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Lung Ultrasound

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1. Bedside lung ultrasound for the diagnosis of pneumonia in children

infections. Being aware of the potential long-term effects of radiation on your patient, you wonder if bedside lung ultrasound could be used to diagnose pneumonia. Search Strategy No relevant ongoing trials were found to be registered on the website clinicaltrials.gov. The BestBETs database was checked but no relevant BETs were found. MEDLINE 1996–4/2016 ((lung) AND (echography OR ultrasonography OR ultrasound) AND (children OR paediatric) AND pneumonia) found 94 papers Thirteen relevant papers were (...) found, one of which was a systematic review. This included eight of the papers found in the search. D. EMBASE: 1) children OR pediatric: 1 704 799 papers; 2) echography OR ultrasonography OR ultrasound: 576 651 papers; 3) lung: 1 333 641 papers; 4) pneumonia: 229 187 papers; 5) #3 AND #2: 31 844 papers; 6) #1 AND #2 AND #4: 359 papers; 7) Set limits to human and French or English language: 329 papers. Thirteen relevant papers were found with no new relevant papers. There were no Cochrane reviews

2017 BestBETS

2. Lung ultrasound training: a systematic review of published literature in clinical lung ultrasound training Full Text available with Trip Pro

Lung ultrasound training: a systematic review of published literature in clinical lung ultrasound training Clinical lung ultrasound examinations are widely used in the primary assessment or monitoring of patients with dyspnoea or respiratory failure. Despite being increasingly implemented, there is no international consensus on education, assessment of competencies, and certification. Today, training is usually based on the concept of mastery learning, but is often unstructured and limited (...) by bustle in a clinical daily life. The aim of the systematic review is to provide an overview of published learning studies in clinical lung ultrasound, and to collect evidence for future recommendations in lung ultrasound education and certification.According to PRISMA guidelines, three databases (PubMed, Embase, Cochrane Library) were searched, and two reviewers examined the results for eligibility. Included publications were described and assessed for level of evidence and risk of bias according

2018 Critical ultrasound journal

3. Diagnostic accuracy of lung ultrasound performed by novice versus advanced sonographers for pneumonia in children: A systematic review and meta-analysis (Abstract)

Diagnostic accuracy of lung ultrasound performed by novice versus advanced sonographers for pneumonia in children: A systematic review and meta-analysis Childhood pneumonia is a leading cause of mortality worldwide. Growing evidence suggests that lung ultrasound (LUS) may be a reliable diagnostic alternative to chest x-ray for childhood pneumonia. However, it is unclear whether sonographer experience affects the diagnostic accuracy of LUS. We summarize the diagnostic accuracy of LUS

2019 EvidenceUpdates

4. Diagnostic Accuracy of Point-of-Care Lung Ultrasonography and Chest Radiography in Adults With Symptoms Suggestive of Acute Decompensated Heart Failure: A Systematic Review and Meta-analysis Full Text available with Trip Pro

Diagnostic Accuracy of Point-of-Care Lung Ultrasonography and Chest Radiography in Adults With Symptoms Suggestive of Acute Decompensated Heart Failure: A Systematic Review and Meta-analysis Standard tools used to diagnose pulmonary edema in acute decompensated heart failure (ADHF), including chest radiography (CXR), lack adequate sensitivity, which may delay appropriate diagnosis and treatment. Point-of-care lung ultrasonography (LUS) may be more accurate than CXR, but no meta-analysis

2019 EvidenceUpdates

5. Ultrasound in the assessment of interstitial lung disease in systemic sclerosis. A systematic literature review by the OMERACT Ultrasound Group. (Abstract)

Ultrasound in the assessment of interstitial lung disease in systemic sclerosis. A systematic literature review by the OMERACT Ultrasound Group. To provide an overview of the role of lung ultrasound (LUS) in the assessment of interstitial lung disease (ILD) in systemic sclerosis (SSc) and to discuss the state of validation supporting its clinical relevance and application in daily clinical practice.Original articles, published between January 1997 and October 2017 were included. To identify all

