ASSOCIATION OF LUNG ULTRASOUND SCORE WITH LENGTH-OF-STAY AND VENTILATION DAYS IN MECHANICALLY VENTILATED PATIENTS

Respirology ◽  
2017 ◽  
Vol 22 ◽  
pp. 124-124
Keyword(s):  
Length Of Stay ◽  
Lung Ultrasound ◽  
Mechanically Ventilated ◽  
Mechanically Ventilated Patients ◽  
Ultrasound Score ◽  
Ventilated Patients

scholarly journals Advantages of lung ultrasound in triage, diagnosis and monitoring COVID-19 patients: review

2021 ◽  
Vol 67 (2) ◽  
pp. 73-76
Author(s):  
Bianca Emilia Ciurba ◽  
Hédi Katalin Sárközi ◽  
István Adorján Szabó ◽  
Nimród László ◽  
Edith Simona Ianosi ◽  
...  
Keyword(s):  
Lung Ultrasound ◽  
Cost Effective ◽  
Portable Devices ◽  
Standard Protocol ◽  
Mechanically Ventilated ◽  
Mechanically Ventilated Patients ◽  
Pleural Line ◽  
B Lines ◽  
Lung Sliding ◽  
Ventilated Patients

Abstract Over the last decades, especially during the COVID-19 pandemic period, lung ultrasound (LUS) gained interest due to multiple advantages: radiation-free, repeatable, cost-effective, portable devices with a bedside approach. These advantages can help clinicians in triage, in positive diagnostic, stratification of disease forms according to severity and prognosis, evaluation of mechanically ventilated patients from Intensive Care Units, as well as monitoring the progress of COVID-19 lesions, thus reducing the health care contamination. LUS should be performed by standard protocol examination. The characteristic lesions from COVID-19 pneumonia are the abolished lung sliding, presence of multiple and coalescent B-lines, disruption and thickening of pleural line with subpleural consolidations. LUS is a useful method for post-COVID-19 lesions evaluation, highlight the remaining fibrotic lesions in some patients with moderate or severe forms of pneumonia.

Expert Agreement in the Interpretation of Lung Ultrasound Studies Performed on Mechanically Ventilated Patients

2018 ◽  
Vol 37 (11) ◽  
pp. 2659-2665 ◽  
Author(s):  
Scott J. Millington ◽  
Robert T. Arntfield ◽  
Robert Jie Guo ◽  
Seth Koenig ◽  
Pierre Kory ◽  
...  
Keyword(s):  
Lung Ultrasound ◽  
Mechanically Ventilated ◽  
Mechanically Ventilated Patients ◽  
Ultrasound Studies ◽  
Ventilated Patients

scholarly journals LUNG ULTRASOUND B-LINES CORRELATE WITH STATIC COMPLIANCE IN MECHANICALLY VENTILATED PATIENTS

CHEST Journal ◽  
2020 ◽  
Vol 158 (4) ◽  
pp. A584
Author(s):  
Andrew Lehr ◽  
Vikramjit Mukherjee ◽  
Deepak Pradhan ◽  
Bishoy Zakhary
Keyword(s):  
Lung Ultrasound ◽  
Static Compliance ◽  
Mechanically Ventilated ◽  
Mechanically Ventilated Patients ◽  
B Lines ◽  
Ventilated Patients

scholarly journals Use of Lung Ultrasound for Assessment of Lung Recruitment Maneuvers in Patients with ARDS

2021 ◽  
Vol 9 (B) ◽  
pp. 952-963
Author(s):  
Waheed A. Radwan ◽  
Mohamed M. Khaled ◽  
Ayman G. Salman ◽  
Mohmed A. Fakher ◽  
Shady Khatab
Keyword(s):  
Lung Ultrasound ◽  
Lung Recruitment ◽  
Positive Pressure ◽  
Small Airways ◽  
Lung Collapse ◽  
Opening Pressure ◽  
Mechanically Ventilated ◽  
Mechanically Ventilated Patients ◽  
Ultrasound Group ◽  
Ventilated Patients

