Qual o papel da ultrassonografia pulmonar point-of-care em pacientes infectados pelo covid-19?- uma revisão integrativa

Rafaela Ferreira  Schittini Barreto; Douglas Aparecido  Barbosa de Matos; Pedro Fonseca de Vasconcelos

doi:10.22481/rsc.v18i3.8170

Autores

Rafaela Ferreira Schittini Barreto Faculdade de Saúde Santo Agostinho https://orcid.org/0000-0001-9200-2123
Douglas Aparecido Barbosa de Matos
Pedro Fonseca de Vasconcelos

DOI:

https://doi.org/10.22481/rsc.v18i3.8170

Palavras-chave:

Infecções por Coronavírus, Pneumonia, Parede Torácica, Sistemas Automatizados de Assistência Junto ao Leito, Pulmão

Resumo

Tendo em vista os diversos padrões de acometimento pulmonar encontrados nos pacientes infectados pelo Coronavírus 2019 (COVID-19), o acompanhamento diário ou sequencial da evolução da imagem pulmonar é um dado fundamental no raciocínio e seguimento terapêutico de pacientes que atingem níveis de gravidade elevados (Síndrome do Desconforto Agudo Respiratório e necessidade de altas concentrações de oxigênio suplementar). Eis que o ultrassom pulmonar, já utilizado como modalidade diagnóstica bem estabelecida no conceito point-of-care da medicina de emergência e na terapia intensiva, assume um papel importante no contexto da pandemia pela doença do COVID-19, devido à boa correlação dos seus achados com a tomografia computadorizada e suas vantagens, como a possibilidade de realizá-lo à beira do leito sem necessidade de transporte para outro setor, baixo custo, ausência de radiação, além de permitir follow-up diário do acometimento pulmonar dos pacientes. Esse estudo trata-se de uma revisão integrativa da literatura, compreendendo artigos publicados entre 2019 e 2020, disponíveis nas bases de dados Scielo e PubMed, cujo objetivo é o de fornecer uma visão geral do papel da ultrassonografia pulmonar no diagnóstico, processo de tomada de decisão terapêutica e monitoramento da pneumonia COVID-19.

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