肺部超声波得分,急性肺部疾病的严重程度和儿童的长期机械通风
Ignacio Oulego-Erroz1, María Del Pilar De Castro-Vecino2,3, Rafael González-Cortés4
1Complejo Asistencial Universitario de Leon, Pediatric Intensive Care Medicine, Leon, Spain; ignacio.oulego@gmail.com.
American journal of respiratory and critical care medicine
|October 17, 2024
概括
重症儿童的肺部超声波得分可以预测需要长时间的机械通风. 这种非侵入性工具有助于评估急性肺病的严重程度,并指导临床决策.
科学领域:
- 儿科重症监护医学 儿科重症监护医学
- 诊断成像 诊断成像 诊断成像
- 肺部病理学 肺部病理学
背景情况:
- 肺部超声波 (LUS) 显示在急性肺部疾病的预后有希望.
- 对重症儿童来说,评估疾病严重程度和预测通风需求至关重要.
研究的目的:
- 为了确定肺超声波得分是否与儿童急性肺病的严重程度相关.
- 为了评估肺部超声波得分的预测准确性,对危急儿童的长期侵入性机械通风进行预测.
主要方法:
- 一项前性多中心观察性研究,涉及538名需要呼吸辅助的儿童 (1个月至18岁).
- 肺部超声波得分在入院12小时和48-72小时后进行评估.
- 分析了与氧化指数的相关性和机械通风>7天的预测.
主要成果:
- 需要长时间机械通风的儿童在两个时间点都有显著更高的LUS得分 (p<0.001).
- 12小时后的LUS得分与氧化指数 (R2=0.435) 和氧和指数 (R2=0.499) 有很强的相关性.
- 12小时后的LUS得分显示,预测长时间通风的准确性很好 (AUROC=0.87),在多变量分析 (AUROC=0.91-0.92) 中改善为优异.
结论:
- 肺部超声波得分是评估重症儿童急性肺部疾病严重程度的宝贵工具.
- 早期的肺超声波得分可以有效地预测需要长时间的侵入性机械通风.
更多相关视频
11:27A Modified Sonographic Algorithm for Image Acquisition in Life-Threatening Emergencies in the Critically Ill Newborn
Published on: April 7, 2023
6.1K
05:50International Expert Consensus and Recommendations for Neonatal Pneumothorax Ultrasound Diagnosis and Ultrasound-guided Thoracentesis Procedure
Published on: March 12, 2020
13.5K
相关概念视频
01:30Radiological Investigation II: MRI and Ventilation Perfusion Scan
103
Description
Magnetic Resonance Imaging (MRI) and Ventilation Perfusion Scans are two radiological investigations that offer detailed diagnostic images of the body, particularly lung structures.
MRI
MRI uses magnetic fields and radiofrequency signals to distinguish between normal and abnormal tissues. This technology provides a more detailed diagnostic image than CT scans, enabling it to characterize pulmonary nodules, stage bronchogenic carcinoma, and evaluate inflammatory activity in...
Magnetic Resonance Imaging (MRI) and Ventilation Perfusion Scans are two radiological investigations that offer detailed diagnostic images of the body, particularly lung structures.
MRI
MRI uses magnetic fields and radiofrequency signals to distinguish between normal and abnormal tissues. This technology provides a more detailed diagnostic image than CT scans, enabling it to characterize pulmonary nodules, stage bronchogenic carcinoma, and evaluate inflammatory activity in...
103
01:23Assessment of Respiration
1.1K
The respiratory system's basic structures and primary functions lay the foundation for nurses' comprehensive respiratory assessments. This assessment includes subjective and objective data to gauge the patient's respiratory health.
Subjective Assessment: Nurses interview the patient to gather information directly during the subjective assessment. It includes questions about the individual's medical history, medications, and symptoms, focusing on past respiratory conditions like...
Subjective Assessment: Nurses interview the patient to gather information directly during the subjective assessment. It includes questions about the individual's medical history, medications, and symptoms, focusing on past respiratory conditions like...
1.1K