How to perform and interpret the lung ultrasound by the obstetricians in pregnant women during the SARS-CoV-2 pandemic
Journal Title: Turkish Journal of Obstetrics and Gynecology - Year 2020, Vol 17, Issue 3
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. 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. 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. 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.
Authors and Affiliations
Murat Yassa, Memiş Ali Mutlu, Erkan Kalafat, Pınar Birol, Cihangir Yirmibeş, Arzu Bilge Tekin, Kemal Sandal, Esra Ayanoğlu, Mahmut Yassa, Ceyhun Kılınç, Niyazi Tug
Keywords
Related Articles
- EP ID EP688917
- DOI 10.4274/tjod.galenos.2020.93902
- Views 139
- Downloads 0
Prenatal diagnosis and postnatal course in four fetuses with very rare pulmonary artery anomalies
Pulmonary artery (PA) anomalies are very rare congenital cardiac malformations, a significant number of which remain unrecognized or misdiagnosed during the prenatal period. We report the prenatal diagnosis and outcome o...
Cost-effectiveness of GnRH antagonist implementation on hCG injection day
Objective: To compare the outcomes of antagonist stimulation protocols and to compare the cost effectiveness. Materials and Methods: Between 2011 and December 2017, a total of 354 women who underwent intracytoplasmic sp...
Female genital image: is there a relationship with body image?
Objective: Dissatisfaction with body image may extend to the genital region, and the most dissatisfied with their bodies are women. To analyze the relation between body image and genital image in female, and to verify de...
Obstetric outcomes in pregnant women with seizure disorder: A hospital-based, longitudinal study
Objective: To study the association of seizure disorder with adverse obstetric outcome in terms of maternal and perinatal complications. Materials and Methods: This longitudinal study was conducted at Maulana Azad Medic...
Bilateral iliac artery aneurysm: A rare cause of postpartum recurrent hemorrhage
Postpartum hemorrhage (PPH) is a critical health problem that may result in maternal death. In cases of impaired maternal hemodynamics, several surgical therapies such as hypogastric artery ligation or postpartum hystere...