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. |
|---|---|
| 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).) |
| References: | Intensive Care Med. 2003 Dec;29(12):2187-2192. (PMID: 14557855) J Clin Anesth. 2014 Mar;26(2):131-5. (PMID: 24561105) J Ultrasound Med. 2018 Nov;37(11):2659-2665. (PMID: 29656607) Chest. 2012 Mar;141(3):703-708. (PMID: 21868468) Ultrasound Med Biol. 2006 Aug;32(8):1157-63. (PMID: 16875950) Ultrasound Med Biol. 1998 Mar;24(3):313-26. (PMID: 9587987) Respir Care. 2012 Sep;57(9):1442-51. (PMID: 22348414) Biometrics. 1977 Mar;33(1):159-74. (PMID: 843571) Crit Care Med. 2005 Jun;33(6):1231-8. (PMID: 15942336) Intensive Care Med. 2011 Feb;37(2):224-32. (PMID: 21103861) J Clin Anesth. 2014 Aug;26(5):425-6. (PMID: 25129558) Injury. 2018 Mar;49(3):457-466. (PMID: 29433802) Intensive Care Med. 2012 Apr;38(4):577-91. (PMID: 22392031) J Physiol. 1960 May;151:390-402. (PMID: 13837102) Vet Clin North Am Equine Pract. 1986 Apr;2(1):49-66. (PMID: 3516328) Chest. 1995 Nov;108(5):1345-8. (PMID: 7587439) J Ultrasound Med. 2024 Apr;43(4):629-641. (PMID: 38168739) J Emerg Med. 2014 Dec;47(6):638-45. (PMID: 25281177) Cochrane Database Syst Rev. 2020 Jul 23;7:CD013031. (PMID: 32702777) Radiol Med. 2014 Sep;119(9):674-80. (PMID: 24469989) |
| 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 |
Find this article in full text from Springer Verlag. 
Full Text Finder | تدمد: | 2731-3786 |
|---|---|
| DOI: | 10.1186/s44158-024-00168-0 |