دورية أكاديمية
Use of Lung Ultrasound in the New Definitions of Acute Respiratory Distress Syndrome Increases the Occurrence Rate of Acute Respiratory Distress Syndrome.
| العنوان: | Use of Lung Ultrasound in the New Definitions of Acute Respiratory Distress Syndrome Increases the Occurrence Rate of Acute Respiratory Distress Syndrome. |
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| المؤلفون: | Plantinga C; Department of Intensive Care Medicine, Amsterdam University Medical Centers, location VUmc, Amsterdam, The Netherlands., Klompmaker P; Department of Intensive Care Medicine, Amsterdam University Medical Centers, location VUmc, Amsterdam, The Netherlands.; Amsterdam Leiden IC Focused Echography (ALIFE, www.alifeofpocus.com ), Amsterdam, The Netherlands.; Amsterdam Cardiovascular Sciences Research Institute, Amsterdam UMC, Amsterdam, The Netherlands.; Department of Intensive Care, Amsterdam University Medical Centers, location AMC, Amsterdam, The Netherlands., Haaksma ME; Department of Intensive Care Medicine, Amsterdam University Medical Centers, location VUmc, Amsterdam, The Netherlands.; Amsterdam Leiden IC Focused Echography (ALIFE, www.alifeofpocus.com ), Amsterdam, The Netherlands.; Amsterdam Cardiovascular Sciences Research Institute, Amsterdam UMC, Amsterdam, The Netherlands.; Department of Intensive Care, Amsterdam University Medical Centers, location AMC, Amsterdam, The Netherlands., Mousa A; Department of Intensive Care Medicine, Amsterdam University Medical Centers, location VUmc, Amsterdam, The Netherlands.; Amsterdam Leiden IC Focused Echography (ALIFE, www.alifeofpocus.com ), Amsterdam, The Netherlands.; Amsterdam Cardiovascular Sciences Research Institute, Amsterdam UMC, Amsterdam, The Netherlands.; Department of Intensive Care, Amsterdam University Medical Centers, location AMC, Amsterdam, The Netherlands., Blok SG; Department of Intensive Care Medicine, Amsterdam University Medical Centers, location VUmc, Amsterdam, The Netherlands.; Amsterdam Leiden IC Focused Echography (ALIFE, www.alifeofpocus.com ), Amsterdam, The Netherlands.; Amsterdam Cardiovascular Sciences Research Institute, Amsterdam UMC, Amsterdam, The Netherlands.; Department of Intensive Care, Amsterdam University Medical Centers, location AMC, Amsterdam, The Netherlands., Heldeweg MLA; Department of Intensive Care Medicine, Amsterdam University Medical Centers, location VUmc, Amsterdam, The Netherlands.; Amsterdam Leiden IC Focused Echography (ALIFE, www.alifeofpocus.com ), Amsterdam, The Netherlands.; Amsterdam Cardiovascular Sciences Research Institute, Amsterdam UMC, Amsterdam, The Netherlands.; Department of Intensive Care, Amsterdam University Medical Centers, location AMC, Amsterdam, The Netherlands., Paulus F; Department of Intensive Care, Amsterdam University Medical Centers, location AMC, Amsterdam, The Netherlands., Schultz MJ; Department of Intensive Care, Amsterdam University Medical Centers, location AMC, Amsterdam, The Netherlands., Tuinman PR; Department of Intensive Care Medicine, Amsterdam University Medical Centers, location VUmc, Amsterdam, The Netherlands.; Amsterdam Leiden IC Focused Echography (ALIFE, www.alifeofpocus.com ), Amsterdam, The Netherlands.; Amsterdam Cardiovascular Sciences Research Institute, Amsterdam UMC, Amsterdam, The Netherlands.; Department of Intensive Care, Amsterdam University Medical Centers, location AMC, Amsterdam, The Netherlands. |
| المصدر: | Critical care medicine [Crit Care Med] 2024 Feb 01; Vol. 52 (2), pp. e100-e104. Date of Electronic Publication: 2023 Nov 13. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 0355501 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1530-0293 (Electronic) Linking ISSN: 00903493 NLM ISO Abbreviation: Crit Care Med Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Philadelphia, PA : Lippincott Williams & Wilkins Original Publication: New York, Kolen. |
| مواضيع طبية MeSH: | Lung*/diagnostic imaging , Respiratory Distress Syndrome*/diagnostic imaging , Respiratory Distress Syndrome*/epidemiology, Adult ; Humans ; Prospective Studies ; Rwanda ; Thorax ; Ultrasonography |
| مستخلص: | Objectives: To assess the effect of incorporating bilateral abnormalities as detected by lung ultrasound (LUS) in the Kigali modification and the New Global definition of acute respiratory distress syndrome (ARDS) on the occurrence rate of ARDS. Design: Post hoc analysis of a previously published prospective cohort study. Setting: An academic mixed medical-surgical ICU. Patients: The original study included critically ill adults with any opacity on chest radiography in whom subsequent LUS was performed. Patients with ARDS according to the Berlin definition, COVID-19 patients and patients with major thorax trauma were excluded. Interventions: None. Measurements and Main Results: LUS was performed within 24 hours of chest radiography and the presence of unilateral and bilateral abnormalities on LUS and chest radiograph (opacities) was scored. Subsequently, the Kigali modification and the New Global definition of ARDS were applied by two independent researchers on the patients with newly found bilateral opacities. Of 120 patients, 116 were included in this post hoc analysis. Thirty-three patients had bilateral opacities on LUS and unilateral opacities on chest radiograph. Fourteen of these patients had ARDS according to the Kigali modification and 12 had ARDS according to the New Global definition. The detected LUS patterns were significantly different between patients with and without ARDS ( p = 0.004). An A-profile with a positive PosteroLateral Alveolar and/or Pleural Syndrome was most prevalent in patients without ARDS, whereas heterogeneous and mixed A, B, and C patterns were most prevalent in patients with ARDS. Conclusion: The addition of bilateral abnormalities as detected by LUS to the Kigali modification and the New Global definition increases the occurrence rate of the ARDS. The nomenclature for LUS needs to be better defined as LUS patterns differ between patients with and without ARDS. Incorporating well-defined LUS criteria can increase specificity and sensitivity of new ARDS definitions. Competing Interests: The authors have disclosed that they do not have any potential conflicts of interest. (Copyright © 2023 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of the Society of Critical Care Medicine and Wolters Kluwer Health, Inc.) |
| التعليقات: | Comment in: Crit Care Med. 2024 May 1;52(5):e253. (PMID: 38619354) |
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| تواريخ الأحداث: | Date Created: 20231114 Date Completed: 20240122 Latest Revision: 20240523 |
| رمز التحديث: | 20240523 |
| مُعرف محوري في PubMed: | PMC10793806 |
| DOI: | 10.1097/CCM.0000000000006118 |
| PMID: | 37962157 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1530-0293 |
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| DOI: | 10.1097/CCM.0000000000006118 |