دورية أكاديمية
أعرض في EDS

Evaluation of B-lines with 2 point-of-care lung ultrasound protocols in cats with radiographically normal lungs.

التفاصيل البيبلوغرافية
العنوان: Evaluation of B-lines with 2 point-of-care lung ultrasound protocols in cats with radiographically normal lungs.
المؤلفون: Rigot M; Department of Clinical Studies, Ontario Veterinary College, University of Guelph, Guelph, Ontario, Canada., Boysen SR; Department of Veterinary Clinical and Diagnostic Sciences, Faculty of Veterinary Medicine, University of Calgary, Calgary, Alberta, Canada., Masseau I; Department of Clinical Sciences, Faculty of Veterinary Medicine, Université de Montréal, Saint-Hyacinthe, Quebec, Canada., Letendre JA; Department of Clinical Sciences, Faculty of Veterinary Medicine, Université de Montréal, Saint-Hyacinthe, Quebec, Canada.
المصدر: Journal of veterinary emergency and critical care (San Antonio, Tex. : 2001) [J Vet Emerg Crit Care (San Antonio)] 2024 Mar-Apr; Vol. 34 (2), pp. 143-152. Date of Electronic Publication: 2024 Feb 26.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Blackwell Country of Publication: United States NLM ID: 101152804 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1476-4431 (Electronic) Linking ISSN: 14764431 NLM ISO Abbreviation: J Vet Emerg Crit Care (San Antonio) Subsets: MEDLINE
أسماء مطبوعة: Publication: <2005-> : Malden, MA : Blackwell
Original Publication: San Antonio, TX : Veterinary Emergency & Critical Care Society, [2001]-
مواضيع طبية MeSH: Point-of-Care Systems* , Hospitals, Animal*, Cats ; Animals ; Hospitals, Teaching ; Lung/diagnostic imaging ; Ultrasonography/veterinary ; Ultrasonography/methods ; Observational Studies, Veterinary as Topic
مستخلص: Objective: To compare 2 point-of-care lung ultrasound (LUS) protocols for quantification of B-lines in cats without evidence of respiratory disease based on history, physical examination, and thoracic radiography.
Design: Prospective observational study.
Setting: Single center, veterinary teaching hospital.
Animals: Fifty-seven cats without respiratory disease based on history, physical examination, and thoracic radiographs.
Interventions: All cats had 2 point-of-care LUS protocols performed bilaterally: a regional protocol (veterinary bedside lung ultrasound evaluation [VetBLUE]) and a more comprehensive vertical sweeping (VS) protocol. The total number of B-lines per cat, number of sites with B-lines, and maximal number of B-lines at each site were recorded and compared.
Measurements and Main Results: Ten cats (18%) had at least 1 B-line identified with VetBLUE, versus 29 (51%) with VS. Comparing protocols, VS had a statistically higher total number of B-lines per cat, higher number of sites with B-lines, and higher maximal number of B-lines per site. B-lines that were too numerous to count were identified at a single location in 1 cat with VetBLUE and 2 cats with VS. A maximum of 3 B-lines were identified at all other positive sites regardless of the protocol used. On average, it took 1.79 times longer to complete VS bilaterally compared to VetBLUE (median [interquartile range]: 140 [33] and 78 [14] s, respectively) (P = 0.001).
Conclusions: This study demonstrates it is not uncommon to identify a single or even multiple B-lines in 1 or several sites on LUS in cats deemed to be clinically free of respiratory pathology-essential knowledge when using LUS as a screening test and to monitor intrathoracic lesions. In cats asymptomatic for respiratory disease, VS generally identifies more B-lines than VetBLUE, likely because it assesses a larger lung surface area. The sonographic identification of B-lines should be interpreted considering the LUS protocol used, history, and other diagnostics to determine their clinical significance.
(© Veterinary Emergency and Critical Care Society 2024.)
References: Boysen SR, Lisciandro GR. The use of ultrasound for dogs and cats in the emergency room: AFAST and TFAST. Vet Clin North Am Small Anim Pract. 2013;43(4):773‐797.
Lisciandro GR. Abdominal and thoracic focused assessment with sonography for trauma, triage, and monitoring in small animals. J Vet Emerg Crit Care. 2011;21(2):104‐122.
Lisciandro GR. Cageside ultrasonography in the emergency room and intensive care unit. Vet Clin North Am Small Anim Pract. 2020;50(6):1445‐1467.
McMurray J, Boysen S, Chalhoub S. Focused assessment with sonography in nontraumatized dogs and cats in the emergency and critical care setting. J Vet Emerg Crit Care. 2016;26(1):64‐73.
Ward JL, Lisciandro GR, Ware WA, et al. Lung ultrasonography findings in dogs with various underlying causes of cough. J Am Vet Med Assoc. 2019;255(5):574‐583.
Ward JL, Lisciandro GR, Keene BW, et al. Accuracy of point‐of‐care lung ultrasonography for the diagnosis of cardiogenic pulmonary edema in dogs and cats with acute dyspnea. J Am Vet Med Assoc. 2017;250(6):666‐675.
