394036
Orekhovyy bul’var 28, Moscow, 115682
ul. Trubetskaya 8, build. 2, Moscow, 119991
tel.: (916) 296-01-64
S. N. Avdeev
Federal Pulmonology Research Institute, Federal Medical and Biological Agency of Russia; I.M.Sechenov First Moscow State Medical University, Healthcare Ministry of Russia (Sechenov University)
Russian Federation
Russian Federation
Sergey N. Avdeev – Doctor of Medicine, Professor, Corresponding Member of the Russian Academy of Sciences, Chief Pulmonologist of the Ministry of Health of the Russian Federation; Head of the Department of Pulmonology, N.V.Sklifosovskiy Institute of Clinical Medicine, I.M.Sechenov First Moscow State Medical University, Healthcare Ministry of Russia (Sechenov University); Head of Clinical Department, Federal Pulmonology Research Institute, Federal Medical and Biological Agency of Russia. SPIN: 1645-5524; Author ID: 194984
Orekhovyy bul’var 28, Moscow, 115682
ul. Trubetskaya 8, build. 2, Moscow, 119991
tel.: (916) 614-58-25
References
1. Lichtenstein D.A. Ultrasound examination of the lungs in the intensive care unit. Pediatr. Crit. Care Med. 2009; 10 (6): 693–698. DOI: 10.1097/PCC.0b013e3181b7f637.
2. Reissig A., Copetti R., Mathis G. et al. Lung ultrasound in the diagnosis and follow-up of community-acquired pneumonia: a prospective, multicenter, diagnostic accuracy study. Chest. 2012; 142 (4): 965–972. DOI: 10.1378/chest.12-0364.
3. Mojoli F., Bouhemad D., Mongodi S. et al. Lung Ultrasound for Critically Ill Patients. Am. J. Respir. Crit. Care Med. 2019; 199 (6): 701–714. DOI: 10.1164/rccm.201802-0236CI.
4. Chuyashenko E.V., Zavadovskaya V.D., Ageeva T.S. et al. [Ultrasound examination of the lungs for pneumonia]. Sibirskiy meditsinskiy zhurnal. 2019; 34 (1): 78–84. DOI: 10.29001/2073-8552-2019-34-1-78-84 (in Russian).
5. Petrov A.A., Safarova A.F., Rachina S.A. et al. [Ultrasound examination of the lungs: method of implementation and prospects in the diagnosis of nosocomial pneumonia]. Prakticheskaya pul’monologiya. 2018; (3): 38–45 (in Russian).
6. Copetti R. Is lung ultrasound the stethoscope of the new millennium? Definitely yes! Acta Med. Acad. 2016; 45 (1): 80–81. DOI: 10.5644/ama2006-124.162.
7. Alerhand S., Graumann O., Nelson B.P. Physics and basic principles. In: Laursen C.B., Rahman N.M., Volpicelli G., eds. Thoracic ultrasound. Sheffield: European Respiratory Society; 2018: 1–13. DOI: 10.1183/2312508X.10006017.
8. Radzina M., Biederer J. Ultrasonography of the lung. RoFo. 2019; 191 (10): 909–923. DOI: 10.1055/a-0881-3179.
9. Gargani L., Volpicelli G. How I do it: Lung ultrasound. Cardiovasc. Ultrasound. 2014; 12: 25. DOI: 10.1186/14767120-12-25.
10. Gutierrez M., Salaffi F., Carotti M. et al. Utility of a simplified ultrasound assessment to assess interstitial pulmonary fibrosis in connective tissue disorders – preliminary results. Arthritis Res. Ther. 2011; 13 (4): R134. DOI: 10.1186/ar3446.
11. Lichtenstein D.A., Mezière G.A. Relevance of lung ultrasound in the diagnosis of acute respiratory failure: the BLUE protocol. Chest. 2008; 134 (1): 117–125. DOI: 10.1378/chest.07-2800.
12. Volpicelli G., Elbarbary M., Blaivas M. et al. International evidence-based recommendations for point-of-care lung ultrasound. Intensive Care Med. 2012; 38 (4): 577–591. DOI: 10.1007/s00134-012-2513-4.
