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Use of thoracic ultrasound in acute respiratory distress syndrome.
| Content Provider | Europe PMC |
|---|---|
| Author | GarcĂa-de-Acilu, Marina SantafĂ©, Manel Roca, Oriol |
| Copyright Year | 2023 |
| Abstract | Acute respiratory distress syndrome (ARDS) is a significant cause of morbidity and mortality in critically ill patients, yet it is often underrecognized. Current imaging techniques, such as CT scan and X-ray, have several limitations, including inter-observer reliability, limited accessibility, radiation and the need for transportation. Ultrasound has become an essential bedside tool in the critical care setting and the emergency room, offering several advantages over traditional imaging techniques. It is nowadays widely used for diagnosis and early management of acute respiratory and circulatory failure. Lung ultrasound (LUS) provides non-invasively valuable information regarding lung aeration, ventilation distribution and respiratory complications in ARDS patients at the bedside. Moreover, a holistic ultrasound approach, combining LUS, echocardiography, and diaphragm ultrasound offers physiological information that could help the clinician to personalize ventilator settings and guide fluid resuscitation in these patients. Ultrasound techniques could also inform about possible causes of weaning failure in difficult-to-wean patients. However, it is uncertain whether clinical decisions based on ultrasound assessment can improve outcomes in ARDS patients and this clinical approach requires further investigation. In this article, we review the use of thoracic ultrasound, including lung and diaphragm examination, for the clinical assessment of patients with ARDS, and discuss its limitations and future perspectives. |
| ISSN | 23055839 |
| Volume Number | 11 |
| PubMed Central reference number | PMC10316096 |
| Issue Number | 9 |
| PubMed reference number | 37404985 |
| Journal | Annals of Translational Medicine [Ann Transl Med] |
| e-ISSN | 23055847 |
| DOI | 10.21037/atm-22-4576 |
| Language | English |
| Publisher | AME Publishing Company |
| Publisher Date | 2023-06-01 |
| Access Restriction | Open |
| Rights License | Open Access Statement: This is an Open Access article distributed in accordance with the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International License (CC BY-NC-ND 4.0), which permits the non-commercial replication and distribution of the article with the strict proviso that no changes or edits are made and the original work is properly cited (including links to both the formal publication through the relevant DOI and the license). See: https://creativecommons.org/licenses/by-nc-nd/4.0. 2023 Annals of Translational Medicine. All rights reserved. |
| Subject Keyword | Lung ultrasound (LUS) acute respiratory distress syndrome (ARDS) lung monitoring |
| Content Type | Text |
| Resource Type | Article |
| Subject | Medicine |
