Consensus Guidelines of Russian Society of Radiology (RSR) and Russian Association of Specialists in Ultrasound Diagnostics in Medicine (RASUDM) «Role of Imaging (X-ray, CT and US) in Diagnosis of COVID-19 Pneumonia» (version 2)

The paper presents Consensus Guidelines of Russian Society of Radiology (RSR) and Russian Association of Specialists in Ultrasound Diagnostics in Medicine (RASUDM) «Role of imaging (X-ray, CT and US) in diagnosis of COVID-19 pneumonia» (version 2) of the Russian Society of Radiology and the Russian Association of Specialists in Ultrasound Diagnostics in Medicine.The guidelines list radiological techniques for lung diseases, which are used in coronavirus COVID-19 infection (chest X-ray, lung computed tomography (CT), and lung ultrasound (US), diagnostic algorithm, and follow-up study. The guidelines propose the models of the work of radiological rooms/departments of a healthcare facility, the procedure for conducting an examination, and recommendations for providing a description and assessing changes in the lung and chest in existing/suspected COVID-19-related pneumonia and present the schemes of X-ray and CT protocols at the initial examination and assessment of the changes.Chest X-ray has a low sensitivity for detecting initial changes in the first days of the disease and is not recommended for early diagnosis. Mobile radiography is an important tool for diagnosis of lung pathology in the intensive care units.CT is the most sensitive technique in detecting lung changes characteristic of COVID-19-related pneumonia. It is advisable to use CT for the initial evaluation of thoracic organs in patients with severe and progressive forms of the disease, as well as for the differential diagnosis and follow up.Lung US in patients with suspected/known COVID-19-related pneumonia is an additional imaging method that does not replace or exclude X-ray and CT. If the correct procedure is followed, correct indications are selected, and trained medical personnel is available, this study is highly sensitive in detecting interstitial changes and consolidations in lung tissue, but only in their subpleural location. The US data do not always allow definite determination of the reasons for the occurrence and/or actual extent of lung tissue changes.Standard reporting guidelines (CT, X-ray) about the possibility of COVID-19 pneumonia and its severity should be used.The follow up using CT, X-ray, or US depends on the clinical indications that necessitate dynamic assessment. The recommended frequency of repeat CT and X-ray in patients having no substantial changes in their clinical condition outside the intensive care units is not more than once every 5-7 days. An objective assessment of the time course of changes is possible only when comparing the data of the same type of study.

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Efficacy of chest X-ray in the diagnosis of COVID-19 pneumonia: comparison with computed tomography through a simplified scoring system designed for triage

Egyptian Journal of Radiology and Nuclear Medicine ◽

10.1186/s43055-021-00541-x ◽

2021 ◽

Vol 52 (1) ◽

Author(s):

Akın Çinkooğlu ◽

Selen Bayraktaroğlu ◽

Naim Ceylan ◽

Recep Savaş

Keyword(s):

Computed Tomography ◽

Intensive Care ◽

Intensive Care Units ◽

Scoring System ◽

Imaging Modality ◽

Ground Glass Opacity ◽

Initial Presentation ◽

X Ray ◽

Chest X Ray

Abstract Background There is no consensus on the imaging modality to be used in the diagnosis and management of Coronavirus disease 2019 (COVID-19) pneumonia. The purpose of this study was to make a comparison between computed tomography (CT) and chest X-ray (CXR) through a scoring system that can be beneficial to the clinicians in making the triage of patients diagnosed with COVID-19 pneumonia at their initial presentation to the hospital. Results Patients with a negative CXR (30.1%) had significantly lower computed tomography score (CTS) (p < 0.001). Among the lung zones where the only infiltration pattern was ground glass opacity (GGO) on CT images, the ratio of abnormality seen on CXRs was 21.6%. The cut-off value of X-ray score (XRS) to distinguish the patients who needed intensive care at follow-up (n = 12) was 6 (AUC = 0.933, 95% CI = 0.886–0.979, 100% sensitivity, 81% specificity). Conclusions Computed tomography is more effective in the diagnosis of COVID-19 pneumonia at the initial presentation due to the ease detection of GGOs. However, a baseline CXR taken after admission to the hospital can be valuable in predicting patients to be monitored in the intensive care units.