Armenise A, Boysen RS, Rudloff E, et al. Veterinary‐focused assessment with sonography for trauma‐airway, breathing, circulation, disability and exposure: a prospective observational study in 64 canine trauma patients. J Small Anim Pract. 2019;60(3):173‐182.
Cole L, Pivetta M, Humm K. Evaluation of the agreement between a lung ultrasound protocol, VetBLUE, and thoracic computed tomography in dogs and cats. J Vet Emerg Crit Care. 2018;28(S1):S37.
Cole L, Pivetta M, Humm K. Diagnostic accuracy of a lung ultrasound protocol (Vet BLUE) for detection of pleural fluid, pneumothorax and lung pathology in dogs and cats. J Small Anim Pract. 2021;62(3):178‐186.
Lisciandro G, Ward J, DeFrancesco T, Mann K. Absence of B‐lines on lung ultrasound (Vet BLUE protocol) to rule out left‐sided congestive heart failure un 368 cats and dogs. J Vet Emerg Crit Care. 2016;26(S1):S1‐S35.
Lisciandro GR, Fulton RM, Fosgate GT, Mann KA. Frequency and number of B‐lines using a regionally based lung ultrasound examination in cats with radiographically normal lungs compared to cats with left‐sided congestive heart failure. J Vet Emerg Crit Care. 2017;27(5):499‐505.
Ward JL, Lisciandro GR, DeFrancesco TC. Distribution of alveolar‐interstitial syndrome in dogs and cats with respiratory distress as assessed by lung ultrasound versus thoracic radiographs. J Vet Emerg Crit Care. 2018;28(5):415‐428.
Ward JL, Lisciandro GR, Ware WA, et al. Evaluation of point‐of‐care thoracic ultrasound and NT‐proBNP for the diagnosis of congestive heart failure in cats with respiratory distress. J Vet Intern Med. 2018;32(5):1530‐1540.
Rademacher N, Pariaut R, Pate J, et al. Transthoracic lung ultrasound in normal dogs and dogs with cardiogenic pulmonary edema: a pilot study. Vet Radiol Ultrasound. 2014;55(4):447‐452.
Lisciandro GR, Fosgate GT, Fulton RM. Frequency and number of ultrasound lung rockets (B‐lines) using a regionally based lung ultrasound examination named VetBLUE (veterinary bedside lung ultrasound exam) in dogs with radiographically normal lung findings. Vet Radiol Ultrasound. 2014;55(3):315‐322.
Hori Y, Yamashita Y, Sakakibara K, et al. Usefulness of pericardial lung ultrasonography for the diagnosis of cardiogenic pulmonary edema in dogs. Am J Vet Res. 2020;81(3):227‐232.
Vezzosi T, Mannucci T, Pistoresi A, et al. Assessment of lung ultrasound B‐lines in dogs with different stages of chronic valvular heart disease. J Vet Intern Med. 2017;31(3):700‐704.
Boysen S, McMurray J, Gommeren K. Abnormal curtain signs identified with a novel lung ultrasound protocol in six dogs with pneumothorax. Front Vet Sci. 2019;6:291.
Martin A, Gouveia D, Cardoso A, et al. Incidence of Z, I, and B lines detected with point‐of‐care ultrasound in healthy shelter dogs. J Vet Emerg Crit Care. 2019;29(S1):S2‐S50.
Volpicelli G, Elbarbary M, Blaivas M, et al. International evidence‐based recommendations for point‐of‐care lung ultrasound. Intensive Care Med. 2012;38(4):577‐591.
Martin A, Gouveia D, Cardoso A, et al. Abnormalities on respiratory examination, thoracic radiographs, and veterinary point‐of‐care ultrasound in shelter dogs. J Vet Emerg Crit Care. 2018;28(S1):S1‐S37.
Dicker SA, Lisciandro GR, Newell SM, Johnson JA. Diagnosis of pulmonary contusions with point‐of‐care lung ultrasonography and thoracic radiography compared to thoracic computed tomography in dogs with motor vehicle trauma: 29 cases (2017‐2018). J Vet Emerg Crit Care. 2020;30(6):638‐646.
Ciccarese F, Chiesa AM, Feletti F, et al. The senile lung as a possible source of pitfalls on chest ultrasonography and computed tomography. Respiration. 2015;90(1):56‐62.
Lisciandro G, Romero L, Fosgate G. The frequency of B‐lines and other lung ultrasound artifacts during lung ultrasound in 91 healthy puppies and kittens. J Vet Emerg Crit Care. 2018;28(S1):S1‐S37.
معلومات مُعتمدة: Zoetis
فهرسة مساهمة: Keywords: TFAST; feline; lung ultrasound; respiratory disease; ultrasonography
تواريخ الأحداث: Date Created: 20240226 Date Completed: 20240403 Latest Revision: 20240403
رمز التحديث: 20240403
DOI: 10.1111/vec.13360
PMID: 38407524
قاعدة البيانات: MEDLINE
الوصف
تدمد:1476-4431
DOI:10.1111/vec.13360