在急性呼吸衰竭中视觉肺超声谱 (VLUP) 协议:临床病例的描述和应用
A Bianchini1, Irene Sbaraini Zernini2, G Notini3
1Postoperative and Abdominal Organ Transplant Intensive Care Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, 40138, Italy.
Journal of clinical monitoring and computing
|March 9, 2024
概括
一个新的视觉肺超声波协议 (VLUP) 提供了急性呼吸衰竭的快速监测. 这种技术提供了快速的,半定量评估肺损伤,改善了传统的肺超声波评分异构的肺病.
科学领域:
- 临界护理医学 临界护理医学
- 肺部病理学 肺部病理学
- 医疗成像医学成像
背景情况:
- 肺部超声波 (LUS) 对重症患者至关重要,但标准肺部超声波得分 (LUSS) 有局限性.
- LUSS在异质性肺部疾病中显示出较低的观察者内部一致性,并且耗时.
- 迅速评估肺部病理和通风是至关重要的,特别是在紧急情况下.
研究的目的:
- 引入视觉肺超声协议 (VLUP) 作为急性呼吸衰竭的快速监测工具.
- 证明VLUP能够提供肺损伤的半定量和定性点诊疗评估的能力.
- 突出VLUP在标准化肺气化监测和比较连续扫描中的实用性.
主要方法:
- 在VLUP中,在横向扫描中,一个探头沿着特定的线条 (中关节骨,中骨,骨) 滑动.
- 这种方法可视化前侧面和/或后侧膜表面的很大一部分.
- 连续评估被记录下来,并与视觉上比较,以跟踪肺损伤的演变.
主要成果:
- VLUP允许快速理解和视觉比较随着时间的推移的肺损伤.
- 它可以快速估计定量-LUSS (qLUSS),表示脏中被文物占用的百分比.
- 在不均的肺部疾病中,VLUP比LUSS更适合.
结论:
- VLUP作为一个标准化的,点的护理工具,用于评估和监测肺空气.
- 该协议有助于准确比较后续扫描和监测区域外细胞损伤.
- 在急性呼吸衰竭中,VLUP为肺部评估提供了更快,更一致的替代方案.
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