Lung ultrasound score assessing the pulmonary edema in pediatric acute respiratory distress syndrome received continuous hemofiltration therapy: a prospective observational study

Wang, Fei; Wang, Chunxia; Shi, Jingyi; Shan, Yijun; Miao, Huijie; Sun, Ting; Zhong, Yiping; Zhang, Yucai

doi:10.1186/s12890-021-01394-w

Cited by 9 publications

(5 citation statements)

References 30 publications

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“…LUS score correlated with lung function variables (dynamic lung compliance and OI) and duration of MV. LUS score and oxygenation improved with CRRT, suggesting resolution of lung edema (69). Improving LUS score over time is associated with survival in patients with PARDS requiring extracorporeal membrane oxygenation (70).…”

Section: Resultsmentioning

confidence: 99%

“…However, several studies have explored the potential role of these imaging tools. Wang et al (69) conducted a prospective cohort study using lung ultrasound (LUS) in patients with moderate to severe PARDS with half of them on continuous renal replacement therapy (CRRT). LUS score correlated with lung function variables (dynamic lung compliance and OI) and duration of MV.…”

Section: Justificationmentioning

confidence: 99%

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Monitoring in Pediatric Acute Respiratory Distress Syndrome: From the Second Pediatric Acute Lung Injury Consensus Conference

Bhalla

Baudin

Takeuchi

et al. 2023

Pediatric Critical Care Medicine

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Monitoring is essential to assess changes in the lung condition, to identify heart-lung interactions, and to personalize and improve respiratory support and adjuvant therapies in pediatric acute respiratory distress syndrome (PARDS). The objective of this article is to report the rationale of the revised recommendations/statements on monitoring from the Second Pediatric Acute Lung Injury Consensus Conference (PALICC-2).DATA SOURCES: MEDLINE (Ovid), Embase (Elsevier), and CINAHL Complete (EBSCOhost). STUDY SELECTION:We included studies focused on respiratory or cardiovascular monitoring of children less than 18 years old with a diagnosis of PARDS. We excluded studies focused on neonates.DATA EXTRACTION: Title/abstract review, full-text review, and data extraction using a standardized data collection form. DATA SYNTHESIS:The Grading of Recommendations Assessment, Development and Evaluation approach was used to identify and summarize evidence and develop recommendations. We identified 342 studies for full-text review. Seventeen good practice statements were generated related to respiratory and cardiovascular monitoring. Four research statements were generated related to respiratory mechanics and imaging monitoring, hemodynamics monitoring, and extubation readiness monitoring.CONCLUSIONS: PALICC-2 monitoring good practice and research statements were developed to improve the care of patients with PARDS and were based on new knowledge generated in recent years in patients with PARDS, specifically in topics of general monitoring, respiratory system mechanics, gas exchange, weaning considerations, lung imaging, and hemodynamic monitoring.

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Section: Resultsmentioning

confidence: 99%

Section: Justificationmentioning

confidence: 99%

Monitoring in Pediatric Acute Respiratory Distress Syndrome: From the Second Pediatric Acute Lung Injury Consensus Conference

Bhalla

Baudin

Takeuchi

et al. 2023

Pediatric Critical Care Medicine

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“…LUS score has been recently demonstrated by Wang et. al 17 to correlate to lung function parameters in pediatrics acute respiratory distress syndrome such as dynamic lung compliance, oxygenation index and duration of mechanical ventilation. It was also demonstrated by Alencar et.…”

