Chest sonography versus chest radiograph in children admitted to paediatric intensive care – A prospective study

Sachdev, Anil; Khatri, Anuj; Saxena, K. K.; Gupta, Dhiren; Gupta, Neeraj; Menon, Geetha R

doi:10.1177/00494755211016650

Cited by 4 publications

(2 citation statements)

References 26 publications

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“…In addition, the committee recommended that ultrasound be accepted as a modality for identifying signs of loss of lung aeration consistent with (noncardiogenic) pulmonary edema or lung consolidation, especially when chest radiography or computed tomography is not available (37)(38)(39). There is evidence that ultrasound can be reliable if the operator is trained to detect bilateral consolidations and noncardiogenic pulmonary edema, an approach that should have value, especially in resource-limited areas (19)(20)(21). Further discussion of the rationale for these recommendations is provided in Supplement E3.…”

Section: Chest Imagingmentioning

confidence: 99%

“…These limitations led to the proposed Kigali modification of the Berlin definition for resource-limited settings (19); however, the Kigali modification has not been formally incorporated into the current ARDS definition. Finally, ultrasound imaging is increasingly used in critically ill patients with acute hypoxemic respiratory failure, sometimes supplanting traditional chest radiography (20)(21)(22).…”

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confidence: 99%

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A New Global Definition of Acute Respiratory Distress Syndrome

Matthay

Arabi²,

Arroliga

et al. 2024

Am J Respir Crit Care Med

212

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Background: Since publication of the 2012 Berlin definition of acute respiratory distress syndrome (ARDS), several developments have supported the need for an expansion of the definition, including the use of high-flow nasal oxygen, the expansion of the use of pulse oximetry in place of arterial blood gases, the use of ultrasound for chest imaging, and the need for applicability in resource-limited settings.Methods: A consensus conference of 32 critical care ARDS experts was convened, had six virtual meetings (June 2021 to March 2022), and subsequently obtained input from members of several critical care societies. The goal was to develop a definition that would 1) identify patients with the currently accepted conceptual framework for ARDS, 2) facilitate rapid ARDS diagnosis for clinical care and research, 3) be applicable in resource-limited settings, 4) be useful for testing specific therapies, and 5) be practical for communication to patients and caregivers.Results: The committee made four main recommendations: 1) include high-flow nasal oxygen with a minimum flow rate of >30 L/min; 2) use Pa O 2 :FI O 2 < 300 mm Hg or oxygen saturation as measured by pulse oximetry Sp O 2 :FI O 2 < 315 (if oxygen saturation as measured by pulse oximetry is <97%) to identify hypoxemia; 3) retain bilateral opacities for imaging criteria but add ultrasound as an imaging modality, especially in resourcelimited areas; and 4) in resource-limited settings, do not require positive end-expiratory pressure, oxygen flow rate, or specific respiratory support devices.Conclusions: We propose a new global definition of ARDS that builds on the Berlin definition. The recommendations also identify areas for future research, including the need for prospective assessments of the feasibility, reliability, and prognostic validity of the proposed global definition.

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Section: Chest Imagingmentioning

confidence: 99%

mentioning

confidence: 99%

A New Global Definition of Acute Respiratory Distress Syndrome

Matthay

Arabi²,

Arroliga

et al. 2024

Am J Respir Crit Care Med

212

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Comparison of chest radiograph and lung ultrasound in children with acute respiratory failure

DeSanti,

Gill,

Swanson

et al. 2023

J Ultrasound

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Point-of-care ultrasonography in pediatric intensive care units

Fuhrman,

Shaik

2024

J Transl Crit Care Med

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Bedside ultrasonography, or point-of-care ultrasonography (POCUS), is increasingly becoming widely adopted in pediatric intensive care units (ICU) for procedural interventions and diagnostics. Although vascular access remains one of the primary applications of POCUS in the pediatric ICU, its use for assessing fluid status and responsiveness is growing. POCUS helps identify reversible causes of cardiac arrest, such as pericardial effusion and pneumothorax, although its impact on outcomes is still under investigation. Here, we will review the applications of POCUS in the pediatric ICU, including the general pediatric and cardiac ICUs. We will discuss the up-to-date evidence guiding its use and adoption for critically ill children.

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Chest sonography versus chest radiograph in children admitted to paediatric intensive care – A prospective study

Cited by 4 publications

References 26 publications

A New Global Definition of Acute Respiratory Distress Syndrome

A New Global Definition of Acute Respiratory Distress Syndrome

Comparison of chest radiograph and lung ultrasound in children with acute respiratory failure

Point-of-care ultrasonography in pediatric intensive care units

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