Use of lung ultrasound in neonates during the COVID-19 pandemic
| Autor: | Marcia Wang Matsuoka, Lisa Suzuki, Carla Marques Nicolau, Silvia Maria Sucena da Rocha, Maria Augusta Bento Cicaroni Gibelli, Werther Brunow de Carvalho |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Infecções por coronavírus/diagnóstico por imagem Pleural effusion Ultrassonografia R895-920 Context (language use) Disease Transient tachypnea of the newborn Lung/diagnostic imaging Infant newborn 03 medical and health sciences Medical physics. Medical radiology. Nuclear medicine Special Article 0302 clinical medicine 030225 pediatrics Medicine Radiology Nuclear Medicine and imaging 030212 general & internal medicine Respiratory system Coronavirus infections/diagnostic imaging Ultrasonography Respiratory distress business.industry Pulmão/diagnóstico por imagem Ultrasound Recém-nascido medicine.disease Coronavirus Coronavírus Sonographer Radiology business |
| Zdroj: | Radiologia Brasileira Radiologia Brasileira v.53 n.6 2020 Colégio Brasileiro de Radiologia e Diagnóstico por Imagem (CBR) instacron:CBR |
| ISSN: | 0100-3984 |
| Popis: | In the current pandemic, caused by infection with severe acute respiratory syndrome coronavirus 2, ultrasound has played a fundamental role in patients who develop the resulting disease, designated coronavirus disease 2019 (COVID-19). In this study we present ultrasound images of the lungs of neonates with a suspected or confirmed diagnosis of COVID-19, distinguishing between the changes related to COVID-19 and those unrelated to the disease. Ultrasound examinations were performed by a pediatric sonographer. A total of 27 neonates were evaluated. Among those who presented no respiratory symptoms, some tested negative for COVID-19 and others tested positive. All of those who were pulmonary symptomatic, negative for COVID-19 presented transient tachypnea of the newborn and respiratory distress syndrome. Lung ultrasound images obtained in COVID-19-negative neonates showed, in some cases, a normal pattern (with A lines, few B lines, a thin, linear pleural line, and no pleural effusion), whereas in others showed coalescent B lines and areas of opacity. In two of the COVID-19-positive neonates, lung ultrasound examination showed several coalescent B lines, pleural thickening, and areas of opacity. Lung ultrasound in the neonatal period appears to be applicable within the context of the current pandemic, allowing efficient evaluation of COVID-19-related changes in neonates, as well as of pathologies inherent to the neonatal period.Na pandemia atual causada pelo SARS-CoV-19, a ultrassonografia (US) tem apresentado papel fundamental nos pacientes com COVID-19. Neste trabalho são mostradas imagens ultrassonográficas de recém-nascidos (RNs) suspeitos ou positivos para COVID-19 e alterações pulmonares não relacionadas a essa doença. As imagens ultrassonográficas foram obtidas por médico especialista em US pediátrica. Foram avaliados 27 RNs, sendo incluídos RNs assintomáticos da parte respiratória, COVID negativos e positivos, e RNs sintomáticos para a parte respiratória, COVID-negativos, observados na taquipneia transitória do recém-nascido ou na síndrome do desconforto respiratório. As imagens ultrassonográficas dos RNs negativos para COVID-19 mostraram tanto o padrão normal (presença de linhas A, poucas linhas B, linha pleural fina e linear, ausência de efusão pleural) quanto a presença de linhas B coalescentes e áreas de condensação pulmonar. Destaca-se a presença de dois RNs COVID-19 positivos apresentando múltiplas linhas B coalescentes, espessamento pleural e com áreas de condensação. Com este trabalho, os autores procuram demonstrar a aplicabilidade da US pulmonar dentro do contexto da pandemia da COVID-19, incluindo as doenças inerentes ao período neonatal. |
| Databáze: | OpenAIRE |
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