Lung ultrasound score to monitor COVID-19 pneumonia progression in patients with ARDS

PloS One
Auguste DargentCOVID-LUS study group

Abstract

COVID-19 pneumonia typically begins with subpleural ground glass opacities with progressive extension on computerized tomography studies. Lung ultrasound is well suited to this interstitial, subpleural involvement, and it is now broadly used in intensive care units (ICUs). The extension and severity of lung infiltrates can be described numerically with a reproducible and validated lung ultrasound score (LUSS). We hypothesized that LUSS might be useful as a tool to non-invasively monitor the evolution of COVID-19 pneumonia at the bedside. LUSS monitoring was rapidly implemented in the management of our COVID-19 patients with RT-PCR-documented COVID-19. The LUSS was evaluated repeatedly at the bedside. We present a graphic description of the course of LUSS during COVID-19 in 10 consecutive patients admitted in our intensive care unit with moderate to severe ARDS between March 15 and 30th. LUSS appeared to be closely related to the disease progression. In successfully extubated patients, LUSS decreased and was lower than at the time of intubation. LUSS increased inexorably in a patient who died from refractory hypoxemia. LUSS helped with the diagnosis of ventilator-associated pneumonia (VAP), showing an increased score and the pre...Continue Reading

References

May 16, 2012·Critical Care Medicine·Alexis SoummerUNKNOWN Lung Ultrasound Study Group
Feb 3, 2016·Chest·Silvia MongodiBélaïd Bouhemad
Apr 2, 2016·Intensive Care Medicine·Antonio PesentiMichael Quintel
Mar 14, 2020·Intensive Care Medicine·Qian-Yi PengUNKNOWN Chinese Critical Care Ultrasound Study Group (CCUSG)

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Citations

Oct 13, 2020·Medizinische Klinik, Intensivmedizin und Notfallmedizin·Daniel KieflRaoul Breitkreutz
Dec 15, 2020·Current Opinion in Critical Care·Gabriele ViaLuigi Camporota
Jan 7, 2021·Heart Failure Reviews·Alberto PalazzuoliPeter A McCullough
Jan 27, 2021·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Claudia SeilerMaria Hårdstedt
Jan 21, 2021·International Journal of Environmental Research and Public Health·Joji AbrahamSingarayer Florentine
Dec 29, 2020·Critical Care : the Official Journal of the Critical Care Forum·Arif HussainYaseen Arabi
Mar 6, 2021·European Journal of Internal Medicine·Francesco CasellaChiara Cogliati
Feb 19, 2021·Ultraschall in der Medizin : Organ der Deutschen Gesellschaft für Ultraschall in der Medizin, [der] Österreichischen Gesellschaft für Ultraschall in der Medizin, [der] Schweizerischen Gesellschaft für Ultraschall in Medizin und Biologie·Valeria TombiniAndrea Bellone
Mar 16, 2021·Respiratory Medicine Case Reports·Hayato TaniguchiIchiro Takeuchi
Apr 12, 2021·Respiratory Medicine·Guido GiovannettiCarlo D'Agostino
Jun 3, 2021·Journal of Clinical Medicine·Julie FinanceCarole Eldin
Jun 10, 2021·Heart & Lung : the Journal of Critical Care·Auguste DargentUNKNOWN COVIDLUS study group
Jun 13, 2021·Journal of Clinical Ultrasound : JCU·Qian-Yi PengUNKNOWN Chinese Critical Ultrasound Study Group (CCUSG)
Jul 14, 2021·Deutsche medizinische Wochenschrift·Stephanie-Susanne StecherBoris Böll
Nov 5, 2021·Ultraschall in der Medizin : Organ der Deutschen Gesellschaft für Ultraschall in der Medizin, [der] Österreichischen Gesellschaft für Ultraschall in der Medizin, [der] Schweizerischen Gesellschaft für Ultraschall in Medizin und Biologie·Luigi VetrugnoFlavia Petrini

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Methods Mentioned

BETA
X-ray

Software Mentioned

LUSS

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