Lung ultrasonography is a fast, non-expensive, widely available bed-side diagnostic tool which is useful for quick and early diagnosis of respiratory diseases. The aim of the work was to evaluate the role of the chest ultrasound in the assessment of intensive care unit patients. Our prospective study was carried out on 24 ICU patients with different chest symptoms. Fifteen males and nine females with a mean age of 53.83±14.63 years (range 14-75 years), with clinical presentation such as dyspnea (17 patients), chest pain (15 patients), cough and expectoration (15 patients). All patients had real time gray scale ultrasound with a 3.5-5 MHZ (curvilinear) and 5-8 MHZ (linear) probes. M-mode (motion mode) was utilized as an adjunctive imaging modality in all patients. …show more content…
We found that sensitivity, specificity and accuracy of lung US in the diagnosis of thoracic non pulmonary lesions were: pleural effusion (100%, 100%, 100%), pleural masses (83%, 78%, 80%), pneumothorax (80%, 95%, 91.66%), mediastinal lymphadenopathy (75%, 70%, 70.8%) and chest wall lesions (95%, 91%, 94%). In conclusion, Chest US offers a noninvasive diagnostic study at the bedside for evaluation of critically ill patients. US has many advantages, including examination in multiple planes, absence of ionizing radiation, less expensive, high sensitivity in detection of many chest lesions. The main limitations of chest US, it is personal dependent. Also, it is difficult to use this technique on obese patients and in patients lying in positions that limit the exploration of lung areas. The presence of drains and catheters can interfere with the appropriate placement of the
Patient outcome consisted of performing 10 deep breaths per hour. We have reviewed details that were difficult for the patient to remember, such as breathing out before placing the lips on the mouthpiece, and holding breath for 3 to 5 seconds at the top of each inhalation. With empathy, I provided understanding that being hospitalized is never easy due to sensory overload, pain and lack of privacy. Additionally, we have discussed the basic pathophysiology of lung inflammation and what it can do to a person. So overall, the outcome included enhanced disease knowledge with effective use of incentive spirometer.
Dr. Fox is an emergency physician at UCI Medical Center, treating and diagnosing patients using an ultrasound. His scope of research involves looking at patients’ internal organs via ultrasound, which is much quicker and less harmful than using x-ray scans that are traditionally used in emergency departments. He is also a part of the American Institute of Ultrasound in Medicine (“Faculty and Staff”). Dr. Fox is also a director of instructional ultrasound and is the assistant dean at the UCI School of Medicine (“John Christian Fox”). He started an ultrasound rotation at the UCI School of Medicine, and with a grant given by SonoSite, Inc., the ultrasound curriculum is now embedded within the UCI School of Medicine curriculum (“Faculty and Staff”). He went to Tufts University School of Medicine, receiving his MD in 1997 (“John Christian Fox”). His main research focus is to try to incorporate ultrasound more into the emergency department, and tries to find revolutionary ways to utilize ultrasound, especially because it is very cost-efficient and images are seen real-time, unlike MRI scans or x-rays, which can emit harmful radiation or results take much longer to acquire. Eric Viquez is one of the Bio 199/EMRAP (Emergency Medicine Research Associates Program) students in Dr. Fox’s ultrasound lab. He is currently a 4th year undergraduate biological sciences major who is going to medical school in the fall; he shadows shifts with Dr. Fox and
There's also other scans such as a ventilation perfusion scan, this looks for blood clots along the pathway to the lungs. Other
Some of the most expensive, physically painful and emotionally difficult treatments available are those which try to discover whether a patient has some form of cancer. Because of the emotional toll such a diagnosis can have for the individual, it is especially necessary to ensure comfort during the procedure. In the case of lung lesions, mediastinoscopy has long been the treatment of choice because it gives the physician a clear diagnostic picture of what is happening to the patient. However, there is an alternative that has been used in recent years that may prove more cost-effective and less troublesome to the patient. Endobronchial ultrasound-transbronchial needle aspiration (EBUS-TBNA) is a procedure in which the ultrasound serves as a guide for the more invasive procedure
Diagnosing mesothelioma might one day be as straightforward as taking a breath test. A group of analysts have been trying the effectiveness of an electronic nose in identifying mesothelioma, a quickly developing tumor brought on by presentation to asbestos. Mesothelioma is famously hard to analyze in light of the fact that it frequently impersonates other lung-related illnesses. The vicinity of liquid is generally not distinguished by a normal checkup on the grounds that the measure of liquids is typically little. Nonetheless, when certain issue happen, the pleural liquid expands and may development bringing about pulmonary symptoms and signs. Once the development of liquid happens, a finding is required.In expansion, the absolute most compelling strategies for
Ultrasound, or sonography, is a painless way to take pictures of the inside of a patient’s body using sound waves. Ultrasound Technicians operate machines which is called a sonographic scanner. The scanners create pictures of internal organs. There are many different fields of sonography. There is cardiovascular which works with the heart. Abdominal works with the spleen liver and urinary system. Obstetric works with the female's reproductive system. Breast is where you look for abnormalities or cancer in women’s and sometimes men’s breast. Musculoskeletal is where you look at tissues and joints. Neurosonology is working with the brain.
