Early Diagnostic Value of Lung Ultrasound Compared To Chest Computed Tomography for Pleural Effusion and Pneumonia in Critically Ill Patients

Authors

Mohamed Osman Abdel Hamid Ibrahim, Department of Anesthesiology and Intensive Care and Pain management, Faculty of Medicine for boys, Al-Azhar University, Cairo, EgyptFollow
Mostafa Abdel Hamid Abo-Elainin, Department of Anesthesiology and Intensive Care and Pain management, Faculty of Medicine for boys, Al-Azhar University, Cairo, Egypt
Khalid Mohamed Halima, Department of Chest Disease, Faculty of Medicine for boys, Al-Azhar University, Cairo, Egypt
Mohamed Abdelgawad Aboelsuod, Department of Anesthesiology and Intensive Care and Pain management, Faculty of Medicine for boys, Al-Azhar University, Cairo, Egypt.

Document Type

Original Article

Abstract

Background: Recently, lung ultrasound has been touted as a modality that can diagnose pneumonia in a variety of settings while overcoming many of the shortcomings of other tools. Aim: The aim of the study to compare between diagnostic value of lung ultrasound and CT- chest in evaluating pneumonia and pleural effusion in ICU patients. The primary study outcomes were the sensitivity and specificity of lung ultrasound and CT-chest in pneumonia and pleural effusion. The Secondary study outcomes were the satisfaction of the patient. Patients and Methods: This was observational study included 40 patients admitted to ICU Al-Azhar university hospitals. Results: Its sensitivity was 93.33%, specificity was 96%, positive predictive value (PPV) was 93.33%, and negative predictive value (NPV) was 96% for chest US. Chest CT demonstrated 100% sensitivity, 96% specificity, 93.75% positive predictive value, and 100% negative predictive value.Conclusion: In the early stages of diagnosing pneumonia and pleural effusion, lung ultrasound is a very useful tool. LUS is a reliable, highly accurate diagnostic technique for pleural effusion and pneumonia. It can supplement the use of clinical signs and symptoms in the bedside diagnosis and treatment of pneumonia and pleural effusion due to its capacity to offer real-time, inexpensive, quick images. It may be especially useful in places with poor access to conventional radiology and reduce ionising radiation exposure.

Keywords

Computed tomography, Ultrasound, Pneumonia, Pleural effusions.

Subject Area

Chest, Radiology & Radiodiagnosis

How to Cite This Article

Ibrahim, Mohamed Osman Abdel Hamid; Abo-Elainin, Mostafa Abdel Hamid; Halima, Khalid Mohamed; and Aboelsuod, Mohamed Abdelgawad (2023) "Early Diagnostic Value of Lung Ultrasound Compared To Chest Computed Tomography for Pleural Effusion and Pneumonia in Critically Ill Patients," Al-Azhar International Medical Journal: Vol. 4: Iss. 7, Article 23.
DOI: https://doi.org/10.58675/2682-339X.1900