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https://www.readbyqxmd.com/read/27891280/lung-ultrasound-in-early-diagnosis-of-neonatal-ventilator-associated-pneumonia-before-any-radiographic-or-laboratory-changes
#1
Mohammed Ibrahim, Ahmed Omran, Mostafa Ibrahim, Nouran Bioumy, Sonya El-Sharkawy
Neonatal pneumonia is reported to be the primary cause of neonatal respiratory failure and one of the common causes of neonatal hospitalization and death in developing countries. Chest X-ray was considered the gold standard for diagnosis of neonatal pneumonia. Lung ultrasonography has been described as a valuable noninvasive tool for the diagnosis of many neonatal pulmonary diseases. We report a case of ventilation associated neonatal pneumonia with very early diagnosis using lung ultrasound before any significant radiographic changes in chest X-ray or laboratory findings suggestive of infection...
2016: Case Reports in Pediatrics
https://www.readbyqxmd.com/read/27445558/lung-ultrasound-diagnostic-accuracy-in-neonatal-pneumothorax
#2
Luigi Cattarossi, Roberto Copetti, Giacomo Brusa, Stefano Pintaldi
Background. Pneumothorax (PTX) still remains a common cause of morbidity in critically ill and ventilated neonates. At the present time, lung ultrasound (LUS) is not included in the diagnostic work-up of PTX in newborns despite of excellent evidence of reliability in adults. The aim of this study was to compare LUS, chest X-ray (CXR), and chest transillumination (CTR) for PTX diagnosis in a group of neonates in which the presence of air in the pleural space was confirmed. Methods. In a 36-month period, 49 neonates with respiratory distress were enrolled in the study...
2016: Canadian Respiratory Journal: Journal of the Canadian Thoracic Society
https://www.readbyqxmd.com/read/27324241/lung-ultrasonography-for-assessment-of-oxygenation-response-to-prone-position-ventilation-in-ards
#3
Malik Haddam, Laurent Zieleskiewicz, Sebastien Perbet, Alice Baldovini, Christophe Guervilly, Charlotte Arbelot, Alexandre Noel, Coralie Vigne, Emmanuelle Hammad, François Antonini, Samuel Lehingue, Eric Peytel, Qin Lu, Belaid Bouhemad, Jean-Louis Golmard, Olivier Langeron, Claude Martin, Laurent Muller, Jean-Jacques Rouby, Jean-Michel Constantin, Laurent Papazian, Marc Leone
PURPOSE: Prone position (PP) improves oxygenation and outcome of acute respiratory distress syndrome (ARDS) patients with a PaO2/FiO2 ratio <150 mmHg. Regional changes in lung aeration can be assessed by lung ultrasound (LUS). Our aim was to predict the magnitude of oxygenation response after PP using bedside LUS. METHODS: We conducted a prospective multicenter study that included adult patients with severe and moderate ARDS. LUS data were collected at four time points: 1 h before (baseline) and 1 h after turning the patient to PP, 1 h before and 1 h after turning the patient back to the supine position...
October 2016: Intensive Care Medicine
https://www.readbyqxmd.com/read/27316915/french-intensive-care-society-international-congress-r%C3%A3-animation-2016
#4
(no author information available yet)
No abstract text is available yet for this article.
June 2016: Annals of Intensive Care
https://www.readbyqxmd.com/read/27259478/the-novel-in-vitro-reanimation-of-isolated-human-and-large-mammalian-heart-lung-blocs
#5
Ryan P Goff, Brian T Howard, Stephen G Quallich, Tinen L Iles, Paul A Iaizzo
BACKGROUND: In vitro isolated heart preparations are valuable tools for the study of cardiac anatomy and physiology, as well as for preclinical device testing. Such preparations afford investigators a high level of hemodynamic control, independent of host or systemic interactions. Here we hypothesize that recovered human and swine heart-lung blocs can be reanimated using a clear perfusate and elicit viable cardiodynamic and pulmonic function. Further, this approach will facilitate multimodal imaging, which is particularly valuable for the study of both functional anatomy and device-tissue interactions...