13. Soummer A., Perbet S., Brisson H. et al. Lung ultrasound study group. Ultrasound assessment of lung aeration loss during a successful weaning trial predicts postextubation distress. Crit. Care Med. 2012; 40 (7): 2064–2072. DOI: 10.1097/ccm.0b013e31824e68ae.
14. Mathis G. Pneumonia. In: Laursen C.B., Rahman N.M., Volpicelli G., eds. Thoracic ultrasound. Sheffield: European Respiratory Society; 2018: 87–101. DOI: 10.1183/2312508X.10006617.
15. Lichtenstein D.A., Lascols N., Mezière G. et al. Ultrasound diagnosis of alveolar consolidation in the critically ill. Intensive Care Med. 2004; 30 (2): 276–281. DOI: 10.1007/s00134-003-2075-6.
16. Reissig A., Copetti R. Lung ultrasound in community-acquired pneumonia and in interstitial lung diseases. Respiration. 2014; 87 (3): 179–189. DOI: 10.1159/000357449.
17. Lichtenstein D., Meziere G., Seitz J. The dynamic air bronchogram. A lung ultrasound sign of alveolar consolidation ruling out atelectasis. Chest. 2009; 135 (6): 1421–1425. DOI: 10.1378/chest.08-2281.
18. Copetti R., Cattarossi L. Ultrasound diagnosis of pneumonia in children. Radiol. Med. 2008; 113 (2): 190–198. DOI: 10.1007/s11547-008-0247-8.
19. Mathis G., Beckh S., Gorg Ch. Lung Consolidation. In: Mathis G., ed. Chest sonography. 4 th Edn. Berlin: Springer; 2017: 51–97. DOI: 10.1007/978-3-319-44072-9_5.
20. Goerg C., Seifart U., Görg K. et al. Color Doppler sonographic mapping of pulmonary lesions: evidence of dual arterial supply by spectral analysis. J. Ultrasound Med. 2003; 22 (10): 1033–1039. DOI: 10.7863/jum.2003.22.10.1033.
21. Safonov D.V., Safonova T.D. [Ultrasound diagnostics of purulent pleural effusions – pleural empyema and pyopneumothorax]. Fundamental’nye issledovaniya. 2015; (1): 592596 (in Russian).
22. Zhestovskaya S.I., Shinkarenko E.V., Tyazhel’nikova Z.M. et al. [Ultrasound diagnosis of pleurisy of unknown etiology]. Sibirskiy meditsinskiy zhurnal. 2009; 24 (2–1): 95–99 (in Russian).
23. Xirouchaki N., Magkanas E., Vaporidi K. et al. Lung ultrasound in critically ill patients: Comparison with bedside chest radiography. Intensive Care Med. 2011; 37 (9): 14881493. DOI: 10.1007/s00134-011-2317-y.
24. Oveland N.P. Pneumothorax. In: Laursen C.B., Rahman N.M., Volpicelli G., eds. Thoracic Ultrasound. Sheffield: European Respiratory Society; 2018: 43–63. DOI: 10.1183/2312508X.10006317.
25. Volpicelli G., Caramello V., Cardinale L. et al. Detection of sonographic B-lines in patients with normal lung or radiographic consolidations. Med. Sci. Monit. 2008; 14 (3): CR122–CR128.
26. Manolescu D., Davidescu L., Traila D. et al. The reliability of lung ultrasound in assessment of idiopathic pulmonary fibrosis. Clin. Interv. Aging. 2018; 13: 437–449. DOI: 10.2147/CIA.S156615.
27. Peng Q.Y., Wang X.T., Zhang L.N. Findings of lung ultrasonography of novel corona virus pneumonia during the 2019–2020 epidemic. Intensive Care Med. 2020; 46 (5): 849–850. DOI: 10.1007/s00134-020-05996-6.
28. Huang Y., Wang S., Liu Y. et al. A preliminary study on the ultrasonic manifestations of peripulmonary lesions of noncritical novel coronavirus pneumonia (COVID-19). SSRN Electronic Journal. 2020, Feb. 26. DOI: 10.2139/ssrn.3544750.
29. Tsai N.W., Ngai C.W., Mok K.L. et al. Lung ultrasound imaging in avian influenza A (H7N9) respiratory failure. Crit. Ultrasound J. 2014, 6 (1): 76. DOI: 10.1186/2036-7902-6-6.