2019 Journal of Rheumatology

6. Lung Ultrasound – A Novel Diagnostic Tool To Phenotype Chronic Lung Allograft Dysfunction? Full Text available with Trip Pro

Lung Ultrasound – A Novel Diagnostic Tool To Phenotype Chronic Lung Allograft Dysfunction? 28845478 2019 02 26 2509-596X 3 3 2017 Jun Ultrasound international open Ultrasound Int Open Lung Ultrasound - A Novel Diagnostic Tool To Phenotype Chronic Lung Allograft Dysfunction? E117-E119 10.1055/s-0043-116489 Davidsen Jesper Rømhild JR Department of Respiratory Medicine, Odense University Hospital, Odense C, Denmark. Laursen Christian Borbjerg CB Department of Respiratory Medicine, Odense (...) University Hospital, Odense C, Denmark. Bendstrup Elisabeth E Department of Respiratory Medicine and Allergology, Aarhus University Hospital, Aarhus, Denmark. Schultz Hans Henrik Lawaetz HHL Department of Cardiology, Rigshospitalet, Copenhagen University Hospital, Unit of lung transplantation, Copenhagen, Denmark. eng Case Reports 2017 08 23 Germany Ultrasound Int Open 101674542 2199-7152 2017 8 29 6 0 2017 8 29 6 0 2017 8 29 6 1 ppublish 28845478 10.1055/s-0043-116489 uio0113 PMC5568532

2017 Ultrasound international open

7. Lung Ultrasound for the Detection of Pneumothorax Might Be Misleading in Patients Following Lung Transplantation Full Text available with Trip Pro

Lung Ultrasound for the Detection of Pneumothorax Might Be Misleading in Patients Following Lung Transplantation 28875180 2018 11 13 2509-596X 3 3 2017 Jun Ultrasound international open Ultrasound Int Open Lung Ultrasound for the Detection of Pneumothorax Might Be Misleading in Patients Following Lung Transplantation. E128-E129 10.1055/s-0043-108992 Schroeder Ines I Department of Anesthesiology, University Hospital Ludwig-Maximilians-University Munich, Munich, Germany. Weig Thomas T Department (...) of Anesthesiology, University Hospital Ludwig-Maximilians-University Munich, Munich, Germany. Frey Lorenz L Department of Anesthesiology, University Hospital Ludwig-Maximilians-University Munich, Munich, Germany. Scheiermann Patrick P Department of Anesthesiology, University Hospital Ludwig-Maximilians-University Munich, Munich, Germany. eng Journal Article 2017 09 01 Germany Ultrasound Int Open 101674542 2199-7152 lung transplantation pneumothorax ultrasound 2017 02 07 2017 02 07 2017 04 02 2017 9 7 6 0 2017 9

2017 Ultrasound international open

8. Lessons from lung ultrasound Full Text available with Trip Pro

Lessons from lung ultrasound 29796079 2018 11 14 1751-1437 19 2 2018 May Journal of the Intensive Care Society J Intensive Care Soc Lessons from lung ultrasound. 174-175 10.1177/1751143717741020 Ashton-Cleary David D Royal Cornwall Hospitals NHS Trust, Truro, UK. Bigham Colin C Plymouth Hospitals NHS Trust, UK. Clark Thomas T Torbay and South Devon NHS Foundation Trust, Torquay, UK. Gibson Charly C Royal Devon and Exeter NHS Foundation Trust, Exeter, UK. Hollister Nigel N North Devon Healthcare (...) NHS Trust, Barnstaple, UK. Kyle Barney B Taunton and Somerset NHS Foundation Trust, Taunton, UK. Group for Ultrasonography in Critical Care and Emergencies South West (GUCCE-SW) eng Journal Article 2018 04 26 England J Intensive Care Soc 101538668 1751-1437 2018 5 26 6 0 2018 5 26 6 0 2018 5 26 6 1 ppublish 29796079 10.1177/1751143717741020 10.1177_1751143717741020 PMC5956690 Crit Care. 2006;10 (4):R112 16882338 Chest. 2008 Jul;134(1):117-25 18403664 J Intensive Care Soc. 2017 May;18(2):143-145

