González MKI, Montelongo FJ, Islas ÁRE, Gatica CD, González MDV

Language: Spanish
References: 5
Page: 182-185
PDF size: 250.66 Kb.

ABSTRACT

At first it was thought that ultrasound was not useful for the study of the lung, based on the ultrasound principle in which air reflects sound waves acting as a biological barrier. Commonly, lung imaging in critically ill patients is performed routinely by taking a chest X-ray at the bedside (CXR) or a thoracic computed tomography which, although it is the gold standard for imaging of lung is expensive and cannot be performed routinely. To carry out the chest X-ray involves transfer to the radiology department which puts a critical patient at risk, as well as portable CXR is limited to poor image quality and low sensitivity, this is where pulmonary ultrasound becomes important, as it is an easy, fast method that can be performed at the bedside and at a lower cost. Objective: The objective of this study is to propose a protocol using an ultrasound technique to identify the characteristics of subpleural consolidations and their importance in the evolution of the disease in patients with a diagnosis of COVID-19 in the Intensive Care department of the General Hospital of Ecatepec. Material and methods: With prior authorization from the ethics committee, a prospective analytical study was carried out in the Intensive Care department using a VINNO 5 ultrasound and with a linear and convex transducer, subpleural consolidations were identified, measurements were taken and the evolution was followed in hospitalized patients to the Intensive Therapy Unit of the General Hospital of Ecatepec. Conclusions: In this study, it was demonstrated that subpleural consolidations are changes present in the SARS-CoV-2 infection and that the identification and monitoring of their size by ultrasound during the clinical course of the disease can guide us in the taking of decisions and infer in the diagnosis and prognosis of said pathology.

REFERENCES

1. Lichtenstein D. Novel approaches to ultrasonography of the lung and pleural space: where are we now? Breathe. 2017;13:100-111.

2. González-Castro A, Escudero-Acha P, Peñasco Y, Leizaola O, Martínez de Pinillos Sánchez V, García de Lorenzo A. Cuidados intensivos durante la epidemia de coronavirus 2019. Med Intesiv. [Internet]. 2020 Marzo [citado 2020 Oct 13]44(6):351-362. doi: https://doi.org/10.1016/j.medin.2020.03.001

3. Zalaquett E, Lomoro P, Natalizi A. Ultrasonido pulmonar en COVID-19. Rev Chil Radiol. [Internet]. 2020 Junio [citado 2020 Oct 13]26(2):46-51. Disponible en: https://scielo.conicyt.cl/scielo.php?script=sci_arttext&pid=S0717-93082020000200046&lng=es. http://dx.doi.org/10.4067/S0717-93082020000200046

4. Peng QY, Wang XT, Zhang LN, Chinese Critical Care Ultrasound Study Group (CCUSG). Finding of lung ultrasonography of novel coronavirus pneumonia during the 2019-2020 epidemic. Intensive Care Med. 2020. doi: 10.1007/s00134-020-05996-6

5. Villén T, Cheyayeb J, Campo R. Ecografía pulmonar para el manejo de la infección por COVID-19. Directos de SEMES. 26 abril 2020.