30. Tsung J.W., Shan V.P., Kessler D.O. Prospective application of clinician-performed lung ultrasonography during the 2009 H1N1 influenza A pandemic: Distinguishing viral from bacterial pneumonia. Crit. Ultrasound J. 2012; 4 (1): 16. DOI: 10.1186/2036-7902-4-16.
31. Volpicelli G., Lamorte A., Villen T. What’s new in lung ultrasound during the COVID-19 pandemic. Intensive Care Med. 2020; 46 (7): 1445–1448. DOI: 10.1007/s00134-02006048-9.
32. Mohamed M.F.H., Al-Shokri S., Yousaf Z. et al. Frequency of abnormalities detected by point-of-care lung ultrasound in symptomatic COVID-19 patients: Systematic review and meta-analysis. Am. J. Trop. Med. Hyg. 2020; 103 (2): 815–821. DOI: 10.4269/ajtmh.20-0371.
33. Tan G., Lian X., Zhu Zh. et al. Use of lung ultrasound to differentiate Covid-19 pneumonia from community-acquired pneumonia. Ultrasound Med. Biol. 2020; 46 (10): 2651–2658. DOI: 10.1016/j.ultrasmedbio.2020.05.006.
34. Soldati G., Smargiassi A., Inchingolo R. et al. Proposal for international standardization of the use of lung ultrasound for COVID-19. J. Ultrasound Med. 2020; 39 (7): 1413–1419. DOI: 10.1002/jum.15285.
35. Monteiro R.A.A., de Oliveira E.P., Saldiva P.H.N. Histological-ultrasonographical correlation of pulmonary involvement in severe COVID-19. Intensive Care Med. 2020; 46 (9): 1766–1768. DOI: 10.1007/s00134-020-06125-z.
36. Pagano A., Porta G., Bosso G. et al. Non-invasive CPAP in mild and moderate ARDS secondary to SARS-CoV-2. Respir. Physiol. Neurobiol. 2020; 280: 103489. DOI: 10.1016/j.resp.2020.103489.
37. Ding L., Wang L., Ma W., He H. Efficacy and safety of early prone positioning combined with HFNC or NIV in moderate to severe ARDS: a multi-center prospective cohort study. Crit. Care. 2020; 24 (1): 28. DOI: 10.1186/s13054020-2738-5.
38. Elharrar X., Trigui Y., Dols A.M. et al. Use of prone positioning in nonintubated patients with COVID-19 and hypoxemic acute respiratory failure. JAMA. 2020; 323 (22): 2336. DOI: 10.1001/jama.2020.8255.
39. Coppo A., Bellani G., Winterton D. et al. Feasibility and physiologic effects of prone positioning in non-intubated patients with acute respiratory failure due to COVID-19 (PRON-COVID): a prospective cohort study. Lancet Respir. Med. 2020; 8 (8): 765–774. DOI: 10.1016/S2213-2600(20)30268-X.
40. Telias I., Katira B.H., Brochard L. Is the prone position helpful during spontaneous breathing in patients with COVID-19? JAMA. 2020; 323 (22): 2265. DOI: 10.1001/jama.2020.8539.
41. Thompson A.E., Ranard B.L., Wei Y. et al. Prone positioning in awake, nonintubated patients with COVID-19 hypoxemic respiratory failure. JAMA Intern. Med. [Preprint. Posted: 2020, Jun. 17]. DOI: 10.1001/jamainternmed.2020.3030.
42. Prat G., Guinard S., Bizien N. et al. Can lung ultrasonography predict prone positioning response in acute respiratory distress syndrome patients? J. Crit. Care. 2015; 32: 36–41. DOI: 10.1016/j.jcrc.2015.12.015.
43. Soldati G., Smargiassi A., Inchingolo R. et al. Is there a role for lung ultrasound during the Covid-19 pandemic? J. Ultrasound Med. 2020; 39 (7): 1459–1462. DOI: 10.1002/jum.15284.
Review
For citations:
Nekludova G.V., Avdeev S.N. Lung ultrasound: the possibilities of diagnosing of lung damage associated with the new coronavirus infection COVID-19. PULMONOLOGIYA. 2020;30(5):577-586. https://doi.org/10.18093/0869-0189-2020-30-5-577-586
Views:
1224
Email this article 