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

Authors

Mohamed Ali omar, Anesthesia and intensive care department,faculty of medicine(boys),Al Azhar university,Cairo,EgyptFollow
Said Ali fayed, Department Anesthesiology and Intensive Care Faculty of Medicine, Al-Azhar University, Cairo, Egypt.Follow
Ali Abdallah Alkumity, Department Anesthesiology and Intensive Care Faculty of Medicine, Al-Azhar University, Cairo, Egypt.Follow
Farid Basiony, Department chest disease Faculty of Medicine, Al-Azhar University, Cairo, Egypt.Follow

Corresponding Author

Ali omar, Mohamed

Document Type

Original Article

Abstract

Background; Acute respiratory failure (ARF) is a life threatening condition and continues to be one of the leading factors for admission of patients to intensive care unit (ICU). Aim and objectives: was to assess the diagnostic performance of Bedside Lung Ultrasound in Emergency protocol (BLUE protocol) in patient with respiratory failure admitted to ICU. Subjects and methods: This observational study had been conducted in Al-Hussein university hospital ICU. We performed ultrasonography on consecutive patients admitted to the ICU with respiratory failure and obtaining initial diagnosis of lung pathology using Bedside Lung Ultrasound In Emergency protocol (BLUE protocol ) comparing BLUE protocol results on initial presentation with the final diagnosis by the ICU team. Uncertain diagnoses and rare causes excluded. Result: Our study results revealed that US profile indicates asthma or COPD (n _ 21) with 80.95% sensitivity and 96.2% specificity. US profile indicate pulmonary edema (n _ 22) with 90.9% sensitivity and 94.8% specificity. US profile indicate pulmonary embolism(n _ 11) with 72.7% sensitivity and 98.8% specificity. US profile indicate pneumothorax (n _ 4) with 75% sensitivity and 100% specificity. US profiles indicate pneumonia (n _ 42) with 92.86% sensitivity and 91.4%specificity. Conclusion; Based on the observations, this study reveals that the BLUE protocol is a feasible tool, convenient for ICU usage, and imperative for the immediate diagnosis of conditions manifesting as ARF, Keywords; Acute respiratory failure; BLUE protocol; lung; Emergency protocol; Ultrasound

Keywords

Acute Respiratory Failure; BLUE protocol; lung; Emergency protocol; Ultrasound

How to Cite This Article

Ali omar, Mohamed; Ali fayed, Said; Abdallah Alkumity, Ali; and Basiony, Farid (2022) "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," Al-Azhar International Medical Journal: Vol. 3: Iss. 5, Article 21.
DOI: https://doi.org/10.21608/aimj.2022.111938.1734