Assessment of lung ultrasound for early detection of respiratory complications in thoracic surgery

Bosch, Laetitia; Mathe, Olivier; Robin, Jean‐Jacques; Serres, Isabelle; Labaste, François; Grigoli, Maxime; Brouchet, L.; Conil, Jean‐Marie; Minville, Vincent

doi:10.1016/j.bjane.2021.01.006

Cited by 3 publications

(4 citation statements)

References 19 publications

(21 reference statements)

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“…8 A lo largo de toda la literatura antecedente, las líneas B se reportan como el resultado de fenómenos inflamatorios, fibróticos, linfáticos, edemas hidrostáticos o lesionales, o de un trastorno ventilatorio como hipoventilación o microatelectasias. 9 Del mismo modo, estudios en América Latina han correlacionado positivamente el conteo de líneas B y la cantidad de agua pulmonar extravascular, como lo son los estudios de Ardila y colaboradores hechos en el 2016. 7 Lo anterior es un conocimiento aceptado, al grado que varios estudios recurren al conteo de líneas B como indicador para distintas mediciones relacionadas con la hidratación pulmonar, como analizar el impacto de la carga de líquido a los pulmones sobre la ventilación, oxigenación y hemodinámica en pacientes con síndrome de dificultad respiratoria aguda con choque séptico, como lo describe Caltabeloti y colaboradores, 10 al igual que Teichgraber y asociados, 11 quienes cuantificaron el derrame pleural, o inclusive para diagnosticar el síndrome alveolar intersticial como lo menciona Volpicelli y su grupo.…”

Section: Discussionunclassified

Relación del balance hidroelectrolítico total con la aparición de líneas A y B durante el perioperatorio en pacientes sometidos a cirugía bajo anestesia general en el Nuevo Sanatorio Durango

Arteaga Bravo,

Luna Medina,

Rendón Morales

et al. 2023

Acta Médica Grupo Ángeles

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Introducción: el manejo óptimo de los líquidos intraoperatorios por vía intravenosa es importante, ya que tanto la reanimación insuficiente como la excesiva están asociadas con daños. Debido a ello, el seguimiento por ecografía pulmonar se posiciona como un método importante para guiar la reanimación hídrica. Objetivo: conocer la relación del balance hídrico total (BHT) con la aparición de líneas A y B durante el perioperatorio en pacientes sometidos a cirugía bajo anestesia general. Material y métodos: se realizó un estudio prospectivo, longitudinal y observacional. Se cuantificó el BHT durante toda la cirugía y se valoró por medio de ultrasonido pulmonar la cantidad de líquido, identificando líneas A y B. Resultados: la muestra se compuso por 50 pacientes. Se observó una relación estadísticamente significativa entre la aparición de líneas A y el BHT (p = 0.009), situación que no ocurrió entre el BHT y la aparición de las líneas B (p = 0.503). Se encontró una asociación entre el índice de masa corporal y la aparición de líneas B (p = 0.001). Conclusiones: la evidencia sugiere que la aparición de líneas B puede ayudar a determinar si se ha entrado en un estado de sobrehidratación en pacientes obesos.

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Section: Discussionunclassified

Relación del balance hidroelectrolítico total con la aparición de líneas A y B durante el perioperatorio en pacientes sometidos a cirugía bajo anestesia general en el Nuevo Sanatorio Durango

Arteaga Bravo,

Luna Medina,

Rendón Morales

et al. 2023

Acta Médica Grupo Ángeles

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“…The performance in the diagnosis of respiratory distress is superior to radiography. [ 42 ] It may be easily performed on the bedside. [ 14 ] LUSS has the capacity to serve as a better index to monitor the lung and guide treatment in a clinical practice setting.…”

Section: Discussionmentioning

confidence: 99%

Is a guideline required to predict the intensive care unit need of patients over 65 years of age during the preoperative period? A comparison of the American Society of Anesthesiologists, lung ultrasound score, Charlson age-added comorbidity index, surgical outcome risk tool indexes

