Pediatric anesthesia & critical care
Point-of-Care Lung Ultrasound to Evaluate Lung Isolation During One-Lung Ventilation in Children: A Blinded Observational Feasibility Study
Authors' conclusion
Based on the initial results of our feasibility trial, lung ultrasound proved to be a fast and reliable method to verify single-lung ventilation in pediatric patients presenting for thoracic surgery with a high degree of diagnostic accuracy.
Study context
- Population
- Pediatric patients aged 0 to 20 years undergoing thoracic surgery with one-lung ventilation (OLV); lung separation confirmed by fiberoptic bronchoscopy (FOB), definitively by direct visualization of lung collapse
- Participants
- 40 patients
- Comparison
- Lung ultrasound vs clinical auscultation to confirm OLV
- Outcome
- Diagnostic accuracy in confirming effective single-lung ventilation
Methodological detailsprospective, blinded, feasibility study
- Prospective
- Blinded
- Feasibility study
Performance
As reported in the abstract
Diagnostic accuracy for confirming lung isolation
| Test or model | Value | Accuracy |
|---|---|---|
| Lung ultrasound | 95% (95% CI 82.7%–98.5%) | 95% |
| Auscultation | 68% (95% CI 51.5%–80.4%) | 68% |
Value
Lung ultrasound95% (95% CI 82.7%–98.5%)
Auscultation68% (95% CI 51.5%–80.4%)
Accuracy
Lung ultrasound95%
Auscultation68%
- Lung ultrasound vs Auscultation: P < 0.001 — McNemar test
Further findings
Time to perform assessment
Original publication
Point-of-Care Lung Ultrasound to Evaluate Lung Isolation During One-Lung Ventilation in Children: A Blinded Observational Feasibility Study. Anesth Analg. Published 15 November 2024. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →