Covid-19

Direção Geral da Sáude

• Ponto da situação atual em Portugal
• Dispositivos de saúde pública
• Perguntas frequentes
• Documentos
• Materiais de divulgação
• Conferências de imprensa

Johns Hopkins University & Medicine – Coronavirus COVID-19 Global Cases by the Center for Systems Science and Engineering (CSSE) at Johns Hopkins University & Medicine

Worldometer- Coronavirus- COVID-19 CORONAVIRUS PANDEMIC

Associação Nacional de Médicos de Saúde Pública- COVID-19 – Mapa Epidemiológico Nacional

CDC- Centers for Disease Control and Prevention

Plataformas

---

Keypoint

• Covid 19 

The New England Journal of Medicine

• Coronavirus (Covid-19) 

Repositório e Base de Casos

• Repositório do CNIM- Comissão do Internato Médico de Medicina – destaque
• Base de dados de casos – CHULC- destaque

Artigos- Diagnóstico Imagiológico de Radiologia, Neurorradiologia * e Medicina Nuclear **

---

Academic Radiology 

• Olfactory Bulb Magnetic Resonance Imaging in SARS- CoV-2-Induced Anosmia: The First Report* (11 de abril)
• Recover Wisely From COVID-19: Responsible Resumption of Nonurgent Radiology Services (Outubro)

AJR

• Coronavirus Disease 2019 (COVID-19): Role of Chest CT in Diagnosis and Management (Junho)
• Relation Between Chest CT Findings and Clinical Conditions of Coronavirus Disease (COVID-19) Pneumonia: A Multicenter Study (Maio)
• Chest CT and Coronavirus Disease (COVID-19): A Critical Review of the Literature to Date (Outubro)
• Unexpected Findings of Coronavirus Disease (COVID-19) at the Lung  (Setembro)
• Pediatric SARS, H1N1, MERS, EVALI, and Now Coronavirus Disease (COVID-19) Pneumonia: What Radiologists Need to Know (Setembro)

AJNR – American Journal of Neurorradiology *

• Novel Coronavirus: What Neuroradiologists as Citizens of the World Need to Know (março)

American College of Radiology

• Coronavirus (COVID-19) Outbreak: What the Department of Radiology Should Know (Abril)

Aunt Minnie 

• Doctors in Italy, Spain using ultrasound for COVID-19 (23 de março)

Aunt Minnie *

• Brain images may show ‘cytokine storm’ from COVID-19  (1 de abril)

BMJ 

• Managing high clinical suspicion COVID-19 inpatients with negative RT-PCR: a pragmatic and limited role for thoracic CT  (21 de abril)
• European Society of Minimally Invasive Neurological Therapy (ESMINT) recommendations for optimal interventional neurovascular management in the covid-19 era* (17 de abril)
• SARS-CoV-2 organising pneumonia: ‘Has there been a widespread failure to identify and treat this prevalent condition in COVID-19? (Setembro)

Brain*

• The emerging spectrum of COVID-19 neurology: clinical, radiological and laboratory findings (Outubro)

Clinical Microbiology Reviews

• Imaging and clinical features of patients with 2019 novel coronavirus SARS-CoV-2 (28 de fevereiro)

Clinical Translational Imaging **

• The role of 18F-FDG PET for COVID-19 infection: myth versus reality. (30 de Abril)

Diagnostic Imaging *

• Brain Images Show Olfactory Impact in Patient with Early-Stage COVID-19 Infection (14 de abril)

European Journal of Nuclear Medicine and Molecular Imaging **

• Imaging and clinical features of patients with 2019 novel coronavirus SARS-CoV-2 (28 de fevereiro)
• Diagnostic Evaluation of Pulmonary Embolism During the COVID-19 Pandemic (1 de abril)
• Impact of the COVID-19 pandemic in nuclear medicine departments: preliminary report of the first international survey  (Maio)

EJROPEN

• Chest CT imaging features of COVID-19 pneumonia: First radiological insights from Porto, Portugal (Novembro)

European Radiology 

• COVID-19 patients and the Radiology department – advice from the European Society of Radiology (ESR) and the European Society of Thoracic Imaging (ESTI) (Abril)
• Medical Conferences in the post-COVID world: a challeng, and an opportunity (16 de maio)
• Comparison of the computed tomography findings in COVID-19 and other viral pneumonia in immunocompetent adults: a systematic review and meta-analysis (Agosto)

Infection

• 2019 Novel coronavirus: where we are and what we know (18 de fevereiro)