2018 Journal of the Intensive Care Society

9. Modified Lung Ultrasound Examinations in Assessment and Monitoring of Positive End-Expiratory Pressure-Induced Lung Reaeration in Young Children With Congenital Heart Disease Under General Anesthesia. (Abstract)

Modified Lung Ultrasound Examinations in Assessment and Monitoring of Positive End-Expiratory Pressure-Induced Lung Reaeration in Young Children With Congenital Heart Disease Under General Anesthesia. Lung ultrasound can reliably diagnose pulmonary atelectasis. The object of this study is to determine the most efficient region to assess changes in atelectasis in children with congenital heart disease under general anesthesia.Randomized controlled trial.Operating room at university-affiliated (...) children's hospital.Children between 3 months and 3 years old, scheduled for elective congenital heart disease surgery under general anesthesia.Forty children with congenital heart disease were randomly allocated to either a 5 cm H2O positive end-expiratory pressure group or a standard therapy control group.Preoperative lung ultrasound was performed twice in each patient-after 1 and 15 minutes of mechanical ventilation. Atelectatic areas and B-lines were compared between two examinations. Different

2019 Pediatric Critical Care Medicine Controlled trial quality: uncertain

10. Effect of ultrafiltration on extravascular lung water assessed by lung ultrasound in children undergoing cardiac surgery: a randomized prospective study. Full Text available with Trip Pro

Effect of ultrafiltration on extravascular lung water assessed by lung ultrasound in children undergoing cardiac surgery: a randomized prospective study. Increased lung water and the resultant atelectasis are significant pulmonary complications after cardiopulmonary bypass (CPB) in children undergoing cardiac surgery; these complications are observed after CPB than after anaesthesia alone. Ultrafiltration has been shown to decrease total body water and postoperative blood loss and improve (...) the alveolar to arterial oxygen gradient and pulmonary compliance. This study investigated whether conventional ultrafiltration during CPB in paediatric heart surgeries influences post-bypass extravascular lung water (EVLW) assessed by lung ultrasound (LUS).This randomized controlled study included 60 patients with congenital heart disease (ASA II-III), aged 1 to 48 months, with a body weight > 3 kg. Conventional ultrafiltration targeting a haematocrit (HCT) level of 28% was performed

2019 BMC Anesthesiology Controlled trial quality: uncertain

11. A prospective randomized controlled double-blind study comparing auscultation and lung ultrasonography in the assessment of double lumen tube position in elective thoracic surgeries involving one lung ventilation at a tertiary care cancer institute. Full Text available with Trip Pro

A prospective randomized controlled double-blind study comparing auscultation and lung ultrasonography in the assessment of double lumen tube position in elective thoracic surgeries involving one lung ventilation at a tertiary care cancer institute. As lung ultrasound (LUS) can be used to identify regional lung ventilation and collapse, we hypothesize that LUS can be better than auscultation in assessing lung isolation and determining double lumen tube (DLT) position.A randomized controlled (...) = 0.036) and required longer median time (161.5 vs. 114 s, P < 0.001) for assessment of DLT position. Differences in specificity (55.6% vs. 37.5%, P = 0.101) and area under curve (0.748; 95% CI: 0.604-0.893 vs. 0.554, 95% CI: 0.379-0.730; P = 0.109) were not significant.Compared to auscultation, LUS is a superior method for assessing lung isolation and determining DLT position.

