RT Journal Article
SR Electronic
T1 Utility of bedside ultrasound chest in patients admitted into critical care unit
JF European Respiratory Journal
JO Eur Respir J
FD European Respiratory Society
SP PA379
DO 10.1183/13993003.congress-2018.PA379
VO 52
IS suppl 62
A1 Anil Kumar Gandham
A1 A.R. Gayathri
YR 2018
UL http://erj.ersjournals.com/content/52/suppl_62/PA379.abstract
AB Introduction: Lung imaging in critically ill patients is being performed routinely by conventional modalities like Chest x-ray or Computed tomography. Despite their routine use, bedside chest x-rays are of poor quality and have low sensitivity. CT Chest, though the gold standard investigation, is expensive and cannot be done bedside. Hence there is a need to assess role of a rapid, simple and more accurate bedside modality, like Ultrasound Chest.Aim: To assess the role of Ultrasound Chest in critically ill patients, for diagnosis of various lung diseases like Pneumonia, Pneumothorax, Pleural effusion and Interstitial syndrome.Methodology: Patients recruited in this study were evaluated to have respiratory diseases, based on Chest x-ray and CT Chest. Ultrasound chest findings were compared with Chest x-ray, by using CT Chest as the gold standard investigation, with the help of variables like Diagnostic accuracy, Sensitivity, Specificity, Positive Predictive Value and Negative Predictive Value.Results: A total of 56 patients were enrolled in the study, from the Intensive Care Unit of a Tertiary Care Hospital in Chennai, India. Lung ultrasound exhibited higher Diagnostic accuracy for Consolidation, Pleural effusion, Interstitial syndrome when compared to Chest X- ray (88.4, 97.3, 93.8 for Ultrasound Vs 83, 73.2, 87.5 for chest x -ray), where as Diagnostic accuracy of chest X - ray was found to be slightly higher for Pneumothorax ( 100 for chest x -ray Vs 99.1 for Ultrasound).Conclusion: Bed side Ultrasound Chest can be safely used for routine diagnosis with great confidence, in day to day Pulmonology practice especially in critically ill patients, as a better alternative to chest x-ray and CT chest.FootnotesCite this article as: European Respiratory Journal 2018 52: Suppl. 62, PA379.This is an ERS International Congress abstract. No full-text version is available. Further material to accompany this abstract may be available at www.ers-education.org (ERS member access only).