Intensive Care Medicine

• COVID-19 pneumonia: different respiratory treatment for different phenotypes? (10 de abril)

Iran Red Crescent Med J. *

• Frequent Convulsive Seizures in an Adult Patient with COVID-19: A Case Report (28 de março)

JAMA Cardiology

• Outcomes of Cardiovascular Magnetic Resonance Imaging in Patients Recently Recovered From Coronavirus Disease 2019 (COVID-19)– (Julho)

JAMA Neurology *

• Neurologic Manifestations of Hospitalized Patients With Coronavirus Disease 2019 in Wuhan, China (10 de abril)
• Magnetic Resonance Imaging Alteration of the Brain in a Patient With Coronavirus Disease 2019 (COVID-19) and Anosmia (Maio)
• Magnetic Resonance Imaging Alteration of the Brain in a Patient With Coronavirus Disease 2019 (COVID-19) and Anosmia (Maio)

Japanese Journal of Radiology

• COVID-19 pneumonia: infection control protocol inside computed tomography suites(17 de março)
• Imaging characteristics of initial chest computed tomography and clinical manifestations of patients with COVID‑19 pneumonia (21 de abril)

Journal of Nuclear Medicine  ** 

• Incidental findings suggestive of COVID-19 in asymptomatica patients undergoing nuclear medicine procedures in a high prevalence region (1 de abril)
• Diagnostic Evaluation of Pulmonary Embolism During the COVID-19 Pandemic (1 de abril)

Journal of Thoracic Oncology **

• 18F-Fluorodeoxyglucose Uptake in Patient With Asymptomatic Sever Acute Respiratory Syndrome Coronavirus 2 (…) (28 de março)

Lancet

• Are patients with hypertension and diabetes mellitus at increased risk for COVID-19 infection? (11 de março)
• Hypoxaemia related to COVID-19: vascular and perfusion abnormalities on dual-energy CT –(30 de Abril)
• The impact of the COVID-19 pandemic on cancer deaths due to delays in diagnosis in England, UK: a national, population-based, modelling study (Agosto)
• Seeing COVID-19 through José Saramago’s Blindness (Junho)

Lancet *

• Guillain-Barré syndrome associated with SARS-CoV-2 infection: causality or coincidence?(1 de abril)

Medscape Radiology

• How to Sanitize N95 Masks for Reuse: NIH Study (17 de abril)

Nature

• Pseudoscience and COVID-19- we’ve had enough already (27 de abril)

Neuroradiology *

• COVID 19: a primer for Neuroradiologists (28 de abril)

Pediatric Pulmonology

• Clinical and CT features in pediatric patients with COVID‐19 infection: Different points from adults (5 de março)

Radiology

• Emerging 2019 Novel Coronavirus (2019-nCoV) Pneumonia (6 de fevereiro)
• Chest CT for Typical 2019-nCoV Pneumonia: Relationship to Negative RT-PCR Testing (12 de fevereiro)
• Correlation of Chest CT and RT-PCR Testing in Coronavirus Disease 2019 (COVID-19) in China: A Report of 1014 Cases (26 de fevereiro)
• Performance of radiologists in differentiating COVID-19 from viral pneumonia on chest CT (10 de março)
• COVID-19–associated Acute Hemorrhagic Necrotizing Encephalopathy: CT and MRI Features (31 de março)
• COVID-19–associated Acute Hemorrhagic Necrotizing Encephalopathy: CT and MRI Features (31 de março)
• Chest CT Features of COVID-19 in Rome,Italy (3 de abril)
• Coronavirus Disease 2019: Initial Detection on Chest CT in a Retrospective Multicenter Study of 103 Chinese Subjects (6 de abril)
• Differences in Clinical and Imaging Presentation of Pediatric Patients with COVID-19 in Comparison with Adults (6 de abril)
• The Role of Chest Imaging in Patient Management during the COVID-19 Pandemic: A Multinational Consensus Statement from the Fleischner Society (7 de abril)
• Diagnostic Performance of CT and Reverse Transcriptase-Polymerase Chain Reaction for Coronavirus Disease 2019: A Meta-Analysis (17 de abril)
• Accuracy and reproducibility of low-dose submillisievert chest CT for the diadnosis of COVID-19 (21 de abril)
• Management of Lung Nodules and Lung Cancer Screening During the COVID-19 Pandemic: CHEST Expert Panel Report (23 de abril)
• Diagnosis, Prevention, and Treatment of Thromboembolic Complications in COVID-19: Report of the National Institute for Public Health of the Netherlands (23 de abril)
• Acute Pulmonary Embolism Associated with COVID-19 Pneumonia Detected by Pulmonary CT Angiography (23 de abril)
• Accuracy and reproducibility of low-dose submillisievert chest CT for the diagnosis of COVID-19 (21 de Abril)
• Abdominal Imaging Findings in COVID-19: Preliminary Observations (11 de maio)
• Suboptimal Quality and High Risk of Bias in Diagnostic Test Accuracy Studies on Chest Radiography and Computed Tomography in the Acute Setting of the COVID-19 Pandemic: A Systematic Review (Julho)
• Use of Chest Imaging in the Diagnosis and Management of COVID-19: A WHO Rapid Advice Guide (Julho)
• https://pubs.rsna.org/doi/10.1148/ryct.2020200308 (Julho)
• High Incidence of Barotrauma in Patients with COVID-19 Infection on Invasive Mechanical Ventilation (Julho)
• Pulmonary Vascular Manifestations of COVID-19 Pneumonia (Junho)
• Spectrum of Imaging Findings on Chest Radiographs, US, CT, and MRI Images in Multisystem Inflammatory Syndrome in Children (MIS-C) Associated with COVID-19 (Junho)
• Diagnostic Performance of Chest CT for SARS-CoV-2 Infection in Individuals with or without COVID-19 Symptoms (Agosto)

