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 |
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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 |
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