2019 Korean journal of anesthesiology Controlled trial quality: uncertain

12. Molecular analysis of small tissue samples obtained via transbronchial lung biopsy using radial probe endobronchial ultrasound. Full Text available with Trip Pro

Molecular analysis of small tissue samples obtained via transbronchial lung biopsy using radial probe endobronchial ultrasound. Radial probe endobronchial ultrasound using a guide sheath (EBUS-GS) is used to diagnose peripheral lung cancer. The aim was to identify the accuracy of molecular analysis that were performed with EBUS-GS specimens in patients with non-small cell lung cancer (NSCLC).From December 2015 to September 2017, we retrospectively studied 91 patients with peripheral NSCLC who

2019 PLoS ONE

13. Clinical efficacy and cost-effectiveness of endobronchial ultrasound-guided transbronchial needle aspiration for preoperative staging of non-small-cell lung cancer: Results of a French prospective multicenter trial (EVIEPEB). Full Text available with Trip Pro

Clinical efficacy and cost-effectiveness of endobronchial ultrasound-guided transbronchial needle aspiration for preoperative staging of non-small-cell lung cancer: Results of a French prospective multicenter trial (EVIEPEB). This two-step study evaluated the cost-effectiveness of endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) for presurgery staging of non-small cell lung cancer (NSCLC) in France (EVIEPEB; ClinicalTrial.gov identifier NCT00960271). Step 1 consisted

2019 PLoS ONE

14. Lung Ultrasound Score Predicts Surfactant Need in Extremely Preterm Neonates Full Text available with Trip Pro

Lung Ultrasound Score Predicts Surfactant Need in Extremely Preterm Neonates There are several lung ultrasound scores (LUS) for evaluating lung aeration in critically ill adults with restrictive lung disorders. A modified LUS adapted for neonates correlates well with oxygenation and is able to be used to predict the need for surfactant in preterm neonates with respiratory distress syndrome (RDS). However, no data are available for extremely preterm neonates for whom timely surfactant

2018 EvidenceUpdates

15. Diagnostic Accuracy of Chest Radiograph, and When Concomitantly Studied Lung Ultrasound, in Critically Ill Patients With Respiratory Symptoms: A Systematic Review and Meta-Analysis (Abstract)

Diagnostic Accuracy of Chest Radiograph, and When Concomitantly Studied Lung Ultrasound, in Critically Ill Patients With Respiratory Symptoms: A Systematic Review and Meta-Analysis Chest radiograph is considered the first-line diagnostic imaging modality for patients presenting with pulmonary symptoms in the ICU. In this meta-analysis, we aim to evaluate the diagnostic accuracy of chest radiograph, and when concomitantly studied lung ultrasound, in comparison with the gold-standard CT for adult (...) critically ill patients with respiratory symptoms.PubMed, EMBASE, and Gray literature.Studies comparing chest radiograph, and if performed lung ultrasound, with CT for adult ICU patients with respiratory symptoms.Quality was scored with Quality Assessment of Diagnostic Accuracy Studies-2, and study setting, test characteristics, and study design were extracted.In the meta-analysis, we included 10 full-text studies, including 543 patients, and found that chest radiograph has an overall sensitivity of 49

2018 EvidenceUpdates

16. Utility of Perioperative Lung Ultrasound in Pediatric Cardiac Surgery: A Randomized Controlled Trial (Abstract)

Utility of Perioperative Lung Ultrasound in Pediatric Cardiac Surgery: A Randomized Controlled Trial Pediatric cardiac patients are at risk for perioperative respiratory insufficiency. The objective of this study was to assess the utility of perioperative lung ultrasound examination in pediatric cardiac surgery.In this randomized, controlled trial, children (5 yr old or younger) undergoing cardiac surgery were allocated into a control (n = 61) or intervention (n = 61) group. The control group (...) received only lung ultrasound examinations at the end of surgery and 6 to 12 h after surgery. The intervention group received lung ultrasound examinations and an ultrasound-guided recruitment maneuver depending on ultrasound findings after inducing anesthesia, at the end of surgery, and 6 to 12 h after surgery. Primary outcomes were incidences of intra- and postoperative desaturation, and postoperative pulmonary complications. Multiple comparisons were corrected (P ≤ 0.017) in the primary outcome

2018 EvidenceUpdates

17. Lung Ultrasound Findings and Bronchiolitis Ultrasound Score for Predicting Hospital Admission in Children With Acute Bronchiolitis. (Abstract)

