Lung ultrasonography for early management of patients with respiratory symptoms during COVID-19 pandemic

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Lung ultrasonography for early management of patients with respiratory symptoms during COVID‑19 pandemic Andrea Smargiassi1   · Gino Soldati2 · Alberto Borghetti3 · Giancarlo Scoppettuolo3 · Enrica Tamburrini3 · Antonia Carla Testa4,5 · Francesca Moro4 · Luigi Natale6,7 · Anna Rita Larici6,7 · Danilo Buonsenso8 · Piero Valentini8 · Gaetano Draisci9 · Bruno Antonio Zanfini9 · Maurizio Pompili10 · Giovanni Scambia4,5 · Antonio Lanzone4,5 · Francesco Franceschi11 · Gian Ludovico Rapaccini10 · Antonio Gasbarrini10 · Paolo Giorgini12 · Luca Richeldi1,13 · Libertario Demi12   · Riccardo Inchingolo1  Received: 18 May 2020 / Accepted: 23 June 2020 © Società Italiana di Ultrasonologia in Medicina e Biologia (SIUMB) 2020

Abstract COVID-19 pandemic is representing a serious challenge to worldwide public health. Lung Ultrasonography (LUS) has been signaled as a potential useful tool in this pandemic contest either to intercept viral pneumonia or to foster alternative paths. LUS could be useful in determining early lung involvement suggestive or not of COVID-19 pneumonia and potentially plays a role in managing decisions for hospitalization in isolation or admission in general ward. In order to face pandemic, in a period in which a large number of emergency room accesses with suspicious symptoms are expected, physicians need a standardized ultrasonographic approach, fast educational processes in order to be able to recognize both suggestive and not suggestive echographic signs and shared algorithms for LUS role in early management of patients. Keywords  Lung Ultrasound · COVID-19 · Sonographic interstitial syndrome

* Riccardo Inchingolo [email protected] 1

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Paediatric Unit, Department of Woman and Child Health and Public Health, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy

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Science of Emergency, Anesthesiology, Intensive Care Therapy Fondazione Policlinico Universitario A Gemelli IRCCS, Rome, Italy



Pulmonary Medicine Unit, Department of Medical and Surgical Sciences, Fondazione Policlinico Universitario A. Gemelli IRCCS, Largo Gemelli, 8, 00168 Rome, Italy

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Diagnostic and Interventional Ultrasound Unit, Valle del Serchio General Hospital, Lucca, Italy

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UOC Malattie Infettive, Dipartimento Scienze di Laboratorio e Infettivologiche, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy

Department of Medical and Surgical Sciences, Fondazione Policlinico Universitario A. Gemelli IRCCS, Largo Gemelli, 8, 00168 Rome, Italy

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Emergency Medicine, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy

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Department of Information Engineering and Computer Science, Ultrasound Laboratory Trento, University of Trento, Trento, Italy

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Dipartimento di Scienze Cardiovascolari e Toraciche, Università Cattolica del Sacro Cuore, 00168 Rome, Italy



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Dipartimento Scienze della Salute della Donna, del Bambino e di Sanità Pubblica, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy

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Dipartimento Scie