Radiology Assistant

• COVID-19 Imaging findings
• COVID-19 CORADS classification
• 32 cases of suspected COVID-19 Imaging findings and follow up

RSNA – Destaque

• Radiological Society of North America Expert Consensus Statement on Reporting Chest CT Findings Related to COVID-19. Endorsed by the Society of Thoracic Radiology, the American College of Radiology, and RSNA. (Março)

The New England Journal of Medicine

• Clinical Characteristics of Coronavirus Disease 2019 in China (Fevereiro)
• Physician Burnout, Interrupted- (1 de Maio)
• Pulmonary Vascular Endothelialitis, Thrombosis, and Angiogenesis in Covid-19 (Maio)

The New England Journal of Medicine *

• Neurologic Features in Severe SARS-CoV-2 Infection (Abril)

Thorax Imaging

• Chest Radiographic and CT Findings of the 2019 Novel Coronavirus Disease (COVID-19): Analysis of Nine Patients Treated in Korea (Abril)

 

Artigos – Diagnóstico Laboratorial

---

CCLM

• The critical role of laboratory medicine during coronavirus disease 2019 (COVID-19) and other viral outbreaks

Clinical Infectious Diseases

• Consistent Detection of 2019 Novel Coronavirus in Saliva

JAMA 

• Detection of SARS-CoV-2 in Different Types of Clinical Specimens

Journal of Clinical Medicine

• Potential Rapid Diagnostics, Vaccine and Therapeutics for 2019 Novel Coronavirus (2019-nCoV): A Systematic Review

Journal of Medical Virology

• Recent advances in the detection of respiratory virus infection in humans

Experimental Neurobiology

• Development of a Laboratory-safe and Low-cost Detection Protocol for SARS-CoV-2 of the Coronavirus Disease 2019 (COVID-19)

COVID 19-  Resources

• ACR
• CIRSE
• NEJM
• BMJ
• JAMA
• Lancet
• UpToDate
• Cochrane
• IBCC

(Radiology, Neurorradiology*,  Medicina Nuclear**)

European Resuscitation Council (ERC)

•  Covid 19 Guidelines- (novidade)

(recentes)

• COVID-19 Breast Cancer Patient Triage Guidelines (CPBCC, 2020)
• ACR and other Medical Societies Release Recommendations for Breast Cancer Care in COVID-19 Pandemic
• Recommendations for Prioritization, Treatment and Triage of Breast Cancer Patients During the COVID-19 Pandemic.

ISUOG (The International Society of Ultrasound in Obstetrics & Gynecology)

• ISUOG Consensus Statement on rationalization of gynecological ultrasound services in context of SARS-CoV-2 (recente)

Medscape Radiology 

• Proposed International Standardization of Use of Lung Ultrasonography in Patients With COVID‐19 (2020) (recente)

ASNC e SNMMI **

• Guidance and the best practices for Nuclear Cardiology Laboratories Durind Coronavirus Disease 2019 (COVID-19) Pandemic  (novo)

