Lung ultrasound findings in pediatric community-acquired pneumonia requiring surgical procedures: a two-center prospective study

ABSTRACTObjective and designOur prospective study is one of the largest prospective study assessing the role of detailed lung ultrasound features to discriminate the etiological diagnosis of Community acquired pneumonia (CAP) in children.MethodologyWe prospectively analysed patients aged from 1 month to 17 years admitted between March 2018 and April 2020 who were hospitalized for CAP. For all patients included in the study, history, clinical parameters, microbiological data, and lung ultrasound data were collected.Patients were stratified into three main groups (“bacterial”, “viral”, “atypical”) according to the presumed microbial aetiology and lung ultrasound findings evaluated according to the aetiological group.ResultsWe found that some ultrasound findings as size, number and distribution of consolidations, the position and motion of air bronchograms, pleural effusions and distribution of vertical artifacts significantly differ (p < 0.05) in children with bacterial, viral and atypical CAP. Conversely, clinical parameters and laboratory were not able to significantly distinguish between these groups. Chest x-ray, despite being still widely used, was the less useful tool in this discrimination.ConclusionOur study provides a detailed analysis of LUS features able to predict the etiology CAP in children. These findings may help the physicians to better manage a child with CAP and to offer personalized approach, from diagnosis to treatment and follow-up.

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Lung ultrasound features of children with complicated and noncomplicated community acquired pneumonia: A prospective study

Pediatric Pulmonology ◽

10.1002/ppul.24426 ◽

2019 ◽

Vol 54 (9) ◽

pp. 1479-1486 ◽

Cited By ~ 13

Author(s):

Anna Maria Musolino ◽

Paolo Tomà ◽

Maria Chiara Supino ◽

Barbara Scialanga ◽

Alessia Mesturino ◽

...

Keyword(s):

Prospective Study ◽

Lung Ultrasound ◽

Community Acquired Pneumonia ◽

A Prospective Study ◽

Ultrasound Features

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Lung Ultrasound Findings Undetectable by Chest Radiography in Children with Community-Acquired Pneumonia

Ultrasound in Medicine & Biology ◽

10.1016/j.ultrasmedbio.2018.04.007 ◽

2018 ◽

Vol 44 (8) ◽

pp. 1687-1693 ◽

Cited By ~ 11

Author(s):

Giulio Iorio ◽

Maria Capasso ◽

Salvatore Prisco ◽

Giuseppe De Luca ◽

Carlo Mancusi ◽

...

Keyword(s):

Chest Radiography ◽

Lung Ultrasound ◽

Community Acquired Pneumonia ◽

Ultrasound Findings

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Lung Ultrasound Findings in a Covid-19 Patient with Negative Chest CT

Ultraschall in der Medizin - European Journal of Ultrasound ◽

10.1055/a-1248-9068 ◽

2020 ◽

Author(s):

Yale Tung Chen ◽

Milagros Martí de Gracia ◽

Maria Luz Parra Gordo ◽

Silvia Ossaba Velez ◽

Sergio Agudo-Fernández

Keyword(s):

Lung Ultrasound ◽

Chest Ct ◽

Ultrasound Findings

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Community-Acquired Pneumonia Diagnosis Using Lung Ultrasound in Emergency Room Adults

Case Medical Research ◽

10.31525/ct1-nct04210102 ◽

2019 ◽

Author(s):

Keyword(s):

Emergency Room ◽

Lung Ultrasound ◽

Community Acquired Pneumonia ◽

Pneumonia Diagnosis

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Comparison of lung bedside ultrasound and BNP in the diagnosis of acute heart failure in the emergency department

Journal of Research in Clinical Medicine ◽

10.34172/jrcm.2020.050 ◽

2020 ◽

Vol 8 (1) ◽

pp. 50-50

Author(s):

Seyed Hossein Ojaghi Haghighi ◽

Neda Hamed ◽

Shiva Ebrahimi ◽

Jafar Ghobadi ◽

Hoorolnesa Ameli

Keyword(s):

Heart Failure ◽

Emergency Room ◽

Pulmonary Edema ◽

Acute Heart Failure ◽

Lung Ultrasound ◽

P Value ◽

Ultrasound Evaluation ◽

Ultrasound Findings ◽

Medical Advances ◽

B Lines

Introduction: Congestive heart failure is heart muscle failure that causes pulmonary congestion and eventually pulmonary edema, which despite recent medical advances, is still a progressive syndrome with high mortality, the prevalence of which has increased in recent decades. Therefore, in this study we compared lung ultrasound findings in acute heart failure patients with the BNP. Methods: This study was performed in the emergency room of Imam Reza hospital in Tabriz. For patients entering the emergency room after taking a history, both standard gold (BNP) tests and beside ultrasound of the lung were performed. Ultrasound was performed at the same time as obtaining blood sample to ensure that the ultrasound specialist did not know the result of diagnosis. During the ultrasound, if there were multiple B-Lines that were at least 3 mm apart, patient was diagnosed with pulmonary edema due to heart failure. Results: Number of participants in this study was 108 people, 54.6% of whom were men and the rest were women. The correlation coefficient between width and number of kerley lines was 0.79, between NT-pro BNP and width of kerley lines was 0.65 and between NT-pro BNP and number of kerley lines was 0.77, which indicates a significant positive correlation (P value <0.001). Conclusion: The results of present study showed that in patients with acute heart failure, the number and width of kerley lines in pulmonary ultrasound evaluation increase rapidly. There is also a high correlation between number and length of kerley lines with NT-pro BNP serum values.

