Respiratory failure & ventilation
Use of Lung Ultrasound in the New Definitions of Acute Respiratory Distress Syndrome Increases the Occurrence Rate of Acute Respiratory Distress Syndrome
Authors' conclusion
The addition of bilateral abnormalities as detected by LUS to the Kigali modification and the New Global definition increases the occurrence rate of the ARDS.
Study context
- Population
- Critically ill adults with any opacity on chest radiography and subsequent lung ultrasound (LUS), without Berlin acute respiratory distress syndrome (ARDS), COVID-19 or major thorax traumaof 120 patients
- Participants
- 116 adults
- Comparison
- ARDS occurrence with bilateral LUS abnormalities incorporated into the Kigali modification and New Global definition
Methodological detailssingle-centre, academic mixed medical-surgical ICU, LUS within 24 hours of chest radiography; definitions applied by two independent researchers
- Single-centre
- Academic mixed medical-surgical ICU
- LUS within 24 hours of chest radiography; definitions applied by two independent researchers
Primary result
As reported in the abstract
ARDS among 33 patients with bilateral opacities on LUS and unilateral on chest radiograph
Kigali modification
14
events
New Global definition
12
events
- Patients with bilateral opacities on LUS and unilateral opacities on chest radiograph
- 33
Further findings
| Outcome | P value |
|---|---|
| LUS patterns, ARDS vs no ARDSLUS patterns significantly different | P = 0.004 |
LUS patterns, ARDS vs no ARDS
- A-profile with positive PosteroLateral Alveolar and/or Pleural Syndrome most prevalent without ARDS; heterogeneous and mixed A, B, and C patterns most prevalent with ARDS
Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.
Original publication
Use of Lung Ultrasound in the New Definitions of Acute Respiratory Distress Syndrome Increases the Occurrence Rate of Acute Respiratory Distress Syndrome. Crit Care Med. Published 13 November 2023. doi:10.
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