of Lung Ultrasound in Diagnosis of Acute Respiratory Distress Syndrome
Conditions
Keywords
lung ultrasound, acute respiratory distress syndrome
Brief summary
To evaluate the validity of lung ultrasound compared to CT chest and chest radiograph for diagnosis of ARDS and prediction of successful weaning from mechanical ventilation in those patients compared to traditional methods.
Detailed description
57 patients will be diagnosed as ARDS by CT chest and clinical criteria, then will be compared between the findings by lung ultrasound and chest radiograph to detect the sensitivity of both imaging to CT chest as gold standard in diagnosis of ARDS patients
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
Patients or legal guardian's consent .All patients with suspicious criteria of acute respiratory distress syndrome .Hemodynamically stable in the absence or minimal of vasopressors.
Exclusion criteria
Pregnant women. patients with traumatic lung injury or pneumothorax. surgical dressings over the right lower rib cage which would preclude ultrasound examination. presence of ascites. presence of lung collapse, fibrosis, or pleural effusion. -presence of any mass or mechanical factor in the chest or the abdomen interfering with the diaphragmatic mobility.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| diagnostic data checklist | immediately after ICU admission | Data of CT chest ,lung ultrasound and chest radiography in diagnosis of ARDS . |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| success rate | within 24 hours after weaning | compared the success of both methods in terms of reintubation or not for those patients |
| lung ultrasound as a predictor for weaning | immediately before weaning | evaluate the scoring of lung aeration |
| diaphragmatic ultrasound as a predictor for weaning | immediately before weaning | diaphragmatic thickness and excursion |
Countries
Egypt