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COVID-19 Lung Ultrasound Algorithm

Intensive Care Society @ICS_updates

#Lung #Ultrasound #Algorithm #POCUS #COVID19 #SARSCOV2 #Diagnosis #Management
COVID-19 Lung Ultrasound ... ICS_updates #Lung ... #Ultrasound #Algorithm ... POCUS #COVID19 #SARSCOV2
Lung ultrasound pathology in a COVID-19 positive patient
 - Few B-lines (vertical white lines)
 - Confluent
Lung ultrasound ... POCUS #Clinical #Lung ... #Ultrasound #SARSCoV2
Focused POCUS Lung and Cardiac Ultrasound Exams in COVID-19 Patients
1. Turn machine on / Enter patient
and Cardiac Ultrasound ... views of right lung ... and 4 views left lung ... Document highest lung ... diagnosis #covid19 #sarscov2
Management of SIADH
Treat underlying cause:
 • Causes can include pain, primary lung pathology, post-operative phenomenon, medications,
Treat underlying cause ... : • Causes can ... pain, primary lung ... volume overload Urea ... into ammonium by urease-producing
COVID19 vs CHF on POCUS

Spot the difference. 2 pts presenting with nearly same symptoms. Left COVID
clustered with spared areas ... lines due to other causes ... POCUS #Clinical #Lung ... #Ultrasound #SARSCoV2
Lung Ultrasound: Cardiogenic Pulmonary Edema vs ARDS
Cardiogenic Pulmonary Edema:
 • Smooth pleural line
 • AIS >
Lung Ultrasound: ... AIS > 3 B-lines/ lung ... Areas of sparing ... Lung "Pulse" • ... clinical #diagnosis #ultrasound
COVID-19 on POCUS

I'm infected COVID19.  Lung POCUS  day 4 after onset of symptoms. No
Lung POCUS day ... lower posterior lung ... lower posterior lung ... POCUS #Clinical #Lung ... #Ultrasound #SARSCoV2
COVID-19 Lung POCUS

Common findings
-B lines
-Subpleural consolidation
-Air bronchograms
-Irregular pleural line
-Localized pleural effusion

Dr. Marco Garrone @drmarcogarrone

#COVID19 #POCUS #Clinical
COVID-19 Lung POCUS ... POCUS #Clinical #Lung ... #Ultrasound #SARSCoV2
Main Lung Ultrasound differences between COVID-19 involvement and other conditions that may yield respiratory symptoms
 •
Main Lung Ultrasound ... defined spared areas ... more deaerated areas ... COVID19 #POCUS #Lung ... #Ultrasound #Comparison
Skip Lesions - COVID-19 Lung POCUS 
“skip lesion” - Normal pleura adjacent to thickened pleura with
Lesions - COVID-19 Lung ... POCUS #Clinical #Lung ... #Ultrasound #SARSCoV2