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Visual lung ultrasound protocol (VLUP) in acute respiratory failure: description and application in clinical cases.
Bianchini, A; Zernini, Irene Sbaraini; Notini, G; Zangheri, E; Felicani, C; Vitale, G; Siniscalchi, A.
Afiliação
  • Bianchini A; Postoperative and Abdominal Organ Transplant Intensive Care Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, 40138, Italy.
  • Zernini IS; Department of Medical and Surgical Sciences (DIMEC), University of Bologna, Bologna, 40126, Italy. irene.sbaraini@studio.unibo.it.
  • Notini G; Department of Medical and Surgical Sciences (DIMEC), University of Bologna, Bologna, 40126, Italy.
  • Zangheri E; Anesthesia and Pain Therapy Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, 40138, Italy.
  • Felicani C; UOC Medicina ad Indirizzo Metabolico Nutrizionale. Policlinico di Modena, AOU Modena, Via del Pozzo, 71, Modena, Italy.
  • Vitale G; Internal Medicine Unit for the Treatment of Severe Organ Failure, IRCCS Azienda Ospedaliero- Universitaria di Bologna, Bologna, 40138, Italy.
  • Siniscalchi A; Postoperative and Abdominal Organ Transplant Intensive Care Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, 40138, Italy.
J Clin Monit Comput ; 38(3): 741-746, 2024 Jun.
Article em En | MEDLINE | ID: mdl-38460104
ABSTRACT
Lung ultrasound (LUS) is widely used as a diagnostic and monitoring tool in critically ill patients. Lung ultrasound score (LUSS) based on the examination of twelve thoracic regions has been extensively validated for pulmonary assessment. However, it has revealed significant

limitations:

when applied to heterogeneous lung diseases with intermediate LUSS pattern (LUSS 1 and 2), for instance, intra-observer consistency is relatively low. In addition, LUSS is time-consuming and a more rapid overview of the extent of lung pathology and residual lung aeration is often required, especially in emergency setting. We propose a Visual Lung Ultrasound Protocol (VLUP) as a rapid monitoring tool for patients with acute respiratory failure. It consists of a probe sliding along the mid-clavicular, mid-axillary and scapular lines in transversal scan. VLUP allows a visualization of a large portion of the antero-lateral and/or posterior pleural surface. Serial assessments of two clinical cases are recorded and visually compared, enabling rapid understanding of lung damage and its evolution over time. VLUP allows a semi-quantitative and qualitative point-of-care assessment of lung injury. Through this standardized approach it is possible to accurately compare subsequent scans and to monitor the evolution of regional parenchymal damage. VLUP enables a quick estimation of the quantitative-LUSS (qLUSS) as the percentage of pleura occupied by artifacts, more suitable than LUSS in inhomogeneous diseases. VLUP is designed as a standardized, point-of-care lung aeration assessment and monitoring tool. The purpose of the paper is to illustrate this new technique and to describe its applications.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Insuficiência Respiratória / Ultrassonografia / Sistemas Automatizados de Assistência Junto ao Leito / Pulmão Limite: Humans / Middle aged Idioma: En Revista: J Clin Monit Comput Ano de publicação: 2024 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Insuficiência Respiratória / Ultrassonografia / Sistemas Automatizados de Assistência Junto ao Leito / Pulmão Limite: Humans / Middle aged Idioma: En Revista: J Clin Monit Comput Ano de publicação: 2024 Tipo de documento: Article