Chest-X-ray is a mainstay for follow-up in critically ill patients with covid-19 induced pneumonia

During COVID-19 pandemic Lung ultrasound has rapidly become a tool for diagnosis and monitoring of lung involvement and it’s severity. Accurate evaluation of lung pathologic entities at the bedside, especially in critically ill patients, and those on mechanical ventilation, remains problematic. CT should not be frequently repeated and is not available everywhere, especially for critically ill patients. Limitations of bedside chest X-ray have been well described and lead to poor-quality X-ray films with low sensitivity.The lung ultrasound has been shown to be a useful tool in intensive care patients with adult respiratory distress syndrome (ARDS) and can be used forassessing severity of lung involvement in COVID-19. In this paper the accuracy of bedside LUS, chest X-ray and computer tomography are compared based on clinical cases, typical for COVID-19 lung ultrasound appearance is evaluated. There have been shown that lung ultrasound can predict the deterioration of the patient's conditionand can be used for risk stratification and clinical decision making, reducethe use of both chest x‐rays and computer tomography, what is very important especially in limited resources settings.

Download Full-text

Evaluation of central venous catheter insertion using chest X-ray in critically ill patients

West African Journal of Radiology ◽

10.4103/1115-3474.155743 ◽

2015 ◽

Vol 22 (2) ◽

pp. 67

Author(s):

NicholasKayode Irurhe ◽

OyebolaOlubodun Adekola ◽

Ibironke Desalu ◽

VictorA Raji ◽

Chizoba Peters

Keyword(s):

Central Venous Catheter ◽

Critically Ill ◽

Critically Ill Patients ◽

Venous Catheter ◽

Catheter Insertion ◽

Central Venous Catheter Insertion ◽

Central Venous ◽

X Ray ◽

Chest X Ray

Download Full-text

The Diagnostic Role of Lung Ultrasound in Critically Ill Patients In Comparison With Chest X-Ray

QJM ◽

10.1093/qjmed/hcab086.059 ◽

2021 ◽

Vol 114 (Supplement_1) ◽

Author(s):

Mina Fayez Hanna ◽

Fahmy Saad Latef ◽

Ahmed Mohamed El-Sayed El-Hennawy ◽

Wessam Zaher Selima

Keyword(s):

Pleural Effusion ◽

Critically Ill ◽

Sensitivity And Specificity ◽

Critically Ill Patients ◽

Lung Ultrasound ◽

Low Cost ◽

Acute Dyspnea ◽

X Ray ◽

Pleural Diseases ◽

Chest X Ray

Abstract Purpose To compare between lung ultrasound and chest X-ray in diagnosis of different lung pathologies in critically ill patients using lung CT as a gold standard. Methods Comparative prospective randomized single group observational study was conducted in the Critical Care unit (medical and surgical ICU). The study was conducted upon fifty patients (28 females &22 males) with a mean age of 58 years (SD ± 15.55; (19 - 82) presented to Kom Hamadah Hospital during a period of one year starting from July 2018 to July 2019, with acute dyspnea as the primary complaint or developed acute dyspnea and or tachypnea during their ICU stay were evaluated for the presence of pleural effusion, pneumothorax, alveolar-Interstitial Pathology and consolidation by LUS and CXR for detecting the sensitivity and specificity of each modality with CT chest done as a reference in cases of doubt. Results The comparison between Sensitivity and Specificity of US finding was (86.8% for parenchymal disease, 100.0% for pleural diseases) and (100.0% for parenchymal diseases, 94.7% for pleural diseases) respectively while CXR finding was (65.8% for parenchymal diseases, 75.0% for pleural diseases) and (58.3% for parenchymal diseases), (92.1% for pleural diseases) respectively among studied patients. Conclusion Transthoracic ultrasound is valuable for the evaluation of a wide variety of chest diseases, particularly mechanically ventilated patient. The advantages of low cost, bedside availability and no radiation exposure have made ultrasound an indispensable diagnostic tool in ICU. Lung ultrasound is more sensitive than chest x-ray in diagnosis and follow up chest diseases) PNX, alveolar-interstitial syndromes, parenchymal consolidations, and pleural effusion (LUS is an interesting medical method that is complementary to bedside CXR and reduces the need to use a CT scan.

