Search In this Thesis
   Search In this Thesis  
العنوان
use of lung ultrasound in differentiating acute respiratory distress syndrome and cardiogenic pulmonary edema/
المؤلف
Amer, Nabil El Saeed Kamel.
هيئة الاعداد
باحث / نبيل السعيد كامل عامر
مشرف / صلاح عبد الفتاح إسماعيل
مشرف / تيسير محمد زيتون
مشرف / هيثم محمد تمام
الموضوع
Critical Care Medicine.
تاريخ النشر
2022.
عدد الصفحات
P74. :
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
الطب
تاريخ الإجازة
22/2/2022
مكان الإجازة
جامعة الاسكندريه - كلية الطب - Critical Care Medicine
الفهرس
Only 14 pages are availabe for public view

from 117

from 117

Abstract

Acute cardiogenic pulmonary edema (ACPE) and acute respiratory distress syndrome (ARDS) might be difficult to distinguish (ARDS). The capacity of lung ultrasonography to detect certain pleuropulmonary symptoms crucial for ARDS and ACPE diagnosis was explored.
On admission to the critical care unit, 60 patients had a lung ultrasound. The first group of ARDS patients (45) and the second group of ACPE patients (15) were identified based on clinical history and examination, laboratory tests, including CRP and pro-BNP, echocardiography, and CT chest scans where available.
The ultrasound evaluation focused on the occurrence of (1) alveolar-interstitial syndrome (AIS) homogeneity in the two groups. 2) thickening of pleural lines 3) The absence or decrease of the pleural line sliding indication. 4) ”protected zones” 5) consolidations 6) Pleural effusion is a kind of pleural effusion.
100 percent of ARDS patients had heterogeneous AIS, while 100 percent of ACPE patients had homogenous AIS. In 97.8% of ARDS patients and 0% of ACPE patients, anomalies in the pleural line were identified (p 0.0001). In 97.8% of ARDS patients, pleural line sliding was absent or reduced, but not in 0% of ACPE patients. 97.8% of patients had’reserved regions.’
In 0% of ACPE patients, acute respiratory distress syndrome occurs (p 0.0001). Consolidations were observed in 97.8% of ARDS patients but not in 0% of ACPE patients (p 0.0001). Pleural effusion was seen in 13.3% of ALI/ARDS patients and 66% of individuals with ACPE (p 0.013).
All signs indicated a substantial difference in presenting symptoms between the two syndromes, resulting in ARDS being classified as a separate ultrasonographic category (ACPE).
Finally, in patients with ARDS, an ultrasonic lung scan can be utilised to detect pleuroparenchimal patterns. Ultrasonography evidence of heterogeneous AIS with spared regions, pleural line thickening, and lung consolidations in the critically ill is more predictive of ARDS than ACPE in the c