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Original Research

Open Access

Clinical application of lung ultrasound in emergency department patients for the evaluation of pulmonary congestion: a comparison with chest X-ray

  • ANĐELA SIMIĆ1
  • IVAN JURIĆ2
  • VIŠNJANESEK ADAM3,4

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

*Corresponding Author(s): ANĐELA SIMIĆ E-mail: andjela.simic.005@gmail.com

Abstract

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.

Keywords

emergency department, ultra-sonography, heart failure, extravascular lung water

Cite and Share

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.

References

1. Parshall MB. Adult emergency visits for chronic cardiorespiratory disease:does dyspnea matter? Nurs Res 1999;48(2):62-70.

2. Ries AL. Impact of chronic obstructive pulmonary disease on quality of life: the role of dyspnea. Am J Med 2006;119(10 Suppl 1):12-20.

3. Michelson E, Hollrah S. Evaluation of the patient with shortness of breath: anevidence based approach. Emerg Med ClinNorth Am 1999;17(1):221-37.

4. 4 Lichtenstein DA, Mezière GA, Lagoueyte JF, Biderman P, Goldstein I, Gepner A. A-lines and B-lines: lung ultrasound as a bedside tool for predicting pulmonaryartery occlusion pressure in the critically ill. Chest 2009;136(4):1014-20.

5. Bui AL, Horwich TB, Fonarow GC. Epidemiology and risk profile of heartfailure. Nat Rev Cardiol 2011;8(1):30-41.

6. Stevenson R, Ranjadayalan K, Wilkinson P, Roberts R, Timmis AD. Short and longterm prognosis of acute myocardial infarction since introduction of thrombolysis. BMJ 1993;307(6900):349-53.

7. Roguin A, Behar D, Ben Ami H, Reisner SA, Edelstein S, Linn S, et al. Long-term prognosis of acute pulmonary oedema: an ominous outcome. Eur J Heart Fail 2000;2(2):137-44.

8. Task Force of the Working Group on Heart Failure of the European Society of Cardiology. The treatment of heart failure. Eur Heart J 1997;18(5):736-53.

9. Wong GC, Ayas NT. Clinical approaches to the diagnosis of acute heart failure. Curr Opin Cardiol 2007;22(3):207-13.

10. Lancellotti P, Price S, Edvardsen T, Cosyns B, Neskovic AN, Dulgheru R, et al. The use of echocardiographyin acute cardiovascular care: recommendations of the European Association of Cardiovascular Imaging and the Acute Cardiovascular Care Association. Eur Heart JAcute Cardiovasc Care 2015;4(1):3-5.

11. Bataille B, Rao G, Cocquet P, Mora M, Masson B, Ginot J, et al. Accuracy of ultrasound B-lines score and E/Ea ratio to estimate extravascularlung water and its variations in patients with acute respiratory distresssyndrome. J Clin Monit Comput 2015;29(1):169-76.

12. Volpicelli G, Mussa A, Garofalo G, Cardinale L, Casoli G, Perotto F, et al. Bedside lung ultrasound in the assessment of alveolar-interstitialsyndrome. Am J Emerg Med 2006;24(6):689-96.

13. Sperandeo M, Varriale A, Sperandeo G, Polverino E, Feragalli B, Piattelli ML, et al. Assessment of ultrasound acoustic artifacts inpa-tients with acute dyspnea: a multicenter study. Acta Radiol 2012;53(8):885-92.

14. Volpicelli G, Mussa A, Garofalo G, Cardinale L, Casoli G, Perotto F, et al. Bedside lung ultrasound in the assessment of alveolar-interstitialsyndrome. Am J Emerg Med 2006;24(6):689-96.

15. Al Deeb M, Barbic S, Featherstone R, Dankoff J, Barbic D. Point-of-careultrasonography for the diagnosis of acute cardiogenic pul-monary edema inpatients presenting with acute dyspnea: a systematic review and meta-analysis. Acad Emerg Med. 2014;21(8):843-52.

16. Donadio C, Bozzoli L, Colombini E, Pisanu G, Ricchiuti G, Picano E, et al. Effective and timely evaluation of pulmonary congestion: qualitative comparisonbetween lung ultrasound and thoracic bioelectrical impedance in maintenance hemodialysis patients. Medi-cine (Baltimore). 2015;94(6):e473.


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