Lung ultrasound: the possibilities of diagnosing of lung damage associated with the new coronavirus infection COVID-19

2020 ◽  
Vol 30 (5) ◽  
pp. 577-586
Author(s):  
G. V. Nekludova ◽  
S. N. Avdeev
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Lung Ultrasound ◽  
Lung Damage ◽  
Lung Lesions ◽  
Ultrasound Method ◽  
Viral Nature ◽  
Coronavirus Infection

This publication is devoted to the ultrasound method of lung examination, which has gained particular relevance during the pandemic of the new coronavirus infection 2019. The lecture discusses the general provisions of lung ultrasound, ultrasonic signs of lung damage, features of ultrasound semiotics in the viral nature of lung lesions, differences from the bacterial nature of lung damage, presents aspects of the use of lung ultrasound during the pandemic of the coronavirus infection 2019. The lecture is based on the experience of domestic and foreign researchers, as well as on the authors’ own experience, which demonstrates the value of this method both in intensive care units and in a therapeutic clinic.

scholarly journals Echocardiography in acute cardiovascular care. Part 2. Cardiac and lung ultrasound examination

2020 ◽  
Vol 9 (3) ◽  
pp. 49-58
Author(s):  
O. N. Dzhioeva ◽  
D. O. Orlov ◽  
I. G. Nikitin
Keyword(s):  
Differential Diagnosis ◽  
Intensive Care ◽  
Intensive Care Units ◽  
Diagnostic Method ◽  
Lung Ultrasound ◽  
Ultrasound Examination ◽  
Pulmonary Thromboembolism ◽  
Clinical Status ◽  
Cardiovascular Care

Lung ultrasound is an integral part of echocardiography in emergency conditions. The method allows determining the clinical status of the patient and remains an important differential diagnostic method for examining patients in intensive care units.The second part of the article is devoted to echocardiography as part of the differential diagnosis of dyspnea syndrome. Lung ultrasound for differentiation of interstitial pulmonary syndrome, the role of echocardiography in the diagnosis of pulmonary thromboembolism and verification of valvular pathology are described.

scholarly journals Radiologic Diagnostics of Lung Lesions by Granulomatosis with Polyangiitis in the Context of the COVID-19 Pandemic

2021 ◽  
pp. 9-21
Author(s):  
T. D. Safonova ◽  
Zh. V. Sheikh
Keyword(s):  
Granulomatosis With Polyangiitis ◽  
Ground Glass Opacity ◽  
Diagnostic Value ◽  
Lung Lesion ◽  
Lung Damage ◽  
Ct Scanner ◽  
Lung Lesions ◽  
Radiologic Diagnostics ◽  
Viral Nature ◽  
Ray Patterns

Granulomatosis with polyangiitis (GPA), formerly known as Wegener’s granulomatosis, and lung damage in coronavirus infection have many common clinical and radiological symptoms. In the context of the COVID-19 pandemic the ability of a radiologist to differentiate a viral lung lesion from a granulomatous one is relevant due to the difficulty of recognizing them. In order to develop differential radiation diagnostics, a comparative analysis of the computer tomographic picture of lung lesions in each disease was carried out and the leading X-ray patterns were determined. 61 patients with lung damage were examined, including 30 with HPA, 30 with COVID-19 and 1 patient with a combination of these diseases. A total of 74 native computer tomography examinations of the chest organs were accomplished using a Toshiba Aquilion 64 multi-slice CT scanner. It was found that the most informative radiological sign of HPA are nodes, nodules and masses in the lungs, which were detected in 22 (73.3 %) patients, including 11 (36.7 %) with a necrotic cavitation. Ground-glass opacity is often found in both diseases, but COVID-19 is more characterized by a rounded (56.7 %) or polygonal shape (20.0 %) of pathological areas and their peripheral location (70.0 %) mainly in the posterior parts of the lungs, and triangular areas (42.1 %) with a central location (42.1 %) are more often found in HPA. The rapid dynamics of changes in the lungs on control CT scans is of great diagnostic value, which indicates the viral nature of the disease.

scholarly journals Replacement renal therapy in the treatment of patients with a severe course of the new coronavirus infection

2021 ◽  
Vol 18 (2) ◽  
pp. 23-30
Author(s):  
S. N. Аvdeykin ◽  
D. M. Kostin ◽  
A. V. Srednyakov ◽  
D. N. Kazakov ◽  
N. I. Matyushkov ◽  
...  
Keyword(s):  
Intensive Care ◽  
Tracheal Intubation ◽  
Intensive Care Units ◽  
Sofa Score ◽  
The State ◽  
City Hospital ◽  
Treatment Methods ◽  
Results Of Treatment ◽  
Moscow City ◽  
Coronavirus Infection

Objective: to study the use of RRT methods and their influence on the results of treatment of patients with severe COVID-19.Subjects and methods. We retrospectively analyzed the data of 283 patients with COVID-19 in the intensive care units of Moscow City Hospital no. 40 in 2020 who had received RRT as one of the treatment methods.Results. Frequency of RRT in COVID-19 patients in ICU of Moscow City Hospital no. 40 for 2020 made 5.7% (504 out of 8.711 patients treated in ICU received RRT). In 86% of cases, RRT was performed for renal indications. At the time of initiation of RRT, the studied groups did not differ according to SOFA score. The frequency of using dialysis units with high and low cut-off point in the groups of survived and deceased patients differed significantly. The surgery itself started at relatively the same time from the onset and statistically significantly earlier in the group of survivors from the beginning of tracheal intubation (4.9 ± 0.5 vs 6.8 ± 0.3 days, p = 0.0013). Against the background of ongoing therapy, overall severity of the state progressed in the group of deceased patients to 9.9 ± 0.2 SOFA scores, while in the group of survivors there was an improvement to 6.1 ± 0.4 scores.

scholarly journals Survey of the training and use of echocardiography and lung ultrasound in Australasian intensive care units

Critical Care ◽  
2016 ◽  
Vol 20 (1) ◽  
Author(s):  
Yang Yang ◽  
Colin Royse ◽  
Alistair Royse ◽  
Kacey Williams ◽  
David Canty
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Lung Ultrasound
Sign in / Sign up

Export Citation Format

Share Document