Ultrasound appearance of lungs in patients with ventilator associated pneumonia
Objectives: To document ultrasound appearance of lungs in mechanically ventilated patients with (ventilator associated pneumonia) VAP. Methods: This was a prospective observational cohort, single centre study conducted in PICU of a university affiliated tertiary care hospital. A total of 28 patients...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2018-01-01
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| Series: | Journal of Pediatric Critical Care |
| Online Access: | http://www.jpcc.org.in/article.asp?issn=2349-6592;year=2018;volume=5;issue=8;spage=73;epage=73;aulast=Chandelia;type=0 |
| _version_ | 1819080168729214976 |
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| author | Sudha Chandelia |
| author_facet | Sudha Chandelia |
| author_sort | Sudha Chandelia |
| collection | DOAJ |
| description | Objectives: To document ultrasound appearance of lungs in mechanically ventilated patients with (ventilator associated pneumonia) VAP.
Methods: This was a prospective observational cohort, single centre study conducted in PICU of a university affiliated tertiary care hospital. A total of 28 patients of age 1 year to 14 years who were receiving invasive mechanical ventilation for reasons other than pneumonia and other lung diseases were selected by consecutive sampling technique. The lung ultrasound (LUS) was performed whenever there was a suspicion of VAP and these were diagnosed as per CDC criteria. LUS was performed with Aloka SSD-90 machine with both 5MHz linear and 7.5MHz linear transducer. Each lung was divided into six areas (superior and inferior of anterior, lateral and posterior zones). Anterior axillary line divided anterior from lateral and posterior axillary line divided lateral from posterior area. The probe orientation was perpendicular to the ribs.
Results: A total of 28 patients (18 males) were enrolled. Median age was 6.5 years ranging from 1-13 years Dynamic linear/arborescent air-bronchograms were seen in all 100% cases. Shred sign was seen in 28% cases. Partial loss of aeration was seen in 68% while total loss of aeration was seen in 32% cases. Hepatisation was noticed in 21 % patients. Thickened pleural line heterogenous echotexture were also noticed. Pleural effusion was seen in two patients.
Conclusion: LUS is feasible in mechanically ventilated children and Specific LUS findings are seen in VAP which can be used to diagnose it rapidly at bedside. |
| first_indexed | 2024-12-21T19:40:36Z |
| format | Article |
| id | doaj.art-1800915a823242d78c64b2c646aec70a |
| institution | Directory Open Access Journal |
| issn | 2349-6592 2455-7099 |
| language | English |
| last_indexed | 2024-12-21T19:40:36Z |
| publishDate | 2018-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Pediatric Critical Care |
| spelling | doaj.art-1800915a823242d78c64b2c646aec70a2022-12-21T18:52:28ZengWolters Kluwer Medknow PublicationsJournal of Pediatric Critical Care2349-65922455-70992018-01-0158737310.21304/2018.0506.00458Ultrasound appearance of lungs in patients with ventilator associated pneumoniaSudha ChandeliaObjectives: To document ultrasound appearance of lungs in mechanically ventilated patients with (ventilator associated pneumonia) VAP. Methods: This was a prospective observational cohort, single centre study conducted in PICU of a university affiliated tertiary care hospital. A total of 28 patients of age 1 year to 14 years who were receiving invasive mechanical ventilation for reasons other than pneumonia and other lung diseases were selected by consecutive sampling technique. The lung ultrasound (LUS) was performed whenever there was a suspicion of VAP and these were diagnosed as per CDC criteria. LUS was performed with Aloka SSD-90 machine with both 5MHz linear and 7.5MHz linear transducer. Each lung was divided into six areas (superior and inferior of anterior, lateral and posterior zones). Anterior axillary line divided anterior from lateral and posterior axillary line divided lateral from posterior area. The probe orientation was perpendicular to the ribs. Results: A total of 28 patients (18 males) were enrolled. Median age was 6.5 years ranging from 1-13 years Dynamic linear/arborescent air-bronchograms were seen in all 100% cases. Shred sign was seen in 28% cases. Partial loss of aeration was seen in 68% while total loss of aeration was seen in 32% cases. Hepatisation was noticed in 21 % patients. Thickened pleural line heterogenous echotexture were also noticed. Pleural effusion was seen in two patients. Conclusion: LUS is feasible in mechanically ventilated children and Specific LUS findings are seen in VAP which can be used to diagnose it rapidly at bedside.http://www.jpcc.org.in/article.asp?issn=2349-6592;year=2018;volume=5;issue=8;spage=73;epage=73;aulast=Chandelia;type=0 |
| spellingShingle | Sudha Chandelia Ultrasound appearance of lungs in patients with ventilator associated pneumonia Journal of Pediatric Critical Care |
| title | Ultrasound appearance of lungs in patients with ventilator associated pneumonia |
| title_full | Ultrasound appearance of lungs in patients with ventilator associated pneumonia |
| title_fullStr | Ultrasound appearance of lungs in patients with ventilator associated pneumonia |
| title_full_unstemmed | Ultrasound appearance of lungs in patients with ventilator associated pneumonia |
| title_short | Ultrasound appearance of lungs in patients with ventilator associated pneumonia |
| title_sort | ultrasound appearance of lungs in patients with ventilator associated pneumonia |
| url | http://www.jpcc.org.in/article.asp?issn=2349-6592;year=2018;volume=5;issue=8;spage=73;epage=73;aulast=Chandelia;type=0 |
| work_keys_str_mv | AT sudhachandelia ultrasoundappearanceoflungsinpatientswithventilatorassociatedpneumonia |