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How to perform and interpret the lung ultrasound by the obstetricians in pregnant women during the SARS-CoV-2 pandemic.
- Source :
-
Turkish journal of obstetrics and gynecology [Turk J Obstet Gynecol] 2020 Sep; Vol. 17 (3), pp. 225-232. Date of Electronic Publication: 2020 Oct 02. - Publication Year :
- 2020
-
Abstract
- Objective: Evidence for the use of lung ultrasound scan (LUS) examinations in coronavirus 2019 pneumonia is rapidly growing. The safe and non-ionizing nature of LUS drew attention, particularly for pregnant women. This study aimed to contribute to the interpretation of LUS findings in pregnant women for the obstetricians.<br />Materials and Methods: LUS was performed to pregnant women suspected of or diagnosed as having Severe Acute Respiratory syndrome coronavirus-2 (SARS-CoV-2) in the first 24 hours of admission. Fourteen areas (3 posterior, 2 lateral, and 2 anterior) were scanned per patient for at least 10 seconds along the indicated anatomical landmarks. The scan was performed in supine, right-sided and left-sided positions, respectively. Each area was given a score between 0 and 3 according to the specific pattern.<br />Results: In this study, 21 still images and 21 videoclips that enabled dynamic and real-time evaluation were provided. Pleural line assessment, physiologic A-lines, pathologic B-lines, light beam pattern, white lung pattern, and specific patterns for quick recognition and evaluation are described.<br />Conclusion: The potential advantages and limitations of LUS and its areas of use for obstetricians are discussed. LUS is a promising supplementary imaging tool during the SARS-CoV-2 pandemic. It is easy to perform and may be feasible in the hands of obstetricians after a brief didactic course. It may be a firstline imaging modality for pregnant women.<br />Competing Interests: Conflict of Interest: The authors report no conflict of interest.<br /> (©Copyright 2020 by Turkish Society of Obstetrics and Gynecology | Turkish Journal of Obstetrics and Gynecology published by Galenos Publishing House.)
Details
- Language :
- English
- ISSN :
- 2149-9322
- Volume :
- 17
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- Turkish journal of obstetrics and gynecology
- Publication Type :
- Academic Journal
- Accession number :
- 33072428
- Full Text :
- https://doi.org/10.4274/tjod.galenos.2020.93902