Section: Discussionmentioning

confidence: 99%

Acute Chest Syndrome: A Lung Ultrasound Score for Early Diagnosis

Vieira

Costa

Regacini

et al. 2023

Preprint

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Objective: to identify lung ultrasound (LUS) findings associated to acute chest syndrome (ACS) and establish a LUS risk score for the development of ACS in children with sickle cell disease (SCD). Methods: a prospective observational study including children with SCD and signs and/or symptoms of lower airway infection were evaluated by LUS and chest radiography (CXR) at admission and 48 hours later (follow-up) and observed regarding the development of ACS during hospitalization. Results: 110 children were evaluated, of whom 66 (60%) developed ACS. At admission, LUS score greater than one showed sensitivity, specificity, and accuracy of 77.3%, 84.1% and 80.0% versus 53.0%, 100% and 71.8% on CXR. ACS diagnosis was unlikely for a LUS score of zero, likely for a score of one or two and very likely for a score greater than two. Regarding follow-up exams, LUS score greater than one showed sensitivity, specificity, and accuracy of 98.5%, 72.0% and 91.2% versus 90.2%, 100% and 92.3% on CXR. ACS diagnosis was very unlikely for a LUS score of zero, likely for a score of one and very likely for a score greater than one. Conclusion: LUS is an effective tool for the diagnosis of ACS with superior sensitivity and similar accuracy compared to CXR. The LUS score was able to assess risk for development of ACS in children with SCD and clinical suspicion of ACS.

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“…Increased EVLW leads to impaired gas exchange contributing to respiratory failure in ARDS. LUS score is a well-known non-invasive and repeatable method to assess EVLW in patients with ARDS ( 20 , 21 ), and LUS score is well correlated to the oxygenation status in both neonates and children ( 9 , 15 ). Systematic prospective multi-institutional studies indicated that EVLW is directly correlated to PaO 2 /FiO 2 and OI ( 22 – 24 ).…”

Section: Discussionmentioning

confidence: 99%

Lung Ultrasound in Pediatric Acute Respiratory Distress Syndrome Received Extracorporeal Membrane Oxygenation: A Prospective Cohort Study

Zhang

Wang

et al. 2022

Front. Pediatr.

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ObjectiveThe aim of this study was to assess the prognostic value of the lung ultrasound (LUS) score in patients with pediatric acute respiratory distress syndrome (pARDS) who received extracorporeal membrane oxygenation (ECMO).MethodsA prospective cohort study was conducted in a pediatric intensive care unit (PICU) of a tertiary hospital from January 2016 to June 2021. The severe pARDS patients who received ECMO were enrolled in this study. LUS score was measured at initiation of ECMO (LUS-0 h), then at 24 h (LUS-24 h), 48 h (LUS-48 h), and 72 h (LUS-72 h) during ECMO, and when weaned from ECMO (LUS-wean). The value of LUS scores at the first 3 days of ECMO as a prognostic predictor was analyzed.ResultsTwenty-nine children with severe pARDS who received ECMO were enrolled with a median age of 26 (IQR 9, 79) months. The median duration of ECMO support was 162 (IQR 86, 273) h and the PICU mortality was 31.0% (9/29). The values of LUS-72 h and LUS-wean were significantly lower in survivors than that in non-survivors (both P < 0.001). Daily fluid balance volume during the first 3 days of ECMO support were strongly correlated with LUS score [1st day: r = 0.460, P = 0.014; 2nd day: r = 0.540, P = 0.003; 3rd day: r = 0.589, P = 0.001]. The AUC of LUS-72 h for predicting PICU mortality in these patients was 1.000, and the cutoff value of LUS-72 h was 24 with a sensitivity of 100.0% and a specificity of 100.0%. Furthermore, patients were stratified in two groups of LUS-72 h ≥ 24 and LUS-72 h < 24. Consistently, PICU mortality, length of PICU stay, ratio of shock, vasoactive index score value, and the need for continuous renal replacement therapy were significantly higher in the group of LUS-72 h ≥ 24 than in the group of LUS-72 h < 24 (all P < 0.05).ConclusionLung ultrasound score is a promising tool for predicting the prognosis in patients with ARDS under ECMO support. Moreover, LUS-72 h ≥ 24 is associated with high risk of PICU mortality in patients with pARDS who received ECMO.

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Lung ultrasound score assessing the pulmonary edema in pediatric acute respiratory distress syndrome received continuous hemofiltration therapy: a prospective observational study

Cited by 9 publications

References 30 publications

Monitoring in Pediatric Acute Respiratory Distress Syndrome: From the Second Pediatric Acute Lung Injury Consensus Conference

Monitoring in Pediatric Acute Respiratory Distress Syndrome: From the Second Pediatric Acute Lung Injury Consensus Conference

Acute Chest Syndrome: A Lung Ultrasound Score for Early Diagnosis

Lung Ultrasound in Pediatric Acute Respiratory Distress Syndrome Received Extracorporeal Membrane Oxygenation: A Prospective Cohort Study

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