Clinical application of lung ultrasound in emergency department patients for the evaluation of pulmonary congestion: a comparison with chest X-ray
1Institute of Emergency Medicine Varaždin County, Frane Galinca 4, 42000 Varazdin, Croatia
2 Department of Emergency Medicine, University Hospital Sveti Duh, Sveti Duh 64, 10 000 Zagreb, Croatia
3 University Department of Anaesthesiology, Resuscitation and Intensive Care, University Hospital Sveti Duh, Sveti Duh 64, 10 000 Zagreb, Croatia
4 Faculty of Medicine, University J.J. Strossmayer in Osijek, HR-31000 Osijek, Croatia
DOI: 10.22514/SV131.032017.10 Vol.13,Issue S1,May 2017 pp.65-67
Published: 08 May 2017
Introduction. Lung ultrasound can effec-tively rule out pulmonary edema when there is an absence of multiple B-lines and enables emergency physicians to improve their diagnostic performance, optimize therapeutic strategy, help early diagnosis for the patient and reduced hospital stay. The primary endpoint of this pilot study was to evaluate the effectiveness of lung ultrasound for diagnosing acute heart fail-ure, even when used by emergency medi-cine residents, and assess the accuracy of B-line lung ultrasound in comparison to chest X-ray in emergency department pa-tients.
Materials and methods. We enrolled 18 patients consecutively as they arrived at the Emergency Department of Clinical Hospital „Sveti Duh“, Croatia, presenting with undifferentiated acute dyspnea. Posi-tive ultrasound confirmation of acute heart failure was defined as the bilateral exist-ence of 2 or more positive regions with 3 or more B-lines.
Results. We found positive results regard-ing B-lines profile in 6 patients and cardiac decompensation was confirmed by their chest x-ray findings. The remaining 12 patients did not have B-lines by the LUS examination, neither signs of pulmonary congestion by their chest x-ray examina-tion.
Conclusion. Lung ultrasound, given its practicability, simplicity and reproduc-ibility, used by non-experts in emergency ultrasound, is a reliable tool for clinical examination of patients with acute heart failure.
emergency department, ultra-sonography, heart failure, extravascular lung water
ANĐELA SIMIĆ,IVAN JURIĆ,VIŠNJANESEK ADAM. Clinical application of lung ultrasound in emergency department patients for the evaluation of pulmonary congestion: a comparison with chest X-ray. Signa Vitae. 2017. 13(S1);65-67.
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