Assessment of Severe Dyspnea in Critical Ill Patients by Transthoracic Sonography: Fayoum Experience With Blue Protocol

Agmy, Gamal; Hamed, Soha Talaat; Saad, Mohamed; Ahmed, Randa; Mohamed, Alliaa

doi:10.1016/j.chest.2017.08.649

Cited by 3 publications

(2 citation statements)

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“…In a report performed by Nazerian et al, 7 consolidations profile had 82.80% and 95.50% sensitivity&specificity resp. Agmy et al, 8 as well reported this profile to have 81% and 100% sensitivity&specificity resp.…”

Section: Discussionmentioning

confidence: 91%

Relevance of Bedside lung Ultrasound in Emergency protocol (BLUE protocol) in the diagnosis of lung pathology in patients with respiratory failure admitted to intensive Care Unit

Omar

fayed²,

Alkumity³

et al. 2022

Al-Azhar International Medical Journal

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Background: Acute respirational failure is a life threatening disease that still one of leading cause for admissions of cases to the critical care units. Aim of The Work:To assess the diagnostic performance of Bedside Lung Ultrasound in Emergency protocol (BLUE protocol) in cases with respiratory failures admitted to ICU. Patients and Methods: This observational research had been performed in Al-Hussein university hospitals ICU. We accomplished US on successive cases admitted to the ICU with respirational failures and obtaining initial diagnosis of lung pathology using BLUE protocol comparing BLUE protocol findings on initial presentations with the ultimate diagnosing by the ICU staff. Undefined diagnostics and infrequent reasons was ruled out. Results: Our study results revealed that M ain A-lines plus lungs sliding specified asthma or COPD (21 cases) with 80.90% and 96.20% sensitivity&specificity respectively. M ulti anterior B-lines with lungs sliding showed pulmonic-edema (22 cases) which represent 90.90% and 94.80% sensitivity&specificity respectively. A ordinary frontal profile plus thrombosis in deep veins specified pulmonic-embolism (11 cases) with 72.7% and 98.8% sensitivity&specificity respectively. frontal absent lung sliding accompanying with A-lines plus lung point diagnose pneumothorax (4 cases) with 75% sensitivity and 100% specificity. Frontal alveolar consolidations, frontal diffuse B-lines with absence lungs sliding, frontal asymmetric interstitial patterns, back consolidations or free fluid with no frontal diffuse B-lines specified pneumonia (42 cases) which represent 91.4%and 92.86% specificity& sensitivity respectively. Conclusion: depending on the findings, study reveals that the BLUE protocol is a reasonable guide, suitable to be used in ICU, and help to directly diagnose manifesting diseases as ARF.

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Section: Discussionmentioning

confidence: 91%

Relevance of Bedside lung Ultrasound in Emergency protocol (BLUE protocol) in the diagnosis of lung pathology in patients with respiratory failure admitted to intensive Care Unit

Omar

fayed²,

Alkumity³

et al. 2022

Al-Azhar International Medical Journal

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show abstract

“…[ 22 ] Agmy et al also demonstrated this profile to have a sensitivity of 81% and specificity of 100%. [ 21 ]…”

Section: Discussionmentioning

confidence: 99%

Diagnostic Accuracy of Bedside Lung Ultrasound in Emergency Protocol for the Diagnosis of Acute Respiratory Failure

Chaitra

Hattiholi

2022

Journal of Medical Ultrasound

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Background: The multifactorial etiology of acute respiratory failure (ARF) often complicates diagnosis at an early stage of clinical presentation. Despite being a common life-threatening disorder, accurate and timely diagnosis is hindered by bad quality of bedside radiographs and nonavailability of immediate computed tomography imaging. This study was an attempt to evaluate the diagnostic accuracy of ultrasound in diagnosing ARF. Methods: This hospital-based cross-sectional study investigated the underlying etiological factor in 130 patients presenting with ARF and admitted to the intensive care unit. Lung ultrasound was performed according to the Bedside Lung Ultrasound in Emergency (BLUE) protocol. The diagnostic accuracy of lung ultrasound by emergency protocol was measured against each final diagnosis. Results: The mean age observed was 49.28 ± 14.9 years among the cohort. Of the 130 patients, pneumonia was the most common cause of ARF, seen in 42 patients. Breathlessness (56.15%) and fever accompanied by cough (25.38%) were the chief complaints. Diagnostic accuracy of ultrasound lung emergency protocol was 95.38% in the diagnosis of pulmonary edema, 100% for pneumothorax, 93.85% for pneumonia, 96.92% for chronic obstructive pulmonary disease, 99.23% for pulmonary thromboembolism, and 95.38% for acute respiratory distress syndrome. Conclusion: Lung ultrasound is a reliable modality that provided accurate and timely diagnosis of ARF in this study. Therefore, BLUE protocol is feasible, easily implementable in the intensive care unit, and must be scaled up in respiratory health-care settings.

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The Assessment of the Diagnostic Accuracy of Bedside Lung Ultrasound in Critically Ill Respiratory Failure Patients

Elatroush

Essawy

Kenawy

et al. 2023

Biomed. Pharmacol. J.

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Background: Lung ultrasound is a new diagnostic tool for diagnosis of acute chest conditions. The aim of the current study was to assess the accuracy of lung ultrasound algorithm in intensive care unit (ICU) patients with respiratory failure. Methods: This is a randomized comparative study included 80 patients admitted to the intensive care unit, Shebin El-Kom Teaching Hospital during three years from October 2017- October 2020. The study received the approval of ethical committee of faculty Medicine, Kasr- El-Einy, Cairo University. History, clinical examination, Chest X ray, Computed tomography (CT) chest, lung US, and Echocardiography were done. Results: Ultrasonography (US) showed sensitivity and specificity 100 %, 100% respectively in diagnosis of pneumothorax Regarding pneumonia, sensitivity and specificity of US were (68.2%, 86.2% respectively). Regarding interstitial lung disease (ILD), sensitivity and specificity of US were (55.6%, 98.6%). Additionally, as regard pulmonary edema and pleural effusion, US sensitivity and specificity were (66.7%, 97.4%) and (78.9%, 98.4%) respectively. Conclusion: In comparison with CT scan, bedside lung ultrasonography (LUS) seems to be a valuable substitute in cases where performing CT is problematic. We recommend starting the use of bedside LUS as routine tool to improve the diagnostic accuracy for most of the pulmonary presentations.

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Assessment of Severe Dyspnea in Critical Ill Patients by Transthoracic Sonography: Fayoum Experience With Blue Protocol

Cited by 3 publications

References 0 publications

Relevance of Bedside lung Ultrasound in Emergency protocol (BLUE protocol) in the diagnosis of lung pathology in patients with respiratory failure admitted to intensive Care Unit

Relevance of Bedside lung Ultrasound in Emergency protocol (BLUE protocol) in the diagnosis of lung pathology in patients with respiratory failure admitted to intensive Care Unit

Diagnostic Accuracy of Bedside Lung Ultrasound in Emergency Protocol for the Diagnosis of Acute Respiratory Failure

The Assessment of the Diagnostic Accuracy of Bedside Lung Ultrasound in Critically Ill Respiratory Failure Patients

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