Point-of-care lung ultrasound in critically ill patients

GS Shrestha, D Weeratunga… - Reviews on recent clinical …, 2018 - ingentaconnect.com
GS Shrestha, D Weeratunga, K Baker
Reviews on recent clinical trials, 2018ingentaconnect.com
Background: Lung ultrasound is increasingly being used by the bedside physicians to
complement the findings of physical examination. Lung ultrasound is non-invasive, devoid of
radiation exposure and can be performed rapidly and repeatedly as needed at bedside. This
review aims to elucidate the evidence base and the future directions for bedside point-of-
care lung ultrasound in critically ill patients. Methods: Research articles, review papers and
online contents related to point-of-care ultrasound in critically ill patients were reviewed …
Background
Lung ultrasound is increasingly being used by the bedside physicians to complement the findings of physical examination. Lung ultrasound is non-invasive, devoid of radiation exposure and can be performed rapidly and repeatedly as needed at bedside. This review aims to elucidate the evidence base and the future directions for bedside point-of-care lung ultrasound in critically ill patients.
Methods
Research articles, review papers and online contents related to point-of-care ultrasound in critically ill patients were reviewed.
Results
The diagnostic accuracy of lung ultrasound for common conditions like pleural effusion, pneumothorax, pulmonary edema and pneumonia is superior to chest radiograph and is comparable to chest CT scan. Lung ultrasound is helpful to evaluate the progress of lung pathology and response to treatment, over time. Ultrasound guidance for thoracocentesis decreases the complication rates.
Conclusion
Bedside lung ultrasound in critically ill patients can serve as a tool to diagnose common lung pathologies, monitor its course and guide clinical management.
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