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Association between lung ultrasound findings and invasive exercise haemodynamics in patients with undifferentiated dyspnoea

ESC Heart Failure ◽

10.1002/ehf2.12381 ◽

2018 ◽

Vol 6 (1) ◽

pp. 202-207 ◽

Cited By ~ 4

Author(s):

Elke Platz ◽

Allison Merz ◽

Montane Silverman ◽

Eldrin Lewis ◽

John D. Groarke ◽

...

Keyword(s):

Lung Ultrasound ◽

Ultrasound Findings

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Re-formation of absent anterior chamber by iris incision using a 20-gauge knife in eyes with advanced paediatric vitreoretinopathies

10.21203/rs.2.13586/v1 ◽

2019 ◽

Author(s):

Chunli Chen ◽

Tian Tian ◽

Peiquan Zhao ◽

Xiaorong Li

Keyword(s):

Postoperative Complications ◽

Prospective Study ◽

Anterior Chamber ◽

Surgical Procedures ◽

The Novel ◽

Paediatric Patients ◽

Initial Episode

Abstract Background To present the novel usage of iris incision in paediatric patients lacking an anterior chamber due to various advanced vitreoretinopathies.Methods Forty-one patients (41 eyes) were enrolled in this consecutive, prospective study. Iris incision was performed in all patients. The number of iris incision times, surgical procedures, and intraoperative and postoperative complications were collected. Patients were followed up for at least 6 months.Results Anterior chamber formation was achieved with only 1 initial episode of iris incision in 28 (68.3%) eyes, with 2 episodes in 11 (26.8%) eyes, and with 3 episodes in the remaining 2 (4.9%) eyes, which also underwent 1 episode of external SRF drainage. Except for iris incarceration, which occurred in 7 (17%) of the eyes during surgery, no other related complications were noted at the last follow-up.Conclusions This novel use of iris incision is effective, simple and safe in the management of an lost anterior chamber.

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Quick diagnostic and management community acquired pneumonia at Sumbawa hospital: a case report

International Journal of Research in Medical Sciences ◽

10.18203/2320-6012.ijrms20185184 ◽

2018 ◽

Vol 7 (1) ◽

pp. 297

Author(s):

Muhammad Ahmad Syammakh ◽

Elim Jusri ◽

Gede Agung Setya ◽

Made Aryadi Sukartika

Keyword(s):

Emergency Department ◽

Lung Ultrasound ◽

Lower Lobe ◽

Symptomatic Treatment ◽

Community Acquired Pneumonia ◽

Pulmonary Parenchyma ◽

The Right ◽

Hospital Acquired ◽

B Lines ◽

Good Oxygenation

Pneumonia is most common cause of respiratory distress an infection of the pulmonary parenchyma. Despite being the cause of significant morbidity and mortality, it is often misdiagnosed, mistreated, and underestimated. Pneumonia historically was Typically classified as community-acquired (CAP), hospital-acquired (HAP), or ventilator-associated (VAP). A 68-year-old male was sent to the emergency department from clinic with an oxygen saturation of 86%. She has fevers with cough and generalized weakness for one week. She had been evaluated by her primary care provider on day two of illness and was started empirically on cefixime without improvement of her symptoms. The patient arrived febrile, tachycardic, tachypneic, and hypoxic on room air with right-sided crackles on exam. Lung Ultrasound of the right lower lobe demonstrates lung hepatization, a classic finding for pneumonia. In addition, a shred sign is present with both air bronchograms and focal B lines-all suggestive of poorly aerated, consolidated lung. Authors critically evaluate the evidence for the use lung ultrasound for rapid diagnostic. It is important to understand this disease, rapid diagnostic with ultrasound and when treated promptly and effectively, these patients will rapidly recovery. Good oxygenation, intravenous Antibiotic, intravenous fluids and symptomatic treatment which should be started within minutes of the patients’ arrival to emergency department.

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Evaluation of changes in blood pressure in patients submitted to dental surgical procedures

ARCHIVES OF HEALTH INVESTIGATION ◽

10.21270/archi.v10i1.4854 ◽

2021 ◽

Vol 10 (1) ◽

pp. 106-115

Author(s):

Poliana Keller de Andrade ◽

Rayra Batista Balestrassi ◽

Ricardo Henrique Nunes Prando ◽

Jefferson David Melo de Matos ◽

Leonardo Jiro Nomura Nakano ◽

...

Keyword(s):

Blood Pressure ◽

Prospective Study ◽

Surgical Procedures ◽

Normal Values ◽

Systemic Blood Pressure ◽

Systemic Blood ◽

Dental Procedures ◽

Mercury Column ◽

A Prospective Study

The present study aimed to evaluate the occurrence of significant changes in systemic blood pressure (SBP) during surgical-dental procedures. A prospective study was performed with a sample of 135 randomly selected individuals who underwent surgical procedures at the Bucomaxillofacial Surgery Clinic of the Dentistry School of the ESFA (ES) between the second half of 2017 and April 2018. After consent, sociodemographic, lifestyle data, weight and height were obtained through a questionnaire, weighing and measurement, respectively. BP measurements were performed at three moments: preoperative (BP1), intraoperative (BP2) and postoperative (BP3) using a mercury column sphygmomanometer and stethoscope. Values <120/80 mmHg were used as normal values. When BP1 and BP2 were compared, 63.0% remained within normal values and 22.2% reached the stage of hypertension. In the comparison of BP1 and BP3, 66.7% remained normal, and only 7.4% reached the stage of hypertension. When BP2 and BP3 were compared, 53.6% remained within the normality stage and 12.2% reached the stage of hypertension. It was concluded that there were variations in blood pressure, being the largest variation found in BP2, and can be attributed to the stress caused by the surgical act, since no statistically significant connections were found between the changes in blood pressure and the anesthetics used in the research.

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