A multisystem approach by bed-side ultrasound in patients with COVID-19 infection: a case series

  • Gabriele Cioni | gabrielec.83@gmail.com Emergency Department, SS Cosma and Damiano Hospital, Pescia, USL Toscana Centro, Italy.
  • Ginevra Bellandi Emergency Department, SS Cosma and Damiano Hospital, Pescia, USL Toscana Centro, Italy.
  • Stefano Bertolini Emergency Department, SS Cosma and Damiano Hospital, Pescia, USL Toscana Centro, Italy.
  • Giacomo Betti Emergency Department, SS Cosma and Damiano Hospital, Pescia, USL Toscana Centro, Italy.
  • Wanda Bialek Emergency Department, SS Cosma and Damiano Hospital, Pescia, USL Toscana Centro, Italy.
  • Angela Fedeli Emergency Department, SS Cosma and Damiano Hospital, Pescia, USL Toscana Centro, Italy.
  • Marco Antonio Lumini Emergency Department, SS Cosma and Damiano Hospital, Pescia, USL Toscana Centro, Italy.
  • Roberto Michelotti Emergency Department, SS Cosma and Damiano Hospital, Pescia, USL Toscana Centro, Italy.
  • Carmelo Muscari Emergency Department, SS Cosma and Damiano Hospital, Pescia, USL Toscana Centro, Italy.
  • Francesca Pacini Emergency Department, SS Cosma and Damiano Hospital, Pescia, USL Toscana Centro, Italy.
  • Sabrina Pastacaldi Emergency Department, SS Cosma and Damiano Hospital, Pescia, USL Toscana Centro, Italy.
  • Rossella Squillante Emergency Department, SS Cosma and Damiano Hospital, Pescia, USL Toscana Centro, Italy.
  • Francesco Tola Emergency Department, SS Cosma and Damiano Hospital, Pescia, USL Toscana Centro, Italy.
  • Antonio Vergara Emergency Department, SS Cosma and Damiano Hospital, Pescia, USL Toscana Centro, Italy.
  • Emiliano Votino Emergency Department, SS Cosma and Damiano Hospital, Pescia, USL Toscana Centro, Italy.
  • Mauro Zuccotti Emergency Department, SS Cosma and Damiano Hospital, Pescia, USL Toscana Centro, Italy.
  • Fabio Daviddi Emergency Department, SS Cosma and Damiano Hospital, Pescia, USL Toscana Centro, Italy.

Abstract

Recent epidemiological reports on Chinese population affected by novel coronavirus showed a wide spread of clinical and biochemical alterations, suggesting a relationship between progression of lung damage to acute respiratory distress syndrome and the systemic inflammatory response, triggering an irreversible multiple organ damage and disseminated intravascular coagulation. Bedside ultrasound assessment provides integrated information, describing a multisystemic and dynamic clinical scenario for every patient. Furthermore, this approach allows to concentrate multiple information in the hands of a single operator, also limiting the risk of exposure to infection for healthcare professionals. As per our experience, herewith reported, we described the characteristics of 10 patients with SARS-CoV-2 infection. Ultrasound findings were related to clinical information, blood test analysis, and results of instrumental tests, such as chest X-ray and chest computed tomography. According to our ultrasound data, COVID-19 appears to be a systemic pathology even in those cases of mild to moderate disease. By this multisystem ultrasound approach, we could immediately recognize patients with a diffuse organ involvement and a more severe clinical pattern; moreover, we can protect healthcare workers and limit infection within health facilities.

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Published
2020-04-17
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Section
Case Reports
Keywords:
COVID-19, ultrasound, pneumonia.
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How to Cite
Cioni, G., Bellandi, G., Bertolini, S., Betti, G., Bialek, W., Fedeli, A., Lumini, M. A., Michelotti, R., Muscari, C., Pacini, F., Pastacaldi, S., Squillante, R., Tola, F., Vergara, A., Votino, E., Zuccotti, M., & Daviddi, F. (2020). A multisystem approach by bed-side ultrasound in patients with COVID-19 infection: a case series. Italian Journal of Medicine, 14(2), 106-111. https://doi.org/10.4081/itjm.2020.1288