Specific Considerations for Sonographers When Performing Echocardiography during the 2019 Novel Coronavirus Outbreak: Supplement to the American Society of Echocardiography Statement

Carol Mitchell, Keith Collins, Lanqi Hua, Carlene McClanahan, Elaine Shea, Matthew Umland, Melissa Wasserman, Carol Mitchell, Keith Collins, Lanqi Hua, Carlene McClanahan, Elaine Shea, Matthew Umland, Melissa Wasserman

Abstract

Sonographers need to be familiar with and prepared to implement strategies for reducing the risk of exposure to and transmission of the COVID-19 virus. Strategies to employ can be grouped into three broad categories: (1) whom to scan, (2) where to scan, and (3) how to scan. Whom to scan addresses sonographer strategies for determining essential and emergent scan status. Where to scan addresses sonographer practice strategies for selecting equipment, use of rooms, portable examinations, and training personnel. How to scan addresses the topics of scanning techniques (tailored protocols, right-handed scanning, use of barrier devices) and equipment cleaning and disinfecting.

Keywords: ASE; COVID-19; Protection; Sonographer.

Copyright © 2020 American Society of Echocardiography. Published by Elsevier Inc. All rights reserved.

Figures

Figure 1
Figure 1
(A) Draped ultrasound system. (B) Draped transducer. (C) Draped handheld system.
Figure 2
Figure 2
Barrier example used between the patient and the sonographer., , , This is a posed photograph demonstrating the barrier technique and how the sonographer's arm can maneuver under the barrier shield. If this were a real situation, the sonographer would be wearing appropriate PPE.

References

    1. Kirkpatrick J.N., Mitchell C., Taub C., Kort S., Hung J., Swaminathan M. ASE statement on protection of patients and echocardiography service providers during the 2019 novel coronavirus outbreak. J Am Soc Echocardiogr. 2020;33:648–653.
    1. American Institute of Ultrasound in Medicine Guidelines for cleaning and preparing external- and internal-use ultrasound transducers and equipment between patients as well as safe handling and use of ultrasound coupling gel. Available at:
    1. American Institute of Ultrasound in Medicine Quick guide on COVID-19 protections—patient and ultrasound provider protection. Available at.
    1. Society of Vascular Ultrasound Vascular laboratory responses during the COVID-19 pandemic. Available at:
    1. Driggin E., Madhavan M.V., Bikdeli B., Chuich T., Laracy J., Bondi-Zoccai G. Cardiovascular considerations for patients, health care workers, and health systems during the coronavirus disease 2019 (COVID-19) pandemic. J Am Coll Cardiol. 2020 doi: 10.1016/j.jacc.2020.03.031.
    1. Zhou F., Yu T., Du R., Fan G., Liu Y., Liu Z. Clinical course and risk factors for mortality of adult inpatients with COVID-19 in Wuhan, China: a retrospective cohort study. Lancet. 2020;395:1054–1062.
    1. Wu Z., McGoogan J.M. Characteristics of and important lessons from the coronavirus disease 2019 (COVID-19) outbreak in China: summary of a report of 72314 cases from the Chinese Center for Disease Control and Prevention. JAMA. 2020;323:1239–1242.
    1. Ruan Q., Yang K., Wang W., Jiang L., Song J. Clinical predictors of mortality due to COVID-19 based on an analysis of data of 150 patients from Wuhan, China. Intensive Care Med. 2020 doi: 10.1007/s00134-020-05991-x.
    1. American Institute of Ultrasound in Medicine Quick guide on COVID-19 Protections—ultrasound transducers, equipment, and gel. Available at:
    1. Minardi J. Point-of-care ultrasound in COVID-19. Available at:
    1. van Doremalen N., Bushmaker T., Morris D.H., Holbrook M.G., Gamble A., Williamson B.N. Aerosol and surface stability of SARS-CoV-2 as compared with SARS-CoV-1. N Engl J Med. 2020;382:1564–1567.
    1. Centers for Disease Control and Prevention Cleaning and disinfection for community facilities. Available at:
    1. Stainback R., Plana J.C., Coulter S.A., Krajcer Z. Cardiology in the Time of COVID-19: Troponin Assessment, Telemetry & Echo Lab. Texas Heart Institute. Available at:
    1. United States Environmental Protection Agency List N: disinfectants for use against SARS-CoV-2. Available at:
    1. Kolias T.J., Eberhart D., Bradsher K. Echo scanning barrier drape procedure. Available at:
    1. Dean M., Schwarz K., Steinmetz, Hills D., Stoddard T. URMC Echo COVID-19 Shield. Available at:
    1. American Society of Echocardiography. Provider Protection Strategies Shared by ASE Members. Available at: . Accessed March 31, 2020
    1. MacAllister S.J. Echo staff and patients safety. Available at:
    1. Nicoara A., Maldonado Y., Kort S., Swaminathan M., Mackensen G.B. Specific considerations for the protection of patients and echocardiography service providers when performing perioperative or periprocedural transesophageal echocardiography during the 2019 novel coronavirus outbreak: Council on Perioperative Echocardiography supplement to the statement of the American Society of Echocardiography. J Am Soc Echocardiogr. 2020 doi: 10.1016/j.echo.2020.04.008.

Source: PubMed

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