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Chest CT as a Complement to RT-PCR to Confirm and Follow-up COVID-19 Patients

Medicinus ◽

10.19166/med.v8i1.3122 ◽

2021 ◽

Vol 8 (1) ◽

pp. 31

Author(s):

Aziza Ghanie Icksan ◽

Muhammad Hafiz ◽

Annisa Dian Harlivasari

Keyword(s):

Chest Ct ◽

Rt Pcr ◽

High Resolution Computed Tomography ◽

X Ray ◽

First Case ◽

Chest X Ray ◽

Polymerase Chain

Background : The first case of COVID-19 in Indonesia was recorded in March 2020. Limitation of reverse-transcription polymerase chain reaction (RT-PCR) has put chest CT as an essential complementary tool in the diagnosis and follow up treatment for COVID-19. Literatures strongly suggested that High-Resolution Computed Tomography (HRCT) is essential in diagnosing typical symptoms of COVID-19 at the early phase of disease due to its superior sensitivity (97%) compared to chest x-ray (CXR).The two cases presented in this case study showed the crucial role of chest CT with HRCT to establish the working diagnosis and follow up COVID-19 patients as a complement to RT-PCR, currently deemed a gold standard.

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Seven Years Leptospirosis Follow-Up in a Critical Care Unit of a French Metropolitan Hospital; Role of Real Time PCR for a Quick and Acute Diagnosis

Journal of Clinical Medicine ◽

10.3390/jcm9093011 ◽

2020 ◽

Vol 9 (9) ◽

pp. 3011

Author(s):

Olivier Bahuaud ◽

Adeline Pastuszka ◽

Cécile Le Brun ◽

Stephan Ehrmann ◽

Philippe Lanotte

Keyword(s):

Intensive Care Unit ◽

Intensive Care ◽

Multiple Organ ◽

Biological Data ◽

Chain Reaction ◽

Metropolitan Hospital ◽

Polymerase Chain ◽

Molecular Biology Method

(1) Background: Leptospirosis infection can lead to multiple organ failure, requiring hospitalization in an intensive care unit for supportive care, along with initiation of an adapted antibiotic therapy. Achieving a quick diagnosis is decisive in the management of these patients. (2) Methods: We present here a review of leptospirosis cases diagnosed in the intensive care unit of our hospital over seven years. Clinical and biological data were gathered, and we compared the differences in terms of diagnostic method. (3) Results: Molecular biology method by Polymerase Chain Reaction (PCR) allowed quick and reliable diagnosis when performed in the first days after the symptoms began. Moreover, we identified that sampling blood and urine for PCR was more efficient than performing PCR on only one type of biological sample. (4) Conclusions: Our results confirm the efficiency of PCR for the quick diagnosis of leptospirosis and suggest that testing both blood and urine early in the disease might improve diagnosis.

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Focus ultrasound for cardiology practice. Russian consensus document

Kardiologiia ◽

10.18087/cardio.2021.11.n1812 ◽

2021 ◽

Vol 61 (11) ◽

pp. 4-23

Author(s):

Yu. V. Mareev ◽

O. N. Dzhioeva ◽

O. T. Zorya ◽

A. S. Pisaryuk ◽

S. L. Verbilo ◽

...

Keyword(s):

Heart Failure ◽

Russian Federation ◽

Focus Ultrasound ◽

Noncommunicable Diseases ◽

Russian Society ◽

Consensus Document ◽

Ultrasound Diagnostics ◽

Definition Of ◽

Russian Association

This document is a consensus document of Russian Specialists in Heart Failure, Russian Society of Cardiology, Russian Association of Specialists in Ultrasound Diagnostics in Medicine and Russian Society for the Prevention of Noncommunicable Diseases. In the document a definition of focus ultrasound is stated and discussed when it can be used in cardiology practice in Russian Federation.

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Recovery from COVID-19 and acute respiratory distress syndrome: the potential role of an intensive care unit recovery clinic: a case report

Journal of Medical Case Reports ◽

10.1186/s13256-020-02481-y ◽

2020 ◽

Vol 14 (1) ◽

Author(s):

Kirby P. Mayer ◽

Jamie L. Sturgill ◽

Anna G. Kalema ◽

Melissa K. Soper ◽

Sherif M. Seif ◽

...

Keyword(s):