2016: BMC Physiology
https://www.readbyqxmd.com/read/27245925/-a-germany-wide-survey-on-anaesthesia-in-thoracic-surgery
#6
J Defosse, M Schieren, A Böhmer, V von Dossow, T Loop, F Wappler, M U Gerbershagen
BACKGROUND/OBJECTIVE: This study's objective was to evaluate current thoracic anaesthesia practice in Germany and to quantify potential differences depending on the hospital's level of care. MATERIALS AND METHODS: A four-part online survey containing 28 questions was mailed to all anaesthesiology department chairs (n = 777) registered with the German Society of Anaesthesiology and Intensive Care Medicine. RESULTS: The general response rate was 31...
June 2016: Der Anaesthesist
https://www.readbyqxmd.com/read/26957315/one-lung-flooding-reduces-the-ipsilateral-diaphragm-motion-during-mechanical-ventilation
#7
Thomas Günther Lesser, Harald Schubert, Daniel Güllmar, Jürgen R Reichenbach, Frank Wolfram
BACKGROUND: Diaphragm motion during spontaneous or mechanical respiration hinders image-guided percutaneous interventions of tumours in lung and upper abdomen. Motion-tracking methods can be applied but increase procedure complexity and procedure time. One-lung flooding (OLF) generates a suitable acoustic pathway to lung tumours and likely suppress diaphragm motion. The aim of this study was to quantify the effect of OLF on ipsilateral diaphragm motion during contralateral one-lung ventilation...
March 8, 2016: European Journal of Medical Research
https://www.readbyqxmd.com/read/26812974/-pulmonary-ultrasound-guidance-of-congenital-heart-disease-postoperative-ventilator-applications
#8
RANDOMIZED CONTROLLED TRIAL
Xia Han, Qing Tian, Feng Chen, Yang Wang, Han Chen
OBJECTIVE: To investigate the pulmonary ultrasound in children with congenital heart disease postoperative invasive ventilator time, non-invasive ventilator use the guide. METHODS: Using prospective clinical observation research methods, Randomly divide 100 cases ranged from 6 months to 3 years old in cardiopulmonary bypass after congenital heart disease surgery patients into ultrasound group and control group, 50 cases in each group. All postoperative give positive cardiac function maintenance, diuresis, etc...
November 3, 2015: Zhonghua Yi Xue za Zhi [Chinese medical journal]
https://www.readbyqxmd.com/read/26702239/current-concepts-in-the-management-of-congenital-diaphragmatic-hernia-in-infants
#9
REVIEW
Vasanth H S Kumar
The therapeutic approach to congenital diaphragmatic hernia (CDH) has shifted from one of immediate repair to management of pulmonary hypertension, physiologic stabilization, and delayed surgical repair. Lung hypoplasia, remodeled pulmonary vasculature, and ventricular dysfunction all contribute to the high morbidity and mortality associated with CDH. In addition, genetic syndromes associated with CDH can increase the incidence of serious anomalies and hence impact survival. Prenatal and postnatal management of infants with CDH is challenging in the best of circumstances and need multidisciplinary teams for optimal outcomes...
August 2015: Indian Journal of Surgery
https://www.readbyqxmd.com/read/26660526/real-time-images-of-tidal-recruitment-using-lung-ultrasound
#10
Gerardo Tusman, Cecilia M Acosta, Marco Nicola, Mariano Esperatti, Stephan H Bohm, Fernando Suarez-Sipmann
BACKGROUND: Ventilator-induced lung injury is a form of mechanical damage leading to a pulmonary inflammatory response related to the use of mechanical ventilation enhanced by the presence of atelectasis. One proposed mechanism of this injury is the repetitive opening and closing of collapsed alveoli and small airways within these atelectatic areas-a phenomenon called tidal recruitment. The presence of tidal recruitment is difficult to detect, even with high-resolution images of the lungs like CT scan...
December 2015: Critical Ultrasound Journal
https://www.readbyqxmd.com/read/26325623/pulmonary-ultrasound-and-pulse-oximetry-versus-chest-radiography-and-arterial-blood-gas-analysis-for-the-diagnosis-of-acute-respiratory-distress-syndrome-a-pilot-study
#11
COMPARATIVE STUDY
Cameron M Bass, Dana R Sajed, Adeyinka A Adedipe, T Eoin West
INTRODUCTION: In low-resource settings it is not always possible to acquire the information required to diagnose acute respiratory distress syndrome (ARDS). Ultrasound and pulse oximetry, however, may be available in these settings. This study was designed to test whether pulmonary ultrasound and pulse oximetry could be used in place of traditional radiographic and oxygenation evaluation for ARDS. METHODS: This study was a prospective, single-center study in the ICU of Harborview Medical Center, a referral hospital in Seattle, Washington, USA...
