Evropská společnost zobrazování hrudníku publikovala komplexní pokyny pro použítí prostého snímku, CT a sonografického vyšetření u onemocnění COVID19. pokyny k CT a snímku jsou obdobné jako v guidelines USA a UK a jsou podrobně popsány v přiloženém souboru.
Dále podrobně uvádím pokyny k sonografickému vyšetření, protože ty v ostatních guidelines chybí.
Chest ultrasound does not allow differentiation between bacterial and viral pneumoniae, nor between pulmonary oedema and infection. Ultrasound is used at the bedside to diagnose complications such as a pneumothorax under mechanical ventilation or pleural effusions and can help in adjusting mechanical ventilation or monitoring pulmonary fluid load.
Ultrasound use for other organs should be limited to indications where it is likely to be definitive in its findings.
If US is unlikely to be diagnostic, CT should be preferred (even in circumstances where US might be used first in ordinary circumstances), to minimise staff exposure. CT use must be balanced by the knowledge that those staff engaged in patient transportation to the CT unit may be exposed, and must be protected. Where US is appropriate and needed (e.g. pregnant women, children, ICU patients), it should ideally be performed at the bedside, to avoid patient transport and consequent staff exposure.