TY - JOUR
T1 - Sonographic lobe localization of alveolar-interstitial syndrome in the critically Ill
AU - Stefanidis, Konstantinos
AU - Dimopoulos, Stavros
AU - Kolofousi, Chrysafoula
AU - Cokkinos, Demosthenes D.
AU - Chatzimichail, Katerina
AU - Eisen, Lewis A.
AU - Wachtel, Mitchell
AU - Karakitsos, Dimitrios
AU - Nanas, Serafim
PY - 2012
Y1 - 2012
N2 - 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.
AB - 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.
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U2 - 10.1155/2012/179719
DO - 10.1155/2012/179719
M3 - Article
C2 - 22645669
AN - SCOPUS:84866249560
SN - 2090-1305
VL - 2012
JO - Critical Care Research and Practice
JF - Critical Care Research and Practice
M1 - 179719
ER -