How to Perform Pediatric Lung Ultrasound Examinations in the Time of COVID-19
Cristina De Rose MD
Department of Woman and Child Health and Public Health, Fondazione Policlinico Universitario Agostino Gemelli, Istituto di Ricovero e Cura a Carattere Scientifico, Rome, Italy
Search for more papers by this authorRiccardo Inchingolo MD
Pulmonary Medicine Unit, Department of Cardiovascular and Thoracic Sciences, Fondazione Policlinico Universitario Agostino Gemelli, Istituto di Ricovero e Cura a Carattere Scientifico, Rome, Italy
Università Cattolica del Sacro Cuore, Fondazione Policlinico Universitario Agostino Gemelli, Istituto di Ricovero e Cura a Carattere Scientifico, Rome, Italy
Search for more papers by this authorAndrea Smargiassi MD, PhD
Pulmonary Medicine Unit, Department of Cardiovascular and Thoracic Sciences, Fondazione Policlinico Universitario Agostino Gemelli, Istituto di Ricovero e Cura a Carattere Scientifico, Rome, Italy
Università Cattolica del Sacro Cuore, Fondazione Policlinico Universitario Agostino Gemelli, Istituto di Ricovero e Cura a Carattere Scientifico, Rome, Italy
Search for more papers by this authorGiuseppe Zampino MD
Department of Woman and Child Health and Public Health, Fondazione Policlinico Universitario Agostino Gemelli, Istituto di Ricovero e Cura a Carattere Scientifico, Rome, Italy
Università Cattolica del Sacro Cuore, Fondazione Policlinico Universitario Agostino Gemelli, Istituto di Ricovero e Cura a Carattere Scientifico, Rome, Italy
Search for more papers by this authorPiero Valentini MD
Department of Woman and Child Health and Public Health, Fondazione Policlinico Universitario Agostino Gemelli, Istituto di Ricovero e Cura a Carattere Scientifico, Rome, Italy
Università Cattolica del Sacro Cuore, Fondazione Policlinico Universitario Agostino Gemelli, Istituto di Ricovero e Cura a Carattere Scientifico, Rome, Italy
Search for more papers by this authorCorresponding Author
Danilo Buonsenso MD
Department of Woman and Child Health and Public Health, Fondazione Policlinico Universitario Agostino Gemelli, Istituto di Ricovero e Cura a Carattere Scientifico, Rome, Italy
Università Cattolica del Sacro Cuore, Fondazione Policlinico Universitario Agostino Gemelli, Istituto di Ricovero e Cura a Carattere Scientifico, Rome, Italy
Search for more papers by this authorCristina De Rose MD
Department of Woman and Child Health and Public Health, Fondazione Policlinico Universitario Agostino Gemelli, Istituto di Ricovero e Cura a Carattere Scientifico, Rome, Italy
Search for more papers by this authorRiccardo Inchingolo MD
Pulmonary Medicine Unit, Department of Cardiovascular and Thoracic Sciences, Fondazione Policlinico Universitario Agostino Gemelli, Istituto di Ricovero e Cura a Carattere Scientifico, Rome, Italy
Università Cattolica del Sacro Cuore, Fondazione Policlinico Universitario Agostino Gemelli, Istituto di Ricovero e Cura a Carattere Scientifico, Rome, Italy
Search for more papers by this authorAndrea Smargiassi MD, PhD
Pulmonary Medicine Unit, Department of Cardiovascular and Thoracic Sciences, Fondazione Policlinico Universitario Agostino Gemelli, Istituto di Ricovero e Cura a Carattere Scientifico, Rome, Italy
Università Cattolica del Sacro Cuore, Fondazione Policlinico Universitario Agostino Gemelli, Istituto di Ricovero e Cura a Carattere Scientifico, Rome, Italy
Search for more papers by this authorGiuseppe Zampino MD
Department of Woman and Child Health and Public Health, Fondazione Policlinico Universitario Agostino Gemelli, Istituto di Ricovero e Cura a Carattere Scientifico, Rome, Italy
Università Cattolica del Sacro Cuore, Fondazione Policlinico Universitario Agostino Gemelli, Istituto di Ricovero e Cura a Carattere Scientifico, Rome, Italy
Search for more papers by this authorPiero Valentini MD
Department of Woman and Child Health and Public Health, Fondazione Policlinico Universitario Agostino Gemelli, Istituto di Ricovero e Cura a Carattere Scientifico, Rome, Italy
Università Cattolica del Sacro Cuore, Fondazione Policlinico Universitario Agostino Gemelli, Istituto di Ricovero e Cura a Carattere Scientifico, Rome, Italy
Search for more papers by this authorCorresponding Author
Danilo Buonsenso MD
Department of Woman and Child Health and Public Health, Fondazione Policlinico Universitario Agostino Gemelli, Istituto di Ricovero e Cura a Carattere Scientifico, Rome, Italy
Università Cattolica del Sacro Cuore, Fondazione Policlinico Universitario Agostino Gemelli, Istituto di Ricovero e Cura a Carattere Scientifico, Rome, Italy
Search for more papers by this author
Supporting Information
| Filename | Description |
|---|---|
| jum15306-sup-0001-VideoS1.mp4MPEG-4 video, 4.4 MB | 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. |
| jum15306-sup-0002-VideoS2.mp4MPEG-4 video, 19.6 MB | 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. |
| jum15306-sup-0003-VideoS3.mp4MPEG-4 video, 14.6 MB | 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.
References
- 1Zhu N, Zhang D, Wang W, et al. A novel coronavirus from patients with pneumonia in China, 2019. N Engl J Med 2020; 382: 727–733.
- 2Copetti R. Is lung ultrasound the stethoscope of the new millennium? Definitely yes! Acta Med Acad 2016; 45: 80–81.
- 3Buonsenso D, Brancato F, Valentini P, Curatola A, Supino M, Musolino AM. The use of lung ultrasound to monitor the antibiotic response of community-acquired pneumonia in children: a preliminary hypothesis. J Ultrasound Med 2020; 39: 817–826.
- 4Buonsenso D, Piano A, Raffaelli F, Bonadia N, de Gaetano DK, Franceschi F. Point-of-care lung ultrasound findings in novel coronavirus disease–19 pneumoniae: a case report and potential applications during COVID-19 outbreak. Eur Rev Med Pharmacol Sci 2020; 24: 2776–2780.
- 5Yoon SH, Lee KH, Kim JY, et al. Chest radiographic and CT findings of the 2019 novel coronavirus disease (COVID-19): analysis of nine patients treated in Korea. Korean J Radiol 2020; 21: 494–500.
- 6Soldati G, Smargiassi A, Inchingolo R, et al. Is there a role for lung ultrasound during the COVID-19 pandemic [published online ahead of print March 20, 2020] J Ultrasound Med. doi.org/10.1002/jum.15284
- 7Dong Y, Mo X, Hu Y, et al. Epidemiological characteristics of 2143 pediatric patients with 2019 coronavirus disease in China [published online ahead of print March 16, 2020]. Pediatrics. doi.org/10.1542/peds.2020-0702
- 8Buonsenso D, Pata D, Chiaretti A. COVID-19 outbreak: less stethoscope, more ultrasound [published online ahead of print March 20, 2020]. Lancet Respir Med. doi.org/10.1016/S2213-2600(20)30120-X
- 9 World Health Organization. Medical devices: personal protective equipment. World Health Organization website. https://www.who.int/medical_devices/meddev_ppe/en/. Accessed March 6, 2020.
Citing Literature