Download Full-text

Lung Ultrasonography and Chest Radiography in Suspected Cases of Pneumonia in Critically Ill Patients- A Comparative Study

Asian Journal of Medical Radiological Research ◽

10.47009/ajmrr.2020.8.2.14 ◽

2020 ◽

Vol 8 (2) ◽

pp. 88-90

Author(s):

Bharat M.P ◽

Deepak K.S

Keyword(s):

Critically Ill ◽

Critically Ill Patients ◽

Chest Radiography ◽

Lung Ultrasound ◽

Age Group ◽

Lung Ultrasonography ◽

Predictive Values ◽

X Ray ◽

Chest X Ray ◽

The Difference

Background: The present study compared lung ultrasound (USG) and chest radiography in suspected cases of pneumonia in critically ill patients. Subjects & Methods: 56 patients age above 20 years of age of both genders diagnosed with pneumonia were included. Patients were subjected to chest USG and X ray. Positive predictive values for both lung ultrasound and chest X-ray were calculated. Results: Age group 20-30 years had 4 patients, 30-40 years had 6, 40-50years had 10, 50-60 years had 16 and >60 years had 20 patients. The difference was significant (P< 0.05). Chest x ray reveled 40 out of 56 cases positive and 16 negative and USH showed 52 positive and 4 negative. Positive predictive value (PPV) of chest x- ray was 71.4% and USG was 92.8%. The difference was significant (P< 0.05). Conclusion: Lung ultrasound is an effective radiological tool for the assessment of suspected cases of pneumonia as compared to chest x ray.

Download Full-text

EVALUATION OF THE ROLE OF BEDSIDE LUNG ULTRASOUND VERSUS CHEST X-RAY IN CRITICALLY ILL PATIENTS

Zagazig University Medical Journal ◽

10.21608/zumj.2019.10704.11150 ◽

2019 ◽

Vol 25 (6) ◽

pp. 887-897

Author(s):

Nermeen Ali ◽

Hassan Maguid ◽

Neven Gamil ◽

Mohamed Tawfeek ◽

Sameh Hegab

Keyword(s):

Critically Ill ◽

Critically Ill Patients ◽

Lung Ultrasound ◽

X Ray ◽

Chest X Ray

Download Full-text

Ultrasound-guided central venous line placement in critically ill patients: is chest X-ray needed to assess post-insertion pneumothorax?

Critical Care ◽

10.1186/cc10818 ◽

2012 ◽

Vol 16 (S1) ◽

Author(s):

O Samir Abdel Gelil Kotb ◽

A AliAbel Aziz ◽

Y Awad

Keyword(s):

Critically Ill ◽

Critically Ill Patients ◽

Central Venous Line ◽

Ultrasound Guided ◽

Central Venous ◽

X Ray ◽

Line Placement ◽

Chest X Ray

Download Full-text

Lingual Dystonia Treated with Botulinum Toxin - A Case Report

Journal of Bangladesh College of Physicians and Surgeons ◽

10.3329/jbcps.v24i2.152 ◽

1970 ◽

Vol 24 (2) ◽

pp. 75-78

Author(s):

MA Hayee ◽

QD Mohammad ◽

H Rahman ◽

M Hakim ◽

SM Kibria

Keyword(s):

Botulinum Toxin ◽

Botulinum Toxin A ◽

Botulinum Toxin Type A ◽

Botulinum Toxin Type ◽

X Ray ◽

Medical College ◽

Lingual Dystonia ◽

History Of ◽

Chest X Ray

A 42-year-old female presented in Neurology Department of Sir Salimullah Medical College with gradually worsening difficulty in talking and eating for the last four months. Examination revealed dystonic tongue, macerated lips due to continuous drooling of saliva and aspirated lungs. She had no history of taking antiparkinsonian, neuroleptics or any other drugs causing dystonia. Chest X-ray revealed aspiration pneumonia corrected later by antibiotics. She was treated with botulinum toxin type-A. Twenty units of toxin was injected in six sites of the tongue. The dystonic tongue became normal by 24 hours. Subsequent 16 weeks follow up showed very good result and the patient now can talk and eat normally. (J Bangladesh Coll Phys Surg 2006; 24: 75-78)

Download Full-text