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LUS me up: elevating ARDS diagnosis
Critical Care ( IF 8.8 ) Pub Date : 2024-07-29 , DOI: 10.1186/s13054-024-05044-5
Rogério da Hora Passos 1, 2 , Rafaella Maria da Cunha Lyrio 3 , Igor Dovorake Lourenço 1 , Evandro José de Almeida Figueiredo 1 , Uri Adrian Prync Flato 1 , Carmen Valente Barbas 1 , Arnaldo Alves da Silva 1
Affiliation  

Boumans et al. conducted a systematic review and meta-analysis to evaluate the diagnostic accuracy of lung ultrasound (LUS) in acute respiratory distress syndrome (ARDS). The study found that LUS has high specificity (0.942, 95% CI 0.856–0.978) but variable sensitivity (0.631, 95% CI 0.450–0.782) for identifying ARDS-related diffuse lung pathologies. LUS demonstrates comparable or superior performance to chest radiography and CT scans, facilitating rapid bedside diagnosis and management. However, variability in operator experience and interpretation criteria, as well as challenges in detecting mild or early-stage ARDS, remain. The study highlights the need for further research to refine LUS protocols and training, enhancing its application in clinical practice and improving patient outcomes.

中文翻译:


LUS me up:提高 ARDS 诊断水平



布曼斯等人。进行了系统回顾和荟萃分析,以评估肺部超声(LUS)对急性呼吸窘迫综合征(ARDS)的诊断准确性。研究发现,LUS 在识别 ARDS 相关弥漫性肺部病变方面具有较高的特异性(0.942,95% CI 0.856–0.978),但敏感性可变(0.631,95% CI 0.450–0.782)。 LUS 表现出与胸部 X 光检查和 CT 扫描相当或更好的性能,有助于快速床边诊断和管理。然而,操作员经验和解释标准的可变性以及检测轻度或早期 ARDS 的挑战仍然存在。该研究强调需要进一步研究来完善 LUS 方案和培训,增强其在临床实践中的应用并改善患者的治疗结果。
更新日期:2024-07-29
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