Lung ultrasound versus chest radiograph in the diagnosis of pneumonia in ICU patients | ||
| Minia Journal of Medical Research | ||
| Article 38, Volume 30, Issue 4, October 2019, Pages 238-242 PDF (193.67 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/mjmr.2022.221731 | ||
| Authors | ||
| Ibrahim A. Yousef; Ahmed Hassanein; Ahmed G. Ali Shahat | ||
| Department of Anesthesia, El-Minia Faculty of Medicine | ||
| Abstract | ||
| Introduction: Lung ultrasounds have shown a growing interest during the last few years in the diagnosis of pleural effusions, pneumothorax. It is radiation free, can be performed at the bedside in a few minutes, and can be interpreted in real time for multiple diagnoses. The results are so encouraging that in some units, chest x-rays have been replaced by lung ultrasounds in the follow-up of the patients. Aim of the work: to compare Lung Ultrasound Versus Chest x-ray as regard diagnostic efficacy of pneumonia cases in Intensive Care Unit ( ICU) and time saving between both modalities. Patients and Methods: A total of 72 patients of either sex, age between 18 to 70 years with clinically suspected Pneumonia. We used The machine Sonosite M turbo ultrasound system, (1-5MHz) micro convex probe and (13-6 MHz) linear probe as well as a Portable X-ray machine. Results: We found that LUS was superior to conventional CXR in diagnosing pneumonia patients. In addition, we found that LUS was more efficient than CXR in diagnosis of pneumonia in hemodynamically unstable patients. Regarding the duration of imaging, CXR was more time consuming as compared with LUS. Considering that early antibiotic administration in pneumonia patients is associated with better outcomes especially concerning morbidity and mortality, the importance of finding a less time consuming modality for the diagnosis is outstanding. Conclusion: We concluded that bedside lung ultrasound demonstrated better results than chest X-ray for the early diagnosis of pneumonia. | ||
| Keywords | ||
| Lung ultrasounds; pleural effusions; pneumothorax | ||
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