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Corresponding Author

Hossam Hassan Shahba

Document Type

Original Article

Abstract

Background: Patients referred to the intensive care unit (ICU) often appear with the life-threatening condition known as acute respiratory distress &/ failure (ARF), but the standard methods of diagnosis, with the exception of computed tomography (CT) chest, have poor accuracy. Ultrasound (US) performed at the patient's bedside is quickly gaining acceptance as a reliable method for real-time evaluation of the heart and lungs. Our study aim to assess the value of combined cardiac and pulmonary ultrasound (CPUS) in determining the aetiology of ARF in critical ill patients.

Patients and methods: In this observational , prospective investigation, adults in the ICU who was included had a CPUS performed on them at time of diagnosis. Each patient's initial clinical diagnosis was compared to the patient's post-US clinical diagnosis. Results: After tallying the data, 50 patients met the criteria for inclusion. mean age was 51± 17.9 standard deviations (SD), and male: female was 18 (36%): 32 (64%) respectively. Use of LUS changing or adding to primary aetiological diagnosis by 84% especially within group of HTN with P value 0.059. when we use echocardiography we changing or adding to primary aetiological diagnosis by 99% especially in male and AKI subgroups with P= 0.032 and 0.22 respectively. Across the subgroups determining lung causes, crdiac causes or combined causes of RF by CPUS was significantly differente in DM, CKD, AKI subgroups by P= 0.022, 0.25 and 0.011 respectively. According to our research, routine CPUS screening of ARF patients upon ICU admission is practical and has a great significance on diagnosis.

Keywords

Respiratory distress&/ failure; causes; Lung ultrasound; echocardiography.

Subject Area

Emergency and ICU medicine

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