In pleuritic pain, LUS is superior to CXR and may allow visualization of radio-occult pulmonary conditions. In mechanically ventilated patients, LUS is more accurate than CXR in detecting and distinguishing various types of consolidations
A chest x-ray is the primary way to diagnose a pneumothorax. Generally two chest x-rays will be taken, one on inspiration and one on expiration. This allows to better visualize the collapsed lung. An additional CT scan may be required. Ultrasound may also be used.
Stanley et al[49] conducted a study to evaluate the diagnostic yield and complications of CT guided thoracic biopsy. The study associated pneumothorax rate with traversed lung length, lesion size and lesion depth. Risk factors influencing haemoptysis rate were found to be the traversed lung length and lesion size.
Chest X-rays are difficult to interpret, but you did a great job. The ABCD systemic approach was applied appropriately, the trachea is visible and in a correct alignment, the bones are intact, no signs of fracture, the heart is enlarged, however, the diaphragm is not visible because of the disease condition (Wells, 2013). Although, congestive heart failure could be assumed as the diagnosis looking at the radiograph, but the importance of getting the signs and symptoms, the chief complaint, and the patient’s medical history cannot be overemphasized.
In this study, we have presented the data of 40 patients who were divided into two groups. Group I (20 patients) in whom Tru-cut needle biopsy was performed guided by ultrasonography for the diag-nosis of pleural lesions and group II (20 patients) who under-went thoracoscopy for the diagnosis of undiagnosed pleural lesions.
Diagnostic Medical Sonography or Ultrasound has advanced rapidly over the years and has a growing popularity. Ultrasound imaging can be seen in 2D, 3D and also 4D. Ultrasound is making it easier to diagnose conditions or simply see a picture of a fetus in a womb. Ultrasound uses high-frequency sound waves to see images inside the body. Sonographers use ultrasound to see everything from a fetus to blood vessels. A sonographer is someone who is trained to perform these examinations. Ultrasound is a very safe way to view images inside the body because it doesn’t use radiation like x-ray. Therefore, it is safe to use on a pregnant female to view a fetus. Ultrasound is becoming a very common procedure. Mostly when people hear
For the past 50 years acute respiratory distress syndrome or better known as ARDS, has been an issue in hospital intensive care units all around the world. The first “documented published scientific description dates back to 1821 when Laennec described the gross pathology of the heart and lungs and described idiopathic anasarca of the lungs; pulmonary edema without heart failure in a treatise on diseases of the chest.”1 Cardiac and non-cardiac issues were not taken into consideration as part of the cause at that time. The first definition dates back to Ashbaugh and colleagues in 1967.2 Though modern medicine has been around for hundreds of years, it wasn’t until hospitals designed intensive care units and began using mechanical ventilation
There is a considerable controversy regarding the use of OBL in patients with respiratory failure and those on mechanical ventilation because of the potential high morbidity and mortality associated with its use in those patients (20, 21). While the role of OLB has become well established in the diagnosis of interstitial lung disease (18), its utility and safety are more controversial in critically ill patients. Proponents of OLB argue that solid diagnosis of underlying aetiology can be helpful in determination of the best course of treatment (22). Moreover, the risk of biopsy is fairly low if adequate precautions are taken (23). In contrast, opponents of OLB believe that defining the underlying mechanism of injury is largely academic and it will not add new to the treatment of those patients because of the lack of specific therapies for underlying aetiologies of ARDS and respiratory
Ultrasonography is a medical procedure that does not use ionizing radiation and uses sound waves to create images on a screen. It has been done for renal colic or suspected nephrolithiasis that gives a view about urinary tract system for emergency physician or radiologist.