Lung ultrasound and supine chest X-ray use in modern adult intensive care: mapping 30 years of advancement (1993–2023)
Abstract In critically ill patients with acute respiratory failure, thoracic images are essential for evaluating the nature, extent and progression of the disease, and for clinical management decisions. For this purpose, computed tomography (CT) is the gold standard. However, transporting patients t...
| Main Authors: | , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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SpringerOpen
2024-02-01
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| Series: | The Ultrasound Journal |
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| Online Access: | https://doi.org/10.1186/s13089-023-00351-4 |
| _version_ | 1797275431927283712 |
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| author | Luigi Vetrugno Daniele Guerino Biasucci Cristian Deana Savino Spadaro Fiorella Anna Lombardi Federico Longhini Luigi Pisani Enrico Boero Lorenzo Cereser Gianmaria Cammarota Salvatore Maurizio Maggiore |
| author_facet | Luigi Vetrugno Daniele Guerino Biasucci Cristian Deana Savino Spadaro Fiorella Anna Lombardi Federico Longhini Luigi Pisani Enrico Boero Lorenzo Cereser Gianmaria Cammarota Salvatore Maurizio Maggiore |
| author_sort | Luigi Vetrugno |
| collection | DOAJ |
| description | Abstract In critically ill patients with acute respiratory failure, thoracic images are essential for evaluating the nature, extent and progression of the disease, and for clinical management decisions. For this purpose, computed tomography (CT) is the gold standard. However, transporting patients to the radiology suite and exposure to ionized radiation limit its use. Furthermore, a CT scan is a static diagnostic exam for the thorax, not allowing, for example, appreciation of "lung sliding". Its use is also unsuitable when it is necessary to adapt or decide to modify mechanical ventilation parameters at the bedside in real-time. Therefore, chest X-ray and lung ultrasound are today's contenders for shared second place on the podium to acquire a thoracic image, with their specific strengths and limitations. Finally, electrical impedance tomography (EIT) could soon have a role, however, its assessment is outside the scope of this review. Thus, we aim to carry out the following points: (1) analyze the advancement in knowledge of lung ultrasound use and the related main protocols adopted in intensive care units (ICUs) over the latest 30 years, reporting the principal publications along the way, (2) discuss how and when lung ultrasound should be used in a modern ICU and (3) illustrate the possible future development of LUS. |
| first_indexed | 2024-03-07T15:13:16Z |
| format | Article |
| id | doaj.art-a395c82367294ab6abd72f6e95c93b6b |
| institution | Directory Open Access Journal |
| issn | 2524-8987 |
| language | English |
| last_indexed | 2024-03-07T15:13:16Z |
| publishDate | 2024-02-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | The Ultrasound Journal |
| spelling | doaj.art-a395c82367294ab6abd72f6e95c93b6b2024-03-05T18:03:36ZengSpringerOpenThe Ultrasound Journal2524-89872024-02-0116111210.1186/s13089-023-00351-4Lung ultrasound and supine chest X-ray use in modern adult intensive care: mapping 30 years of advancement (1993–2023)Luigi Vetrugno0Daniele Guerino Biasucci1Cristian Deana2Savino Spadaro3Fiorella Anna Lombardi4Federico Longhini5Luigi Pisani6Enrico Boero7Lorenzo Cereser8Gianmaria Cammarota9Salvatore Maurizio Maggiore10Department of Medical, Oral and Biotechnological Sciences, University of Chieti-PescaraDepartment of Clinical Science and Translational Medicine, ‘Tor Vergata’ University of RomeAnesthesia and Intensive Care 1, Department of Anesthesia and Intensive Care, Health Integrated Agency of Friuli CentraleDepartment of Translational Medicine, Anesthesia and Intensive Care Unit, University of FerraraInstitute of Clinical Physiology, National Research CouncilAnesthesia and Intensive Care, Department of Medical and Surgical Sciences, “Magna Graecia” UniversityMahidol Oxford Tropical Medicine Research UnitAnesthesia and Intensive Care Unit, San Giovanni Bosco HospitalInstitute of Radiology, Department of Medicine, University of Udine, University Hospital S. Maria Della Misericordia, Azienda Sanitaria-Universitaria Friuli Centrale (ASUFC)Anesthesia and Intensive Care, Department of Translational Medicine, Eastern Piedmont UniversityDepartment of Anesthesiology, Critical Care Medicine and Emergency, SS. Annunziata HospitalAbstract In critically ill patients with acute respiratory failure, thoracic images are essential for evaluating the nature, extent and progression of the disease, and for clinical management decisions. For this purpose, computed tomography (CT) is the gold standard. However, transporting patients to the radiology suite and exposure to ionized radiation limit its use. Furthermore, a CT scan is a static diagnostic exam for the thorax, not allowing, for example, appreciation of "lung sliding". Its use is also unsuitable when it is necessary to adapt or decide to modify mechanical ventilation parameters at the bedside in real-time. Therefore, chest X-ray and lung ultrasound are today's contenders for shared second place on the podium to acquire a thoracic image, with their specific strengths and limitations. Finally, electrical impedance tomography (EIT) could soon have a role, however, its assessment is outside the scope of this review. Thus, we aim to carry out the following points: (1) analyze the advancement in knowledge of lung ultrasound use and the related main protocols adopted in intensive care units (ICUs) over the latest 30 years, reporting the principal publications along the way, (2) discuss how and when lung ultrasound should be used in a modern ICU and (3) illustrate the possible future development of LUS.https://doi.org/10.1186/s13089-023-00351-4Lung ultrasoundChest X-rayCritically ill patientIntensive careIonized radiationCost reduction |
| spellingShingle | Luigi Vetrugno Daniele Guerino Biasucci Cristian Deana Savino Spadaro Fiorella Anna Lombardi Federico Longhini Luigi Pisani Enrico Boero Lorenzo Cereser Gianmaria Cammarota Salvatore Maurizio Maggiore Lung ultrasound and supine chest X-ray use in modern adult intensive care: mapping 30 years of advancement (1993–2023) The Ultrasound Journal Lung ultrasound Chest X-ray Critically ill patient Intensive care Ionized radiation Cost reduction |
| title | Lung ultrasound and supine chest X-ray use in modern adult intensive care: mapping 30 years of advancement (1993–2023) |
| title_full | Lung ultrasound and supine chest X-ray use in modern adult intensive care: mapping 30 years of advancement (1993–2023) |
| title_fullStr | Lung ultrasound and supine chest X-ray use in modern adult intensive care: mapping 30 years of advancement (1993–2023) |
| title_full_unstemmed | Lung ultrasound and supine chest X-ray use in modern adult intensive care: mapping 30 years of advancement (1993–2023) |
| title_short | Lung ultrasound and supine chest X-ray use in modern adult intensive care: mapping 30 years of advancement (1993–2023) |
| title_sort | lung ultrasound and supine chest x ray use in modern adult intensive care mapping 30 years of advancement 1993 2023 |
| topic | Lung ultrasound Chest X-ray Critically ill patient Intensive care Ionized radiation Cost reduction |
| url | https://doi.org/10.1186/s13089-023-00351-4 |
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