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Point of Care Lung Diagnostic in ICU – Our Experience with Bedside Lung Ultrasound

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Contemporary Methods in Bioinformatics and Biomedicine and Their Applications (BioInfoMed 2020)

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Abstract

Lung ultrasound as a Point of Care (POC) diagnostic technique might be a helpful tool in clinical decision making in critically ill patients. The aim of this study is to present 6 months experience of using lung ultrasound as a point of care tool in ICU. We performed a retrospective study of clinical records in patients with respiratory failure hospitalized in the ICU. The examination was made according to the BLUE Protocol (1). LUS was used in 48 out of 180 patients (26.6%). Pathological findings were noted in 42 patients (87,5%). Pleural effusion was detected in 10 patients (23.8%). Signs of interstital syndrome were detected in 21 patients (50%). Two patients (4.7%) had pneumothorax. Lung consolidation was detected in 18 patients (42.8%); 8 patients (44.5%) with pneumonia and 10 patients (55,5%) with atelectasis. According to the results of the LUS in 19 patients (45.3%) some sort of invasive procedure was undertaken. In 7 patients (36,8%) thoracic drainage was performed and bronchoaspiration in 4 patients (21%). In 12 patients (63.1%), mechanical ventilation was initiated. POCLUS is a helpful tool for rapid assessment of underlying pathological substrate in critically ill patients with acute respiratory failure having important role in clinical decision making.

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References

  1. Kost, G.J., Ferguson, W.J., Kost, L.E.: Principles of point of care culture, the spatial care path™, and enabling community and global resilience. e-J. IFCC 25, 134–53 (2014)

    Google Scholar 

  2. Lichtenstein, D.A., Mezière, G.A.: Relevance of lung ultrasound in the diagnosis of acute respiratory failure: the BLUE protocol. Chest 134(1), 117–125 (2008). [published correction appears in Chest 144(2), 721 (2013)]

    Google Scholar 

  3. Shrestha, G.S., Weeratunga, D., Baker, K.: Point-of-care lung ultrasound in critically ill patients. Rev. Recent Clin. Trials 13(1), 15–26 (2018). https://doi.org/10.2174/1574887112666170911125750. PMID: 28901850

  4. Rudas, M., Orde, S., Nalos, M.: Bedside lung ultrasound in the care of the critically ill. Crit. Care Resusc. 19(4), 327–336 (2017). PMID: 29202259

    Google Scholar 

  5. Lichtenstein, D.: Lung ultrasound in the critically ill. Ann. Intensive Care 4, 1 (2014)

    Google Scholar 

  6. Lichtenstein, D., Goldstein, I., Mourgeon, E., Cluzel, P., Grenier, P., Rouby, J.J.: Comparative diagnostic performances of auscultation, chest radiography, and lung ultrasonography in acute respiratory distress syndrome. Anesthesiology 100(1), 9–15 (2004). https://doi.org/10.1097/00000542-200401000-00006. PMID: 14695718

    Article  Google Scholar 

  7. Inglis, A.J., et al.: Bedside lung ultrasound, mobile radiography and physical examination: a comparative analysis of diagnostic tools in the critically ill. Crit. Care Resusc. 18(2), 124 (2016). PMID: 27242110

    Google Scholar 

  8. Lichtenstein, D.A., et al.: Ultrasound diagnosis of occult pneumothorax. Crit. Care Med. 33(6), 1231–1238 (2005). https://doi.org/10.1097/01.ccm.0000164542.86954.b4. PMID: 15942336

    Article  Google Scholar 

  9. Chan, S.S.: Emergency bedside ultrasound to detect pneumothorax. Acad. Emerg. Med. 10(1), 91–94 (2003). https://doi.org/10.1111/j.1553-2712.2003.tb01984.x. PMID: 12511323

    Article  Google Scholar 

  10. Zechner, P.M., et al.: Arbeitsgruppe des Moduls 5 in Anästhesie Fokussierte Sonographie der DGAI. Lungensonographie in der Akut - und Intensivmedizin [Lung ultrasound in acute and critical care medicine]. Anaesthesist 61(7), 608–617 (2012). https://doi.org/10.1007/s00101-012-2046-9. PMID: 22772347

  11. Lichtenstein, D.A., Lascols, N., Mezière, G., Gepner, A.: Ultrasound diagnosis of alveolar consolidation in the critically ill. Intensive Care Med. 30(2), 276–281 (2004)

    Article  Google Scholar 

  12. Lichtenstein, D., Meziere, G., Seitz, J.: The dynamic air bronchogram. An ultrasound sign of alveolar consolidation ruling out atelectasis. Chest 135, 1421–1425 (2009)

    Google Scholar 

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Naumovski, F., Kuzmanovska, B. (2022). Point of Care Lung Diagnostic in ICU – Our Experience with Bedside Lung Ultrasound. In: Sotirov, S.S., Pencheva, T., Kacprzyk, J., Atanassov, K.T., Sotirova, E., Staneva, G. (eds) Contemporary Methods in Bioinformatics and Biomedicine and Their Applications. BioInfoMed 2020. Lecture Notes in Networks and Systems, vol 374. Springer, Cham. https://doi.org/10.1007/978-3-030-96638-6_5

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  • DOI: https://doi.org/10.1007/978-3-030-96638-6_5

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-96637-9

  • Online ISBN: 978-3-030-96638-6

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