Self-Performed Lung Ultrasound for Home Monitoring of a Patient Positive for Coronavirus Disease 2019

Autor: Emanuele Pivetta, Francesca Locascio, Mike Stone, Erin Girard, John D. Martin, Enrico Lupia
Rok vydání: 2020
Předmět:
Adult
Pulmonary and Respiratory Medicine
medicine.medical_specialty
Telemedicine
Monitoring
Respiratory rate
POCUS
point-of-care ultrasound

Critical Care and Intensive Care Medicine
Article
Hypoxemia
coronavirus disease 2019
Betacoronavirus
03 medical and health sciences
0302 clinical medicine
EMS
emergency medical service

Humans
Medicine
Decompensation
Viral
030212 general & internal medicine
Respiratory system
Physiologic
Intensive care medicine
Lung
Pandemics
lung ultrasound
Ultrasonography
Oxygen saturation (medicine)
LUS
lung ultrasound

SARS-CoV-2
business.industry
COVID-19
Pneumonia
Home Care Services
telemedicine
Coronavirus Infections
Female
Monitoring
Physiologic

Pneumonia
Viral

medicine.anatomical_structure
030228 respiratory system
Respiratory failure
medicine.symptom
Cardiology and Cardiovascular Medicine
business
Zdroj: Chest
ISSN: 0012-3692
DOI: 10.1016/j.chest.2020.05.604
Popis: A subset of patients with coronavirus disease 2019 (COVID-19) and lung involvement pose a disposition challenge, particularly when hospital resources are constrained. Those not in respiratory failure are sent home, often with phone monitoring and/or respiratory rate and oxygen saturation monitoring. Hypoxemia may be a late presentation and is often preceded by abnormal lung findings on ultrasound. Early identification of pulmonary progression may preempt emergency hospitalization for respiratory decompensation and facilitate more timely admission. With the goal of safely isolating infected patients while providing advanced monitoring, we present a first report of patient self-performed lung ultrasound in the home with a hand-held device under the guidance of a physician using a novel teleguidance platform.
Databáze: OpenAIRE