tetano
Editor, Senior Moderator
Chest
. 2020 Sep;158(3):e93-e97.
doi: 10.1016/j.chest.2020.05.604.
Self-Performed Lung Ultrasound for Home Monitoring of a Patient Positive for Coronavirus Disease 2019
Emanuele Pivetta[SUP] 1 [/SUP], Erin Girard[SUP] 2 [/SUP], Francesca Locascio[SUP] 3 [/SUP], Enrico Lupia[SUP] 4 [/SUP], John D Martin[SUP] 2 [/SUP], Mike Stone[SUP] 5 [/SUP]
Affiliations
Abstract
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.
Keywords: coronavirus disease 2019; lung ultrasound; telemedicine.
. 2020 Sep;158(3):e93-e97.
doi: 10.1016/j.chest.2020.05.604.
Self-Performed Lung Ultrasound for Home Monitoring of a Patient Positive for Coronavirus Disease 2019
Emanuele Pivetta[SUP] 1 [/SUP], Erin Girard[SUP] 2 [/SUP], Francesca Locascio[SUP] 3 [/SUP], Enrico Lupia[SUP] 4 [/SUP], John D Martin[SUP] 2 [/SUP], Mike Stone[SUP] 5 [/SUP]
Affiliations
- PMID: 32892893
- DOI: 10.1016/j.chest.2020.05.604
Abstract
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.
Keywords: coronavirus disease 2019; lung ultrasound; telemedicine.