Lung Ultrasound Findings and Bronchiolitis Ultrasound Score for Predicting Hospital Admission in Children With Acute Bronchiolitis. The purposes of this study were to determine the benefit of the bronchiolitis ultrasound score (BUS) in predicting hospital admission in children with acute bronchiolitis and to characterize lung sonography findings.This prospective observational study was performed in an academic pediatric emergency department. Children younger than 24 months presenting (...) to the emergency department, diagnosed with acute bronchiolitis by 2 independent pediatricians were included in the study. Lung ultrasound was performed by a single sonographer, who was blinded to as much clinical information as possible. In addition, the treating physicians were blinded to the lung ultrasound findings. Logistic regression analysis models were used to identify admission predictors. Receiver operating characteristic analysis was used to evaluate the predictive value for effects of the BUS

2018 Pediatric Emergency Care

18. Point-of-care ultrasound in end-stage kidney disease: beyond lung ultrasound. (Abstract)

Point-of-care ultrasound in end-stage kidney disease: beyond lung ultrasound. Following the miniaturization of ultrasound devices, point-of-care ultrasound (POCUS) has been proposed as a tool to enhance the value of physical examination in various clinical settings. The objective of this review is to describe the potential applications of POCUS in end-stage renal disease patients (ESRD).With basic training, the clinician can perform pulmonary, vascular, cardiac, and abdominal POCUS (...) at the bedside of ESRD patients. Pulmonary ultrasound can be used to quantify pulmonary congestion and for the differential diagnosis of dyspnea. Ultrasound of the inferior vena cava combined with simple cardiac ultrasound can be used to promptly investigate the mechanism of hemodynamic instability. Vascular ultrasound can be used for troubleshooting of arteriovenous fistula problems and for catheter installation. Multiple potential applications of POCUS in the ESRD population are reviewed, including areas

2018 Current opinion in nephrology and hypertension

19. Comparison between inferior vena cava ultrasound, lung ultrasound, bioelectric impedance analysis and natriuretic peptides in chronic heart failure. (Abstract)

Comparison between inferior vena cava ultrasound, lung ultrasound, bioelectric impedance analysis and natriuretic peptides in chronic heart failure. Heart failure (HF) is an important healthcare problem. Knowing volume status in outpatients with chronic HF to adjust treatment and to avoid decompensations is a challenge. The aim of this study is comparing the usefulness of inferior vena cava (IVC) ultrasound, lung ultrasound, bioelectrical impedance analysis (BIA), and natriuretic peptides (...) with chronic HF may be based on NTproBNP, IVC ultrasound, or lung ultrasound; they are useful in identifying patients at high risk of hospitalization or death due to HF.

2018 Current medical research and opinion

20. A mini-health technology assessment of Linear and Radial Endobronchial Ultrasound(EBUS) and Electromagnetic Navigation Bronchoscopy (ENB) in the diagnosis and stagingof lung cancer in adults

A mini-health technology assessment of Linear and Radial Endobronchial Ultrasound(EBUS) and Electromagnetic Navigation Bronchoscopy (ENB) in the diagnosis and stagingof lung cancer in adults A mini-health technology assessment of Linear and Radial Endobronchial Ultrasound (EBUS) and Electromagnetic Navigation Bronchoscopy (ENB) in the diagnosis and staging of lung cancer in adults A mini-health technology assessment of Linear and Radial Endobronchial Ultrasound (EBUS) and Electromagnetic (...) Navigation Bronchoscopy (ENB) in the diagnosis and staging of lung cancer in adults Forero DF, Dendukuri N Record Status This is a bibliographic record of a published health technology assessment from a member of INAHTA. No evaluation of the quality of this assessment has been made for the HTA database. Citation Forero DF, Dendukuri N. A mini-health technology assessment of Linear and Radial Endobronchial Ultrasound (EBUS) and Electromagnetic Navigation Bronchoscopy (ENB) in the diagnosis and staging

2016 Health Technology Assessment (HTA) Database.

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