دورية أكاديمية
Influence of intercostal muscles contraction on sonographic evaluation of lung sliding: a physiological study on healthy subjects.
العنوان: | Influence of intercostal muscles contraction on sonographic evaluation of lung sliding: a physiological study on healthy subjects. |
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المؤلفون: | Biasucci DG; Department of Clinical Sciences and Translational Medicine, 'Tor Vergata' University of Rome, Rome, Italy. danielebiasucci@gmail.com.; Fondazione Policlinico Universitario 'A. Gemelli' IRCCS, Rome, Italy. danielebiasucci@gmail.com., Cina A; Fondazione Policlinico Universitario 'A. Gemelli' IRCCS, Rome, Italy., Sandroni C; Fondazione Policlinico Universitario 'A. Gemelli' IRCCS, Rome, Italy.; Catholic University of the Sacred Heart, Rome, Italy., Moscato U; Catholic University of the Sacred Heart, Rome, Italy., Dauri M; Department of Clinical Sciences and Translational Medicine, 'Tor Vergata' University of Rome, Rome, Italy., Vetrugno L; Department of Medical, Oral and Biotechnological Sciences, 'G. D'Annunzio' University of Chieti-Pescara, Chieti, Italy., Cavaliere F; Fondazione Policlinico Universitario 'A. Gemelli' IRCCS, Rome, Italy.; Catholic University of the Sacred Heart, Rome, Italy. |
المصدر: | Journal of anesthesia, analgesia and critical care [J Anesth Analg Crit Care] 2024 May 06; Vol. 4 (1), pp. 31. Date of Electronic Publication: 2024 May 06. |
نوع المنشور: | Journal Article |
اللغة: | English |
بيانات الدورية: | Publisher: Springer Nature, BioMed Central Ltd Country of Publication: England NLM ID: 9918591885906676 Publication Model: Electronic Cited Medium: Internet ISSN: 2731-3786 (Electronic) Linking ISSN: 27313786 NLM ISO Abbreviation: J Anesth Analg Crit Care Subsets: PubMed not MEDLINE |
أسماء مطبوعة: | Original Publication: [London] : Springer Nature, BioMed Central Ltd., [2021]- |
مستخلص: | Objectives: To investigate the following: (a) effects of intercostal muscle contraction on sonographic assessment of lung sliding and (b) inter-rater and intra-observer agreement on sonographic detection of lung sliding and lung pulse. Methods: We used Valsalva and Muller maneuvers as experimental models in which closed glottis and clipped nose prevent air from entering the lungs, despite sustained intercostal muscles contraction. Twenty-one healthy volunteers underwent bilateral lung ultrasound during tidal breathing, apnea, hyperventilation, and Muller and Valsalva maneuvers. The same expert recorded 420 B-mode clips and 420 M-mode images, independently evaluated for the presence or absence of lung sliding and lung pulse by three raters unaware of the respiratory activity corresponding to each imaging. Results: During Muller and Valsalva maneuvers, lung sliding was certainly recognized in up to 73.0% and up to 68.7% of imaging, respectively, with a slight to fair inter-rater agreement for Muller maneuver and slight to moderate for Valsalva. Lung sliding was unrecognized in up to 42.0% of tidal breathing imaging, and up to 12.5% of hyperventilation imaging, with a slight to fair inter-rater agreement for both. During apnea, interpretation errors for sliding were irrelevant and inter-rater agreement moderate to perfect. Even if intra-observer agreement varied among raters and throughout respiratory patterns, we found it to be higher than inter-rater reliability. Conclusions: Intercostal muscles contraction produces sonographic artifacts that may simulate lung sliding. Clinical studies are needed to confirm this hypothesis. We found slight to moderate inter-rater agreement and globally moderate to almost perfect intra-observer agreement for lung sliding and lung pulse. Trial Registration: ClinicalTrials.gov registration number. NCT02386696. (© 2024. The Author(s).) |
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فهرسة مساهمة: | Keywords: Critical care ultrasound; Intercostal muscles physiology; Lung ultrasound; Pneumothorax; Point-of-care ultrasound; Respiratory mechanics; Respiratory physiology |
سلسلة جزيئية: | ClinicalTrials.gov NCT02386696 |
تواريخ الأحداث: | Date Created: 20240506 Latest Revision: 20240509 |
رمز التحديث: | 20240509 |
مُعرف محوري في PubMed: | PMC11075244 |
DOI: | 10.1186/s44158-024-00168-0 |
PMID: | 38711161 |
قاعدة البيانات: | MEDLINE |
تدمد: | 2731-3786 |
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DOI: | 10.1186/s44158-024-00168-0 |