July 21, 2015: Critical Care: the Official Journal of the Critical Care Forum
https://www.readbyqxmd.com/read/26199081/pulmonary-ultrasound-and-pulse-oximetry-versus-chest-radiography-and-arterial-blood-gas-analysis-for-the-diagnosis-of-acute-respiratory-distress-syndrome-a-pilot-study
#12
Cameron M Bass, Dana R Sajed, Adeyinka A Adedipe, T Eoin West
INTRODUCTION: In low-resource settings it is not always possible to acquire the information required to diagnose acute respiratory distress syndrome (ARDS). Ultrasound and pulse oximetry, however, may be available in these settings. This study was designed to test whether pulmonary ultrasound and pulse oximetry could be used in place of traditional radiographic and oxygenation evaluation for ARDS. METHODS: This study was a prospective, single-center study in the ICU of Harborview Medical Center, a referral hospital in Seattle, Washington, USA...
2015: Critical Care: the Official Journal of the Critical Care Forum
https://www.readbyqxmd.com/read/26138420/-the-value-of-lung-ultrasound-score-on-evaluating-clinical-severity-and-prognosis-in-patients-with-acute-respiratory-distress-syndrome
#13
Lianhua Li, Qian Yang, Liming Li, Jian Guan, Zhu Liu, Jiaqi Han, Yangong Chao, Zhong Wang, Xuezhong Yu
OBJECTIVE: To evaluate the value of lung ultrasound score (LUS) on assessing the severity and prognosis in patients with acute respiratory distress syndrome (ARDS), and to investigate its correlation with oxygenation index, acute physiology and chronic health evaluationII (APACHEII) score, sequential organ failure assessment (SOFA) score, and clinical pulmonary infection score (CPIS), and other traditional parameters. METHODS: A prospective double-blind cohort study was conducted...
July 2015: Zhonghua Wei Zhong Bing Ji Jiu Yi Xue
https://www.readbyqxmd.com/read/25925262/impact-of-real-time-ultrasound-guidance-on-complications-of-percutaneous-dilatational-tracheostomy-a-propensity-score-analysis
#14
Venkatakrishna Rajajee, Craig A Williamson, Brady T West
INTRODUCTION: Recent studies have demonstrated the feasibility of real-time ultrasound guidance during percutaneous dilatational tracheostomy, including in patients with risk factors such as coagulopathy, cervical spine immobilization and morbid obesity. Use of real-time ultrasound guidance has been shown to improve the technical accuracy of percutaneous dilatational tracheostomy; however, it is unclear if there is an associated reduction in complications. Our objective was to determine whether the peri-procedural use of real-time ultrasound guidance is associated with a reduction in complications of percutaneous dilatational tracheostomy using a propensity score analysis...
April 29, 2015: Critical Care: the Official Journal of the Critical Care Forum
https://www.readbyqxmd.com/read/25922544/48-hour-fluid-balance-does-not-predict-a-successful-spontaneous-breathing-trial
#15
MULTICENTER STUDY
Ana Carolina Peçanha Antonio, Cassiano Teixeira, Priscylla Souza Castro, Augusto Savi, Roselaine Pinheiro Oliveira, Marcelo Basso Gazzana, Marli Knorst
BACKGROUND: Both premature and delayed liberation from mechanical ventilation are associated with increased morbidity and mortality, and fluid balance could negatively influence extubation outcomes. We sought to determine the impact of fluid balance in the 48 h before a spontaneous breathing trial (SBT) on weaning outcomes in a mixed ICU population. METHODS: This was a prospective observational study in 2 adult medical-surgical ICUs. All enrolled subjects met eligibility criteria for weaning from mechanical ventilation...
