Dyspnea
Conditions
Brief summary
Evaluating the capability and efficiency of transthoracic ultrasound in attempting to identify the etiology of acute dyspnea.
Detailed description
Acute dyspnea is a frequent challenge for physicians due to having multiple etiologies, leading to difficulty in establishing an accurate diagnosis. The presence of this symptom is already a predictor of increased mortality and a lot of investigations are required to differentiate between etiologies. Hence, prompt diagnosis is needed to streamline these patients' appropriate management and disposition from the ED. Transthoracic ultrasound has traditionally been used for the detection of pleural effusion and evaluation of the chest wall, but the indications have been expanded. The gold standard imaging technique for the majority of pulmonary disorders is high-resolution computed tomography (HRCT), but it has negatives which are: * hazard of ionizing radiation * high cost * being nonportable
Interventions
Bedside thoracic ultrasound for patients complaining of acute dyspnea.
Sponsors
Study design
Eligibility
Inclusion criteria
* Clinical history of acute dyspnea
Exclusion criteria
* Subcutaneous emphysema. * Patients with more than 24 h interval between HRCT and TTU. * Patients with poor-quality of TTU image.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Differentiate between different etiologies of acute dyspnea | Baseline | Analysis of ultrasound findings to differentiate between etiologies of acute dyspnea. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Detect value of transthoracic ultrasound (TTU) in comparison to CT chest. | Baseline | Comparison between accuracy of TTU and CT |
Countries
Egypt