Intensive Care Unit ◽

Acute Respiratory Distress Syndrome ◽

Intensive Care ◽

Case Report ◽

Respiratory Distress Syndrome ◽

Respiratory Distress ◽

Distress Syndrome ◽

Polymerase Chain

Abstract Background In this case report, we describe the trajectory of recovery of a young, healthy patient diagnosed with coronavirus disease 2019 who developed acute respiratory distress syndrome. The purpose of this case report is to highlight the potential role of intensive care unit recovery or follow-up clinics for patients surviving acute hospitalization for coronavirus disease 2019. Case presentation Our patient was a 27-year-old Caucasian woman with a past medical history of asthma transferred from a community hospital to our medical intensive care unit for acute hypoxic respiratory failure due to bilateral pneumonia requiring mechanical ventilation (ratio of arterial oxygen partial pressure to fraction of inspired oxygen, 180). On day 2 of her intensive care unit admission, reverse transcription–polymerase chain reaction confirmed coronavirus disease 2019. Her clinical status gradually improved, and she was extubated on intensive care unit day 5. She had a negative test result for coronavirus disease 2019 twice with repeated reverse transcription–polymerase chain reaction before being discharged to home after 10 days in the intensive care unit. Two weeks after intensive care unit discharge, the patient returned to our outpatient intensive care unit recovery clinic. At follow-up, the patient endorsed significant fatigue and exhaustion with difficulty walking, minor issues with sleep disruption, and periods of memory loss. She scored 10/12 on the short performance physical battery, indicating good physical function. She did not have signs of anxiety, depression, or post-traumatic stress disorder through self-report questionnaires. Clinically, she was considered at low risk of developing post–intensive care syndrome, but she required follow-up services to assist in navigating the healthcare system, addressing remaining symptoms, and promoting return to her pre–coronavirus disease 2019 societal role. Conclusion We present this case report to suggest that patients surviving coronavirus disease 2019 with subsequent development of acute respiratory distress syndrome will require more intense intensive care unit recovery follow-up. Patients with a higher degree of acute illness who also have pre-existing comorbidities and those of older age who survive mechanical ventilation for coronavirus disease 2019 will require substantial post–intensive care unit care to mitigate and treat post–intensive care syndrome, promote reintegration into the community, and improve quality of life.

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674 THE ROLE OF THE PRIVATE PEDIATRICIAN IN FOLLOW-UP OF NEONATAL INTENSIVE CARE GRADUATES

Pediatric Research ◽

10.1203/00006450-198104001-00697 ◽

1981 ◽

Vol 15 ◽

pp. 554-554

Author(s):

G Martin ◽

W Ireland ◽

G Furman ◽

J Streng ◽

H Speil ◽

...

Keyword(s):

Intensive Care ◽

Neonatal Intensive Care

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The Role of Nephrologist in the Intensive Care Unit

Blood Purification ◽

10.1159/000452318 ◽

2016 ◽

Vol 43 (1-3) ◽

pp. 78-81 ◽

Cited By ~ 4

Author(s):

Zoltán H. Endre

Keyword(s):

Chronic Kidney Disease ◽

Intensive Care Unit ◽

Acute Kidney Injury ◽

Intensive Care ◽

Kidney Injury ◽

Renal Diseases ◽

Continuing Care ◽

Electrolyte Disorders

Participation by nephrologists is needed in most intensive care units, even when such units are ‘closed'. This participation should assist with diagnosis and management of intrinsic and complex renal diseases such as vasculitis, complex metabolic and electrolyte disorders including hyponatremia, and acute kidney injury (AKI) with and without underlying chronic kidney disease (CKD). Early nephrologist involvement will also facilitate transition to continuing care and follow-up after an episode of AKI, but may also assist in avoiding dialysis where treatment is futile. Management of AKI by intensivists should be in partnership with nephrologists to oversight and hopefully to minimize progression to CKD.

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Echocardiography and Ultrasound in the Intensive Care Unit

Advances in Medical Technologies and Clinical Practice - Modern Concepts and Practices in Cardiothoracic Critical Care ◽

10.4018/978-1-4666-8603-8.ch032 ◽

2015 ◽

pp. 890-907

Author(s):

Pranav R. Shah ◽

Chad Wagner ◽

Andrew Shaw

Keyword(s):

Intensive Care Unit ◽

Intensive Care ◽

Venous Thrombosis ◽

Diagnostic Tool ◽

Point Of Care ◽

Venous Access ◽

Lung Pathology ◽

Cardiac Evaluation ◽

And Training

Sonography in the intensive care unit is a rapidly emerging point-of-care diagnostic tool. Literature supports the use of sonography for the evaluation of lung pathology, protocol based focused cardiac evaluation, and abdominal pathology, as well as identifying deep venous thrombosis. There is also evidence that ultrasound guided procedures such as venous access, thoracentesis, and paracentesis may decrease complications compared to a landmark based technique. However, there is ambiguity in the literature regarding definition, scope, and training in this modality as used by intensivists. The purpose of this chapter is to provide a broad overview of the role of ultrasound in the ICU and data supporting the use of point-of-care protocols. This chapter does not provide instruction on how to perform a complete transthoracic or transesophageal exam, nor does it provide a library of images of various pathologies since a reader seeking such depth would be better served by a full textbook on echocardiography.

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