Sonographic lobe localization of alveolar-interstitial syndrome in the critically Ill

Konstantinos Stefanidis, Stavros Dimopoulos, Chrysafoula Kolofousi, Demosthenes D. Cokkinos, Katerina Chatzimichail, Lewis Eisen, Mitchell Wachtel, Dimitrios Karakitsos, Serafim Nanas

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Introduction. Fast and accurate diagnosis of alveolar-interstitial syndrome is of major importance in the critically ill. We evaluated the utility of lung ultrasound (US) in detecting and localizing alveolar-interstitial syndrome in respective pulmonary lobes as compared to computed tomography scans (CT). Methods. One hundred and seven critically ill patients participated in the study. The presence of diffuse comet-tail artifacts was considered a sign of alveolar-interstitial syndrome. We designated lobar reflections along intercostal spaces and surface lines by means of sonoanatomy in an effort to accurately localize lung pathology. Each sonographic finding was thereafter grouped into the respective lobe. Results. From 107 patients, 77 were finally included in the analysis (42 males with mean age =61±17 years, APACHE II score =17.6±6.4, and lung injury score =1.0±0.7). US exhibited high sensitivity and specificity values (ranging from over 80% for the lower lung fields up to over 90% for the upper lung fields) and considerable consistency in the diagnosis and localization of alveolar-interstitial syndrome. Conclusions. US is a reliable, bedside method for accurate detection and localization of alveolar-interstitial syndrome in the critically ill.

Original languageEnglish (US)
Article number179719
JournalCritical Care Research and Practice
Volume2012
DOIs
StatePublished - 2012

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Critical Illness
Lung
APACHE
Lung Injury
Artifacts
Tomography
Pathology
Sensitivity and Specificity

ASJC Scopus subject areas

  • Critical Care and Intensive Care Medicine

Cite this

Stefanidis, K., Dimopoulos, S., Kolofousi, C., Cokkinos, D. D., Chatzimichail, K., Eisen, L., ... Nanas, S. (2012). Sonographic lobe localization of alveolar-interstitial syndrome in the critically Ill. Critical Care Research and Practice, 2012, [179719]. https://doi.org/10.1155/2012/179719

Sonographic lobe localization of alveolar-interstitial syndrome in the critically Ill. / Stefanidis, Konstantinos; Dimopoulos, Stavros; Kolofousi, Chrysafoula; Cokkinos, Demosthenes D.; Chatzimichail, Katerina; Eisen, Lewis; Wachtel, Mitchell; Karakitsos, Dimitrios; Nanas, Serafim.

In: Critical Care Research and Practice, Vol. 2012, 179719, 2012.

Research output: Contribution to journalArticle

Stefanidis, K, Dimopoulos, S, Kolofousi, C, Cokkinos, DD, Chatzimichail, K, Eisen, L, Wachtel, M, Karakitsos, D & Nanas, S 2012, 'Sonographic lobe localization of alveolar-interstitial syndrome in the critically Ill', Critical Care Research and Practice, vol. 2012, 179719. https://doi.org/10.1155/2012/179719
Stefanidis, Konstantinos ; Dimopoulos, Stavros ; Kolofousi, Chrysafoula ; Cokkinos, Demosthenes D. ; Chatzimichail, Katerina ; Eisen, Lewis ; Wachtel, Mitchell ; Karakitsos, Dimitrios ; Nanas, Serafim. / Sonographic lobe localization of alveolar-interstitial syndrome in the critically Ill. In: Critical Care Research and Practice. 2012 ; Vol. 2012.
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