369871

The role of lung ultrasound in differentiating lung congestion and lung infection in pediatric cardiac patients

Article

Last updated: 05 Jan 2025

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Abstract

Background
Lung sonography in emergency situations has become one of the most appropriate studies. This technique allows us to diagnose the major causes of acute respiratory distress at the bedside without major interventions. It is an easy and costless approach to diagnose many lung diseases.
Patients and methods
This work is a cross-sectional, prospective, and descriptive study that included cardiac patients admitted to the pediatric cardiology ward through a period of 6 months. They had their data completely revised and their treatment recorded and diagnosis traced with a direct question: is it congestion or infection. A lung ultrasound (LUS) was done to assure the diagnosis. Also, chest radiography and echocardiography correlation were assessed.
Results
A total of 60 patients were enrolled over a period of 6 months (58% were males), with a mean age ± SD of 17.33 ± 30.91 months. The B-profile was found in 27 patients; A-profile was found in 35 patients; AB-profile was found in six cases and hypoechoic areas were found in nine cases. LUS appeared to be normal in three cases.
Conclusion
LUS shows high reliability and accuracy in the diagnosis of pneumonia, pulmonary congestion, pulmonary edema, air trapping, and the possibility of a follow-up until complete resolution of many lung diseases, without exposure to harmful radiation.

DOI

10.4103/JCMRP.JCMRP_39_17

Keywords

A-profile, B-profile, Congenital heart disease, Heart failure, lung ultrasound, pulmonary congestion, Pulmonary edema

Authors

First Name

Mahmoud

Last Name

Moustafa

MiddleName

Kamal

Affiliation

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Email

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City

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Orcid

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First Name

Maha

Last Name

Ahmed El Kholy

MiddleName

Mohammad

Affiliation

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Email

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City

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Orcid

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First Name

Gamal

Last Name

Abdelaal Askar

MiddleName

Ali

Affiliation

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Email

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City

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Orcid

-

First Name

Duaa

Last Name

Raafat

MiddleName

Mohammad

Affiliation

-

Email

duaa_raafat@aun.edu.eg

City

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Orcid

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First Name

Amal

Last Name

El Sisi

MiddleName

Mahmoud

Affiliation

-

Email

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City

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Orcid

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Volume

3

Article Issue

1

Related Issue

49470

Issue Date

2018-01-01

Publish Date

2018-01-01

Page Start

30

Page End

36

Print ISSN

2357-0121

Online ISSN

2357-013X

Link

https://jcmrp.journals.ekb.eg/article_369871.html

Detail API

https://jcmrp.journals.ekb.eg/service?article_code=369871

Order

369,871

Publication Type

Journal

Publication Title

Journal of Current Medical Research and Practice

Publication Link

https://jcmrp.journals.ekb.eg/

MainTitle

The role of lung ultrasound in differentiating lung congestion and lung infection in pediatric cardiac patients

Details

Type

Article

Created At

20 Dec 2024