How to perform and interpret the lung ultrasound by the obstetricians in pregnant women during the SARS-CoV-2 pandemic

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2020-09-01
Yassa, Murat
Mutlu, Memis Ali
Kalafat, Erkan
Birol, Pinar
Yirmibes, Cihangir
Tekin, Arzu Bilge
Sandal, Kemal
Ayanoglu, Esra
Yassa, Mahmut
Kilinc, Ceyhun
Tug, Niyazi
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.
TURKISH JOURNAL OF OBSTETRICS AND GYNECOLOGY

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Citation Formats
M. Yassa et al., “How to perform and interpret the lung ultrasound by the obstetricians in pregnant women during the SARS-CoV-2 pandemic,” TURKISH JOURNAL OF OBSTETRICS AND GYNECOLOGY, vol. 17, no. 3, pp. 225–232, 2020, Accessed: 00, 2021. [Online]. Available: https://hdl.handle.net/11511/94910.