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131133

Diagnostic Value of Lung Ultrasound Versus Chest X-Ray in Surgical ICU Patients Alrefaey K Alrefaey, Ahmed S Marwa, Yassen M Amr, Zaghloul A Amgad

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Last updated: 30 Jan 2023

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Abstract

Introduction: Facing the recognized obstacles of chest computerized tomography (CT) and chest x-ray (CXR), lung ultrasound (LUS) is a promising alternative imaging tool gathering the benefits of real-time diagnosis with lower difficulties. This study aims to evaluate the effectiveness of LUS as a diagnostic modality in surgical critical care in contrast to chest x-ray.
Patients and Methods: In this study, for each of the 92 included patients, when chest CT is indicated, CXR was requested and the BLUE protocol for LUS examination was initiated simultaneously. LUS data were recorded while analysis of CXR finding was performed by independent radiologist who was unaware of CT or LUS findings. Results: For each patient, 4 lung areas were examined with LUS and compared to CXR. LUS showed higher specificity, sensitivity, positive predictive value (PPV), negative predictive value (NPV), and diagnostic accuracy (DA) of LUS in contrast to chest x-ray. A significantly lower time was required for LUS to reach the diagnosis compared to CXR (10.2± 4 minutes vs. 33±17 minutes respectively, p less than 0.01).
Conclusion: LUS is a useful tool in screening and diagnosis detection of various pulmonary problems in surgical ICU; it can be used as daily bedside diagnostic tool for the critically ill patients adding the use of other chest imaging modalities.

DOI

10.21608/ejhm.2020.131133

Keywords

lung, Ultrasound, Complications, atelectasis

Authors

First Name

Alrefaey K

Last Name

Alrefaey

MiddleName

-

Affiliation

Department of Anesthesia and Surgical Intensive Care, Faculty of Medicine, Mansoura University, Egypt

Email

refa3ey2@yahoo.com

City

-

Orcid

0000-0001-6580-4008

First Name

Ahmed S

Last Name

Marwa

MiddleName

-

Affiliation

Department of Anesthesia and Surgical Intensive Care, Faculty of Medicine, Mansoura University, Egypt

Email

-

City

-

Orcid

-

First Name

Yassen M

Last Name

Amr

MiddleName

-

Affiliation

Department of Anesthesia and Surgical Intensive Care, Faculty of Medicine, Mansoura University, Egypt

Email

-

City

-

Orcid

-

First Name

Zaghloul A

Last Name

Amgad

MiddleName

-

Affiliation

Department of Anesthesia and Surgical Intensive Care, Faculty of Medicine, Mansoura University, Egypt

Email

-

City

-

Orcid

-

Volume

81

Article Issue

6

Related Issue

19068

Issue Date

2020-10-01

Receive Date

2020-12-19

Publish Date

2020-10-01

Page Start

2,259

Page End

2,264

Print ISSN

1687-2002

Online ISSN

2090-7125

Article File

EJHM_Volume 81_Issue 6_Pages 2259-2264.pdf

PDF . 449.5kB

Link

https://ejhm.journals.ekb.eg/article_131133.html

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https://ejhm.journals.ekb.eg/service?article_code=131133

Order

25

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

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Details

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Article

Created At

22 Jan 2023