Vahapoğlu

2023

Ulus Travma Acil Cerrahi Derg

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BACKGROUND: All pre-operative, intra-operative, and post-operative variables of the patients at 65 years of age who had a surgical procedure determine the necessity of post-operative intensive care unit (ICU) monitoring. The indication for post-operative ICU is detected through ideal scoring systems related to the surgery and anesthesia that will be performed easily and fast would prevent the development of morbidity and mortality in high-risk patients. In the present study, we compared the efficacy of the American Society of Anesthesiologists (ASA) score, lung ultrasound score (LUSS), Charlson age-added comorbidity index (CACI), and surgical outcome risk tool (SORT) score of the indication for ICU. The hypothesis of our study is to show that real visual LUSS is superior to the screening test SORT, CACI, and the other score, ASA, for ICU indication determination. METHODS: The study enrolled 101 patients over 65 years of age who will have surgical procedures under elective conditions. Demographic features, clinical parameters, ICU indications, ASA, LUSS, CACI, and SORTs of the patients were calculated prospectively and recorded. The effects of patients’ ASA, LUSS, CACI, and SORT on determining the need for postoperative ICU admission were examined. RESULTS: The age of patients who needed post-operative ICU admission was significantly higher than those who did not need postoperative ICU admission (P<0.001). The groups did not show differences in terms of gender, body mass index, smoking, and type of anesthesia (P>0.05). ASA, LUSS, CACI, and SORT were significantly higher for patients who needed post-operative ICU admission (P<0.001). The proportion of patients who needed post-operative ICU admission was higher for patients with post-operative ICU indication (P<0.001). The number of consultations was significantly higher for patients who needed post-operative ICU admission (P<0.001). SORT was found to be the highest accuracy for predicting the need for post-operative ICU admission. CONCLUSION: It was detected that ASA, LUSS, CACI, and SORT are effective for the determination of the ICU indication in the pre-operative evaluation process of patients over the age of 65 who had elective surgery. However, the efficiency of SORT was found to be superior to the others.

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“…Based on growing evidence of the role of LUS in postoperative care after non-cardiac thoracic surgery [ 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 ] and the growing evidence of the use of AI in the evaluation of LUS images, especially in COVID-19 patients [ 44 , 45 , 46 , 47 ], we decided to assess if AI could help to solve the limitations of LUS after thoracic surgery identified in this review. Based on the existing evidence of the use of LUS after thoracic surgery, especially on the results achieved by Galetin et al [ 19 ], we decided to use the BLUE protocol [ 7 ].…”

Section: Discussionmentioning

confidence: 99%

“…CXR remains the standard imaging modality in the monitoring of surgically induced pneumothorax (PTX), pleural effusion (PE), and postoperative complications in this field. Growing evidence has shown the potential for LUS to reduce chest X-rays (CXR) in postoperative care after non-cardiac thoracic surgery and in chest tube management [ 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 ]. The optimal management of chest tubes and their removal after non-cardiac thoracic surgery and the role of imaging modalities in the detection of PTX, PE, and other conditions remain unclear [ 28 , 29 , 30 , 31 , 32 ].…”

Section: Introductionmentioning

confidence: 99%

Lung Ultrasound Reduces Chest X-rays in Postoperative Care after Thoracic Surgery: Is There a Role for Artificial Intelligence?—Systematic Review

Malík,

Dzian,

Števík

et al. 2023

Diagnostics

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Background: Chest X-ray (CXR) remains the standard imaging modality in postoperative care after non-cardiac thoracic surgery. Lung ultrasound (LUS) showed promising results in CXR reduction. The aim of this review was to identify areas where the evaluation of LUS videos by artificial intelligence could improve the implementation of LUS in thoracic surgery. Methods: A literature review of the replacement of the CXR by LUS after thoracic surgery and the evaluation of LUS videos by artificial intelligence after thoracic surgery was conducted in Medline. Results: Here, eight out of 10 reviewed studies evaluating LUS in CXR reduction showed that LUS can reduce CXR without a negative impact on patient outcome after thoracic surgery. No studies on the evaluation of LUS signs by artificial intelligence after thoracic surgery were found. Conclusion: LUS can reduce CXR after thoracic surgery. We presume that artificial intelligence could help increase the LUS accuracy, objectify the LUS findings, shorten the learning curve, and decrease the number of inconclusive results. To confirm this assumption, clinical trials are necessary. This research is funded by the Slovak Research and Development Agency, grant number APVV 20-0232.

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Assessment of lung ultrasound for early detection of respiratory complications in thoracic surgery

Cited by 3 publications

References 19 publications

Relación del balance hidroelectrolítico total con la aparición de líneas A y B durante el perioperatorio en pacientes sometidos a cirugía bajo anestesia general en el Nuevo Sanatorio Durango

Relación del balance hidroelectrolítico total con la aparición de líneas A y B durante el perioperatorio en pacientes sometidos a cirugía bajo anestesia general en el Nuevo Sanatorio Durango

Is a guideline required to predict the intensive care unit need of patients over 65 years of age during the preoperative period? A comparison of the American Society of Anesthesiologists, lung ultrasound score, Charlson age-added comorbidity index, surgical outcome risk tool indexes

Lung Ultrasound Reduces Chest X-rays in Postoperative Care after Thoracic Surgery: Is There a Role for Artificial Intelligence?—Systematic Review

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