The role of critical care ultrasonography in acute respiratory distress

Hossam Hassan Shahba; Ahmed Mohammed Salah El-Din Ahmed Al-Habbaa; Ahmed Mohammed Alashkar; Ahmed Mohammed Ali Ewis; Ismail Mohamed El mancy; Ahmed E. Kabil; Esam Mohammed Ghamry; Gamal Ali Badr

doi:10.53730/ijhs.v6nS5.11603

Authors

Hossam Hassan Shahba Faculty of Medicine, Internal Medicine Department, Al-Azhar University, Cairo, Egypt
Ahmed Mohammed Salah El-Din Ahmed Al-Habbaa Faculty of Medicine, Cardiology Department, Al-Azhar University, Cairo, Egypt
Ahmed Mohammed Alashkar Faculty of Medicine, Internal Medicine Department, Al-Azhar University, Cairo, Egypt.
Ahmed Mohammed Ali Ewis Faculty of Medicine, Chest Disease Department, Al-Azhar University, Cairo, Egypt.
Ismail Mohamed El mancy Faculty of Medicine, Internal Medicine Department, Al-Azhar University, Cairo, Egypt.
Ahmed E. Kabil Faculty of Medicine, Chest Disease Department, Al-Azhar University, Cairo, Egypt.
Esam Mohammed Ghamry Faculty of Medicine, Internal Medicine Department, Al-Azhar University, Cairo, Egypt.
Gamal Ali Badr Faculty of Medicine, Internal Medicine Department, Al-Azhar University, Cairo, Egypt.

Keywords:

Acute respiratory failure, Combined ultrasound approach, Critical care, Impact assessment, Lung ultrasound, Transthoracic echocardiography

Abstract

Introduction: Acute Respiratory Distress and/or Failure (ARF), is a common and serious presentation of patients admitted to intensive care unit (ICU) and traditional diagnosis has a low accuracy except CT chest which may inappropriate to all patient. Bedside ultrasound (US) is now emerging as a valuable tool in dynamic assessment of lungs, heart, vessels and hemodynamic status. Aim of the work: Our aim in this study was to evaluate the diagnostic utility of combined cardiac and thoracic critical care ultrasonography in identifying causes of Acute Respiratory Distress and/or Failure in the early course of critical illness. Patients and method: This prospective observational study was conducted on adult patient admitted to Medical Intensive Care Unit (MICU), Department of Internal medicine, Al Hussein university hospital, Al Azhar University. All included patients underwent bedside CPUS including lung ultrasound (US) and transthoracic echocardiography plus targeted venous US by single investigator, blinded to clinical data. The US diagnosis of ARF etiology was shared with treating intensivist. Initial clinicaldiagnosis (ICD) of each patient were compared with post US clinical diagnosis.

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References

Barman B, Parihar A, Kohli N, Agarwal A, Dwivedi DK, Kumari G. Impact of Bedside Combined Cardiopulmonary Ultrasound on Etiological Diagnosis and Treatment of Acute Respiratory Failure in Critically Ill Patients. Indian J Crit Care Med 2020;24(11):1062–1070.

Bataille B, Riu B, Ferre F, Moussot PE, Mari A, Brunel E, et al. Integrated use of bedside lung ultrasound and echocardiography in acute respiratory failure: a prospective observational study in ICU. Chest 2014;146(6):1586–1593.

Beaulieu Y. Bedside echocardiography in theassessment of the critically ill . Crit Care Med. 2007 ; 35 ( 5 ): S235 - S249 .

Boussuges A , Blanc P , Molenat F , Burnet H , Habib G , Sainty JM Evaluation of left ventricular fi lling pressure by transthoracic Doppler echocardiography in the intensive care unit . Crit Care Med. 2002 ; 30 ( 2 ): 362 - 367 .

Cartin-Ceba R, Kojicic M, Li G, et al. Epidemiology of critical care syndromes, organ failures, and life-support interventions in a suburban US community. Chest. 2011 Dec;140(6):1447–1455

Copetti R, Soldati G, Copetti P. Chest sonography: a useful tool to differentiate acute cardiogenic pulmonary edema from acute respiratory distress syndrome. Cardiovasc Ultrasound 2008;6(1):16.

Dwijaya, A., & Atmaja, M. H. S. (2022). Clinical and imaging findings of klippel-trenaunay syndrome: A case report. International Journal of Health & Medical Sciences, 5(1), 145-149. https://doi.org/10.21744/ijhms.v5n1.1860

Inglis AJ, Nalos M, Sue K-H, et al. Bedside lung ultrasound, mobile radiography and physical examination: a comparative analysis of diagnostic tools in the critically ill. Crit Care Resusc J Australas Acad Crit Care Med 2016;18:124.

Lichtenstein D, Goldstein I, Mourgeon E, et al. Comparative diagnostic performances of auscultation, chest radiography, and lung ultrasonography in acute respiratory distress syndrome. Anesthesiology 2004;100(1):9–15.

Lichtenstein DA, Mezière GA. Relevance of lung ultrasound in the diagnosis of acute respiratory failure: The BLUE protocol. Chest 2008;134(1):117–125.

Mac Sweeney R , McAuley DF , Matthay MA . Acute lung failure . Semin Respir Crit Care Med . 2011 ; 32 ( 5 ): 607 - 625 .

McMurray JJJ V.( 2015) Improving outcomes in heart failure: a personal perspective. Eur Heart J ;36:3467–3470.

Scala R, Heunks L. Highlights in acute respiratory failure. Eur Respir Rev. 2018 Mar 31;27(147).

Silva S, Biendel C, Ruiz J, et al. Usefulness of cardiothoracic chest ultrasound in the management of acute respiratory failure in critical care practice. Chest 2013;144(3):859–865.

Sood P, Paul G, Puri S. Interpretation of arterial blood gas. Indian J Crit Care Med Peer-Rev Off Publ Indian Soc Crit Care Med 2010;14:57–64.

Suryasa, I. W., Rodríguez-Gámez, M., & Koldoris, T. (2021). The COVID-19 pandemic. International Journal of Health Sciences, 5(2), vi-ix. https://doi.org/10.53730/ijhs.v5n2.2937

Vincent J-L , Akça S , De Mendonça A ,et al ; SOFA Working Group . Th e epidemiology of acute respiratory failure in critically ill patients . Chest . 2002 ; 121 ( 5 ):1602 - 1609 .

Volpicelli G, Elbarbary M, Blaivas M, Lichtenstein DA, Mathis G,

Kirkpatrick AW, et al. International evidence-based recommendations for point-of-care lung ultrasound. Intensive Care Med 2012;38(4):577–591.

Volpicelli G, Mussa A, Garofalo G, Cardinale L, Casoli G, Perotto F, et al. Bedside lung ultrasound in the assessment of alveolar-interstitial syndrome. Am J Emerg Med 2006;24(6):689–696.

Xirouchaki N, Magkanas E, Vaporidi K, Kondili E, Plataki M, Patrianakos

A, et al. Lung ultrasound in critically ill patients: comparison with

bedside chest radiography. Intensive Care Med 2011;37(9):1488–1493.

Zieleskiewicz L, Muller L, Lakhal K, Meresse Z, Arbelot C, Bertrand P-M , et al. Point of-care ultrasound in intensive care units: assessment of 1073 procedures in a multicentric, prospective, observational study. Intensive Care Med 2015; 41:1638–1647.