Legislação

---

• Estabelece medidas excepcionais e temporárias (13 de março 2020)
• Estado de Emergência- Decreto do Presidente da República (18 de março 2020)
• Procede à execução da declaração do estado de emergência efetuada pelo Decreto do Presidente da República (20 de março 2020)
• Renova estado de Emergência- Decreto do Presidente da República (2 de abril 2020)
• Regulamenta a prorrogação do estado de emergência decretado pelo Presidente da República (2 de abril 2020)
• Renova estado de Emergência- Decreto do Presidente da república (17 de Abril 2020)
• Regulamenta a prorrogação do estado de emergência decretado pelo Presidente da República- Presidência do Conselho de Ministros (17 de Abril 2020) 
• Declaração de situação de calamidade no âmbito da pandemia da doença Covid 19- Resolução do Conselho de Ministros (30 de abril)
• Estratégia de levantamento de medidas de confinamento- Resolução do Conselho de Ministros (30 de abril)
• …reagendamento de toda a actividade assistencial programada não realizada por força da pandemia Covid 19- despacho do gabinete da Ministra da Saúde (7de maio)

 

Normas e Orientações

---

Colégio de Radiologia

• Uso de meios complementares de diagnóstico imagiológicos em contexto de COVID-19
• Orientações para prática da especialidade no combate à pandemia COVID-19 – Realização de Ecografia
• Posição do Colégio de Radiologia no contexto de pandemia de infeção por COVID 19 
• Normalização progressiva da actividade radiológica (novidade) – destaque

APRANEMN

• Posição da APRANEMN no contexto de pandemia de infeção por COVID-19 – destaque

Checklist

• Checklist for preparing your IR service for COVID 19- CIRSE 

Máscaras

• Máscaras cirúrgicas / máscaras de proteção
• Surgical Mask vs N95 Respirator for Preventing Influenza Among Health Care Workers: A Randomized Trial 
• El COVID-19 y el uso de mascarillas
• Boas práticas na utilização de máscaras cirúrgicas
• Medscape Radiology: How to Sanitize N95 Masks for Reuse: NIH Study  (novidade)

Lavagem das mãos

• DGS – lavagem das mãos

Desinfectantes

• Alcool
• Hipoclorito de sódio (lixívia)

Limpeza da sala de TAC

• Vídeo de limpeza de sala de TAC COVID-19 – H. S. João 
• Protocolo de limpeza de sala de TAC- H. S. João

EPI-Equipamento de proteção individual

• Colocação de EPI de baixo Risco (Vídeo)
• Remoção de EPI de baixo Risco (Vídeo)
• Colocação de EPI de alto Risco (Vídeo)
• Remoção de EPI de alto Risco (Vídeo)
• WHO-World Health Organization– Rational use of personal protective equipment for coronavirus disease 2019 (COVID-19)

Procedimentos de Atuação

---

ECDC

• Algorithm for the management of contacts of probable or confirmed COVID-19 cases
• Contact tracing: Public health management of persons, including healthcare workers, having had contact with COVID-19 cases in the European Union
• Infection prevention and control and preparedness for COVID-19 in healthcare settings- Second update – 31 March 2020

Macau

• Procedimentos para tratamento de casos suspeitos de pneumonia causado pelo novo tipo de coronavírus – Aplicação por centros de saúde e clínicas 

Circuitos e Transporte

---

BMC Critical Care 

• Safe patient transport for COVID-19 

H. S. João

• Circuito de TAC COVID 19
• Protocolos e procedimentos do Serviço de Radiologia

Racional clínico

• Racional clinico COVID-19: primeira fase de mitigação- Abordagem do doente com suspeita ou infeção por SARS-CoV2 

Relatórios estruturados

• Colégio de Radiologia da Ordem dos Médicos
• Relatório estruturado- H. S. João
• Scores and CT Severity Index-COVID-19- H. S.João 

Protocolos Terapêuticos

---

Sociedade Portuguesa de Cuidados Intensivos

• Racional e potenciais terapêuticas COVID 19

CHUL Central 

• Protocolo COVID-19 em Doente Adulto Crítico

Outros

• Therapeutic algorithm for COVID-19 

Guia de Atuação

• Guia de actuación frente a SARS- CoV2 – Hospital 12 de Octubre- Madrid 

Reportagens

• TVI mostra a linha da frente nos Cuidados Intensivos do São João: “Estamos em guerra”

Músicas Covid 19

• Cristovam- Andrá tutto bene (vai ficar tudo bem)
• Jorge Palma- A gente vai continuar! 
• Vários- Ninguém está sozinho
• Coro dos antigos orfeonistas da Universidade de Coimbra- É preciso Acreditar!
• Estudantina de Coimbra – Meia Noite ao Luar-Serenata de esperança a Portugal