Role of point of care ultrasound in management of deteriorating respiratory intensive care unit patients and its impact on outcome
Abstract Background Point of care ultrasonography (POCUS) is a real time examination that can be used in the emergency room and intensive care unit (ICU). It can provide low-cost modality in short period of time that can help the clinician in better management the ICU patients. The aim of the curren...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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SpringerOpen
2024-01-01
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| Series: | The Egyptian Journal of Bronchology |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s43168-024-00256-3 |
| _version_ | 1797276685541834752 |
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| author | Maha Mohammed Elgabry Eman Shebl Mohamed Saad El-Shetry Enaam I. Elsayed Niveen ELSayed Zayed |
| author_facet | Maha Mohammed Elgabry Eman Shebl Mohamed Saad El-Shetry Enaam I. Elsayed Niveen ELSayed Zayed |
| author_sort | Maha Mohammed Elgabry |
| collection | DOAJ |
| description | Abstract Background Point of care ultrasonography (POCUS) is a real time examination that can be used in the emergency room and intensive care unit (ICU). It can provide low-cost modality in short period of time that can help the clinician in better management the ICU patients. The aim of the current work was to evaluate the impact of POCUS (focused heart, lung, IVC and Doppler lower limb) in improving the outcome of deteriorating patients in the respiratory intensive care unit (RICU), via narrowing differential diagnosis and earlier start of target therapy. Methods This prospective study included 126 deteriorated patients in the RICU. The POCUS was performed to all included patients, together with the indicated laboratory and radiological investigations (Chest x-ray, computerized tomography, and conventional echocardiography) to detect the agreement between POCUS and the gold standard techniques to assess the POCUS effectiveness. The impact of applying POCUS on the outcome of the studied patients was evaluated regarding ICU and in hospital length of stay and the 30-day mortality. Results The included patients were 51 males (40.5%) and 75 females (59.5%) with a mean ±SD of age 45.4 ± 15.7 years. POCUS showed a good agreement with the gold standard techniques. There was significant improvement in outcome of the studied patients as regard ICU and in hospital stay with early using of POCUS examination but no significant difference in 30 days mortality rate of the studied patients. Conclusion POCUS is an effective modality in the management of deteriorating patients in the RICU with a good impact on the patient outcome. |
| first_indexed | 2024-03-07T15:31:46Z |
| format | Article |
| id | doaj.art-7ca6831ea40b4d83864f7de7cea92234 |
| institution | Directory Open Access Journal |
| issn | 2314-8551 |
| language | English |
| last_indexed | 2024-03-07T15:31:46Z |
| publishDate | 2024-01-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | The Egyptian Journal of Bronchology |
| spelling | doaj.art-7ca6831ea40b4d83864f7de7cea922342024-03-05T16:22:16ZengSpringerOpenThe Egyptian Journal of Bronchology2314-85512024-01-0118111010.1186/s43168-024-00256-3Role of point of care ultrasound in management of deteriorating respiratory intensive care unit patients and its impact on outcomeMaha Mohammed Elgabry0Eman Shebl1Mohamed Saad El-Shetry2Enaam I. Elsayed3Niveen ELSayed Zayed4Chest Department, Zagazig University’ faculty of medicineChest Department, Zagazig University’ faculty of medicineCardiology Department, Zagazig University’s faculty of medicineChest Department, Zagazig University’ faculty of medicineChest Department, Zagazig University’ faculty of medicineAbstract Background Point of care ultrasonography (POCUS) is a real time examination that can be used in the emergency room and intensive care unit (ICU). It can provide low-cost modality in short period of time that can help the clinician in better management the ICU patients. The aim of the current work was to evaluate the impact of POCUS (focused heart, lung, IVC and Doppler lower limb) in improving the outcome of deteriorating patients in the respiratory intensive care unit (RICU), via narrowing differential diagnosis and earlier start of target therapy. Methods This prospective study included 126 deteriorated patients in the RICU. The POCUS was performed to all included patients, together with the indicated laboratory and radiological investigations (Chest x-ray, computerized tomography, and conventional echocardiography) to detect the agreement between POCUS and the gold standard techniques to assess the POCUS effectiveness. The impact of applying POCUS on the outcome of the studied patients was evaluated regarding ICU and in hospital length of stay and the 30-day mortality. Results The included patients were 51 males (40.5%) and 75 females (59.5%) with a mean ±SD of age 45.4 ± 15.7 years. POCUS showed a good agreement with the gold standard techniques. There was significant improvement in outcome of the studied patients as regard ICU and in hospital stay with early using of POCUS examination but no significant difference in 30 days mortality rate of the studied patients. Conclusion POCUS is an effective modality in the management of deteriorating patients in the RICU with a good impact on the patient outcome.https://doi.org/10.1186/s43168-024-00256-3POCUSICUOutcome |
| spellingShingle | Maha Mohammed Elgabry Eman Shebl Mohamed Saad El-Shetry Enaam I. Elsayed Niveen ELSayed Zayed Role of point of care ultrasound in management of deteriorating respiratory intensive care unit patients and its impact on outcome The Egyptian Journal of Bronchology POCUS ICU Outcome |
| title | Role of point of care ultrasound in management of deteriorating respiratory intensive care unit patients and its impact on outcome |
| title_full | Role of point of care ultrasound in management of deteriorating respiratory intensive care unit patients and its impact on outcome |
| title_fullStr | Role of point of care ultrasound in management of deteriorating respiratory intensive care unit patients and its impact on outcome |
| title_full_unstemmed | Role of point of care ultrasound in management of deteriorating respiratory intensive care unit patients and its impact on outcome |
| title_short | Role of point of care ultrasound in management of deteriorating respiratory intensive care unit patients and its impact on outcome |
| title_sort | role of point of care ultrasound in management of deteriorating respiratory intensive care unit patients and its impact on outcome |
| topic | POCUS ICU Outcome |
| url | https://doi.org/10.1186/s43168-024-00256-3 |
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