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The Egyptian Journal of Bronchology
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The value of chest ultrasonography applications in the respiratory ICU

Egyptian Journal of Bronchology volume 13, pages 323–327 (2019)Cite this article

Abstract

Background

Diverse imaging systems can be utilized for the evaluation of chest issues in ICU patients; ultrasound (US) is a decent analytic instrument without exposing the patients to radiation and risk of transfer.

Objectives

To compare the diagnostic performance of transthoracic US and bedside chest radiography (CXR) for the detection of various pathological abnormalities in fundamentally sick patients, using chest computed tomography as a gold standard.

Patients and methods

Two hundred and fifty-six patients who were admitted in the Respiratory Care Unit were included in this study. CXR, computed tomography, and transthoracic US were done to all the patients. Six pathological entities were evaluated: pleural effusion, pneumothorax, consolidation, interstitial lung diseases, pulmonary embolism, and neoplasms.

Results

All patients were evaluated by the three imaging techniques. The sensitivity and specificity of CXR were 42.1, 84.4% for pneumonia 50.0, 90.0% for pleural effusion, 45.5, 90.6% for interstitial syndrome, 50.0, 94.8% for pneumothorax, 60, 100% for pulmonary embolism, and 66, 94% for neoplasm, while the values for chest US were 89.47, 100% for pneumonia, 60, 100% for pulmonary embolism, 100, 100% for pleural effusion, pneumothorax, interstitial syndrome, and neoplasm.

Conclusion

US examination of the chest is a noninvasive and promising bedside tool in the evaluation of patients in the Respiratory Care Unit.

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Authors and Affiliations

  1. Department of Chest Diseases, Faculty of Medicine, Benha University, 13511, Benha, Egypt

    Medhat F. Negm, Mohammad H. Kamel, Osama I. Mohammad MD & Rehab E. Elsawy

  2. Department of Radiology, Faculty of Medicine, Benha University, Benha, Egypt

    Hamada M. Khater

Authors
  1. Medhat F. Negm
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  2. Mohammad H. Kamel
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  3. Osama I. Mohammad MD
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  4. Rehab E. Elsawy
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  5. Hamada M. Khater
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Corresponding author

Correspondence to Osama I. Mohammad MD.

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Negm, M.F., Kamel, M.H., Mohammad, O.I. et al. The value of chest ultrasonography applications in the respiratory ICU. Egypt J Bronchol 13, 323–327 (2019). https://doi.org/10.4103/ejb.ejb_78_18

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  • DOI: https://doi.org/10.4103/ejb.ejb_78_18

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