August 2015: Respiratory Care
https://www.readbyqxmd.com/read/25823274/-lung-ultrasonography-for-the-diagnosis-of-pneumonia-in-pregnant-women-with-blood-system-tumors
#16
G M Galstian, V A Novikov, V V Troitskaia, E A Bariakh, S A Makhinia, E N Parovichnikova, V G Savchenko
AIM: To estimate the informative value of ultrasonography (USG) in the diagnosis of lung injuries in pregnant women with blood system tumors. SUBJECTS AND METHODS: Lung ultrasound was performed in 5 pregnant patients with blood cancers. The women's age was 29-38 years; gestational age was 14-33 weeks. Four women had different types of acute leukemia; one had primary mediastinal large B-cell lymphoma. All the women received chemotherapy for blood cancer. When there were signs of lung injury, USG was conducted, the results of which necessitated therapy or bronchoalveolar lavage (BAL)...
2015: Terapevticheskiĭ Arkhiv
https://www.readbyqxmd.com/read/25592455/ultrasound-of-the-pleurae-and-lungs
#17
REVIEW
Christoph F Dietrich, Gebhard Mathis, Xin-Wu Cui, Andre Ignee, Michael Hocke, Tim O Hirche
The value of ultrasound techniques in examination of the pleurae and lungs has been underestimated over recent decades. One explanation for this is the assumption that the ventilated lungs and the bones of the rib cage constitute impermeable obstacles to ultrasound. However, a variety of pathologies of the chest wall, pleurae and lungs result in altered tissue composition, providing substantially increased access and visibility for ultrasound examination. It is a great benefit that the pleurae and lungs can be non-invasively imaged repeatedly without discomfort or radiation exposure for the patient...
February 2015: Ultrasound in Medicine & Biology
https://www.readbyqxmd.com/read/25476433/-pulse-indicator-continuous-cardiac-output-measurement-guided-treatment-aids-two-pediatric-patients-with-severe-acute-pancreatitis-complicated-with-acute-respiratory-distress-syndrome
#18
Weiyuan Yan, Lijie Wang
OBJECTIVE: To evaluate the clinical value of the pulse indicator continuous cardiac output (PiCCO) system in patients with severe acute pancreatitis (SAP) complicated with acute respiratory distress syndrome (ARDS). METHOD: Two cases of SAP with ARDS were monitored using PiCCO during comprehensive management in the Pediatric Intensive Care Unit (PICU) of Shengjing Hospital, China Medical University. To guide fluid management, the cardiac index (CI) was measured to assess cardiac function, the global end-diastolic volume index (GEDVI) was used to evaluate cardiac preload, and the extravascular lung water index (EVLWI) was used to evaluate the pulmonary edema...
September 2014: Zhonghua Er Ke za Zhi. Chinese Journal of Pediatrics
https://www.readbyqxmd.com/read/24949192/diaphragm-ultrasound-as-a-new-index-of-discontinuation-from-mechanical-ventilation
#19
Giovanni Ferrari, Giovanna De Filippi, Fabrizio Elia, Francesco Panero, Giovanni Volpicelli, Franco Aprà
BACKGROUND: Predictive indexes of weaning from mechanical ventilation are often inaccurate. Among the many indexes used in clinical practice, the rapid shallow breathing index is one of the most accurate. We evaluated a new weaning index consisting in the diaphragm thickening fraction (DTF) assessed by ultrasound. METHODS: Forty-six patients were prospectively enrolled. All patients were ventilated in pressure support through a tracheostomy tube. Patients underwent a spontaneous breathing trial (SBT) when they met all the following criteria: FiO2 < 0...
2014: Critical Ultrasound Journal
https://www.readbyqxmd.com/read/24949191/lung-ultrasound-imaging-in-avian-influenza-a-h7n9-respiratory-failure
#20
Nga Wing Tsai, Chun Wai Ngai, Ka Leung Mok, James W Tsung
BACKGROUND: Lung ultrasound has been shown to identify in real-time, various pathologies of the lung such as pneumonia, viral pneumonia, and acute respiratory distress syndrome (ARDS). Lung ultrasound maybe a first-line alternative to chest X-ray and CT scan in critically ill patients with respiratory failure. We describe the use of lung ultrasound imaging and findings in two cases of severe respiratory failure from avian influenza A (H7N9) infection. METHODS: Serial lung ultrasound images and video from two cases of H7N9 respiratory failure requiring mechanical ventilation and extracorporeal membrane oxygenation in a tertiary care intensive care unit were analyzed for characteristic lung ultrasound findings described previously for respiratory failure and infection...
2014: Critical Ultrasound Journal
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