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How to Perform Pediatric Lung Ultrasound Examinations in the Time of <scp>COVID</scp>‐19

Cristina De Rose, Riccardo Inchingolo, Andrea Smargiassi, Giuseppe Zampino, Piero Valentini, Danilo Buonsenso

2020Journal of Ultrasound in Medicine19 citationsDOIOpen Access PDF

Abstract

Video 1 Operator 1, wearing all protective devices and with the wireless transducer placed in a glove, enters the negative-pressure room where a positive case of COVID-19 is isolated. Video 2 Operator 2, with the tablet, remaining outside the room, helps operator 1 properly place the transducer perpendicularly, obliquely, and parallel to the ribs in the anterior, lateral, and posterior regions of the thorax, to perform US scans in the longitudinal and transverse planes. The operators communicate continuously, giving feedback, on the explored lung fields. Operator 2 also decides when to freeze the image and store movies. Video 3 Operator 2 asks operator 1 to better study the left midposterior lung field, finding there a lesion characterized by a subcentimetric subpleural consolidation associated with a vertical area of white and pleural line irregularities (LUS findings seen in adult patients who tested positive for COVID-19, as described by Buonsenso et al4). Please note: The publisher is not responsible for the content or functionality of any supporting information supplied by the authors. Any queries (other than missing content) should be directed to the corresponding author for the article.

Topics & Concepts

MedicineLung ultrasoundCoronavirus disease 2019 (COVID-19)Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)2019-20 coronavirus outbreakLungLung diseaseVirologyInternal medicineOutbreakDiseaseInfectious disease (medical specialty)Ultrasound in Clinical ApplicationsPhonocardiography and Auscultation TechniquesRespiratory Support and Mechanisms
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