BACKGROUND: Positive pressure mechanical ventilation is a non-physiological intervention that saves lives but is not free of important side effects. It invariably results in different degrees of collapse of small airways. Recruitment maneuver (RM) aims to resolve lung collapse by a brief and controlled increment in airway pressure while positive end-expiratory pressure (PEEP) afterward keeps the lungs open. Therefore, ideally RM and PEEP selection must be individualized and this can only be done when guided by specific monitoring tools since lung’s opening and closing pressures vary among patients with different lung conditions. AIM: The aim of this study was to explore the clinical value of ultrasonic monitoring in the assessment of pulmonary recruitment and the best PEEP. PATIENTS AND METHODS: This study was conducted on 120 patients, 30 were excluded as in whom lung collapse cannot be confirmed then the rest were 90 patients from whom another 25 patients excluded as they were hemodynamically unstable the rest 65 patients were divided into two groups: Group A: Included 50 mechanically ventilated patients with ARDS, underwent lung recruitment using lung ultrasound and Group B: Included 15 mechanically ventilated patients with ARDS, underwent lung recruitment using oxygenation index. This prospective study was held at many critical care departments around Egypt. RESULTS: We noticed that lung recruitment in both groups significantly increased Pao2/Fio2 ratio immediately after recruitment compared with basal state and also significantly increase dynamic compliance compared with basal state. The increase in PF ratio immediately was significantly more in ultrasound group than in oxygenation group. Furthermore, we noticed that that P/F ratio 12 h after recruitment decreased compared with P/F ratio immediately after recruitment but significantly increased compared with basal state before recruitment and also we found that the increase in P/F ratio 12 h after recruitment was more significantly in lung ultrasound group than in oxygenation group. Furthermore, we noticed that lung recruitment (both lung ultrasound and oxygenation group) significantly increase RV function using TAPSE compared with basal state. Both opening pressure and optimal PEEP were significantly higher in lung ultrasound group than in oxygenation group. In our study, opening pressure was 37.28 ± 1.25 in lung ultrasound group and was 36.67±0.98 in oxygenation group and optimal PEEP was 14.64 ± 1.08 in lung ultrasound group and was 13.13 ± 0.74 in oxygenation group. CONCLUSION: Lung US is an effective mean of evaluating and guiding alveolar recruitment in ARDS. Compared with the maximal oxygenation–guided method, the protocol for reaeration in US-guided lung recruitment achieved a higher opening pressure, resulted in greater improvements in lung aeration, and substantially reduced lung heterogeneity in ARDS.

scholarly journals Mortality Rates in Mechanically Ventilated Patients with COVID-19

2020 ◽  
Vol 3 ◽  
Author(s):  
Jonathan Class ◽  
Sikandar Khan ◽  
Babar Khan
Keyword(s):  
Risk Factors ◽  
Mechanical Ventilation ◽  
Length Of Stay ◽  
Hospital Mortality ◽  
Significant Risk ◽  
Mortality Rates ◽  
Study Cohort ◽  
Mechanically Ventilated ◽  
Mechanically Ventilated Patients ◽  
Ventilated Patients

Background/Objective:   High mortality rates among mechanically ventilated COVID-19 intensive care unit (ICU) patients have raised concerns regarding use of mechanical ventilation in management of patients with COVID-19. Additional data is needed in this discussion to better understand treatment strategies for this vulnerable population. We conducted a study to examine length of stay, duration of mechanical ventilation, mortality, and risk factors for death in critically ill patients with COVID-19.    Methods:  Observational study in patients admitted to Eskenazi Health and Indiana University Health Methodist ICUs. Participants were 18 years and older patients admitted to the ICU from March 1 2020 to April 27, 2020 who tested positive for COVID-19. Primary outcomes for this study were in-hospital mortality, duration of mechanical ventilation, and the length of stay in the ICU.     Results:  The study cohort was made up of 242 patients. The mortality rate was 19.8% (48/242) for the overall cohort and 20.5% (38/185) for mechanically ventilated patients. Age was a significant risk factor for in-hospital mortality [increased hazard in in-hospital mortality: age 65-74 years (HR: 3.1, 95%Cl=1.2-7.9, p=0.021), age 75+ (HR: 4.1, 95%CI=1.6-10.5, p=0.003) compared to those younger than 65]. In our Cox’s proportional hazard model, ESRD (HR:5.9, 95%CI=1.3-26.9, p=0.021) along with age were the only risk factors with statistical significance. The median duration of mechanical ventilation in the overall cohort was 9.3 days (IQR=-5.7-13.7). In patients that died, median ICU length of stay was 8.7 days (IQR=4.0-14.9), compared to 9.2 days (IQR=4.0-14.0) in those discharged alive.    Conclusion/Clinical Impact:  We found lower mortality rates and longer length of stays in our cohort than in previous studies. While more data is needed, this study supports continued use of mechanical ventilation ARDS recommendations for treating patients with ARDS from COVID-19. Further, this data potentially shows a benefit to not having a strained healthcare system.   

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