The relative efficacy of chest ultrasonography in comparison to other diagnostic modalities in the evaluation of dyspneic patient

Elnaem, W.H.; Tammam, H M H; Zidan, Mamdouh; Mahmoud, ManalA

doi:10.1016/j.ejcdt.2016.12.005

Cited by 5 publications

(2 citation statements)

References 14 publications

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“…In our study, the diagnostic validity of chest ultrasound compared to CT as the key standard in detecting pleural effusion and consolidation showed an accuracy of 94% and 91%, respectively, with p<0.0001 for both. Those findings matched with the results of Elnaem et al [ 25 ], who diagnosed pleural effusion and consolidation by TUS with an accuracy of 97.8% and 96.7%, respectively. Transthoracic ultrasound is an outstanding diagnostic tool of community-acquired pneumonia, as a common cause of consolidation, with excellent sensitivity and specificity.…”

Section: Discussionsupporting

confidence: 91%

Clinical Utility of Chest Sonography in Chronic Obstructive Pulmonary Disease Patients Focusing on Diaphragmatic Measurements

Esmaeel,

Atta,

khalaf

et al. 2024

Tuberc Respir Dis

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Background: There are many methods of evaluating diaphragmatic function, including trans-diaphragmatic pressure measurements, which are considered the key rule of diagnosis. We studied the clinical usefulness of chest ultrasonography in evaluating stable chronic obstructive pulmonary disease (COPD) patients and those in exacerbation, focusing on diaphragmatic measurements and their correlation with spirometry and other clinical parameters.Methods: In a prospective case-control study, we enrolled 100 COPD patients divided into 40 stable COPD patients and 60 patients with exacerbation. The analysis included 20 age-matched controls. In addition to the clinical assessment of the study population, radiological evaluation included chest radiographs and chest computed tomography. Transthoracic ultrasonography (TUS) was performed for all included subjects.Results: Multiple A lines (more than 3) were more frequent in COPD exacerbation than in stable patients, as was the case for B-lines. TUS significantly showed high specificity, negative predictive value, positive predictive value, and accuracy in detecting pleural effusion, consolidation, pneumothorax, and lung mass. Diaphragmatic measurements were significantly lower among stable COPD subjects than healthy controls. Diaphragmatic thickness and excursion displayed a significant negative correlation with body mass index and the dyspnea scale, and a positive correlation with spirometry measures. Patients in Global Initiative for Chronic Obstructive Lung Disease (GOLD) group D showed lower diaphragmatic measurements (thickness and excursion).Conclusion: The TUS of COPD patients both in stable and exacerbated conditions and the assessment of diaphragm excursion and thickness by TUS in COPD patients and their correlations to disease-related factors proved informative and paved the way for the better management of COPD patients.

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Section: Discussionsupporting

confidence: 91%

Clinical Utility of Chest Sonography in Chronic Obstructive Pulmonary Disease Patients Focusing on Diaphragmatic Measurements

Esmaeel,

Atta,

khalaf

et al. 2024

Tuberc Respir Dis

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“…Ultrasound has a pooled sensitivity of 88%-95% and specificity of 100% for diagnosing pneumothorax. However, the presence of subcutaneous emphysema can affect the accuracy of ultrasound[ 26 ]. Features of lung ultrasound for the diagnosis of pneumothorax include: Absence of lung sliding (high sensitivity and specificity), absence of comet-tail artifact (high sensitivity and low specificity), and presence of lung point (high specificity and low sensitivity).…”

Section: Clinical Evaluationmentioning

confidence: 99%

Air leaks in COVID-19

Juneja¹,

Kataria²,

Singh³

2022

WJV

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Coronavirus disease 2019 (COVID-19) continues to create havoc and may present with myriad complications involving many organ systems. However, the respiratory system bears the maximum brunt of the disease and continues to be most commonly affected. There is a high incidence of air leaks in patients with COVID-19, leading to acute worsening of clinical condition. The air leaks may develop independently of the severity of disease or positive pressure ventilation and even in the absence of any traditional risk factors like smoking and un-derlying lung disease. The exact pathophysiology of air leaks with COVID-19 remains unclear, but multiple factors may play a role in their development. A significant proportion of air leaks may be asymptomatic; hence, a high index of suspicion should be exercised for enabling early diagnosis to prevent further deterioration as it is associated with high morbidity and mortality. These air leaks may even develop weeks to months after the disease onset, leading to acute deterioration in the post-COVID period. Conservative management with close monitoring may suffice for many patients but most of the patients with pneumothorax may require intercostal drainage with only a few requiring surgical interventions for persistent air leaks.

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Assessment of the comparative agreement between chest radiographs and CT scans in intensive care units

Brooks,

Wright,

Beattie

et al. 2024

Journal of Critical Care

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The relative efficacy of chest ultrasonography in comparison to other diagnostic modalities in the evaluation of dyspneic patient

Cited by 5 publications

References 14 publications

Clinical Utility of Chest Sonography in Chronic Obstructive Pulmonary Disease Patients Focusing on Diaphragmatic Measurements

Clinical Utility of Chest Sonography in Chronic Obstructive Pulmonary Disease Patients Focusing on Diaphragmatic Measurements

Air leaks in COVID-19

Assessment of the comparative agreement between chest radiographs and CT scans in intensive care units

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