肺部超声：重症监护病房患者急性呼吸窘迫综合征的预测指标
Lung ultrasound: Predictor of acute respiratory distress syndrome in intensive care unit patients.
作者信息
Zhou Ying, Fan Qianqian, Cavus Omer, Zhang Xuezheng
机构信息
Department of Anesthesiology, The Ohio State University Wexner Medical Center, Columbus, Ohio, USA.
Department of Pulmonary and Critical Care Medicine, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.
出版信息
Saudi J Anaesth. 2018 Jul-Sep;12(3):457-461. doi: 10.4103/sja.SJA_73_18.
Abstract
PURPOSE
The purpose of the study was to review and summarize current literature concerning the validation and application of lung ultrasound (LUS) in critically ill patients with acute respiratory distress syndrome (ARDS).
MATERIALS AND METHODS
An extensive literature search was conducted using PubMed, Cochrane Review, Google Scholar, and Ohio State University Link based on the question if LUS should be considered a reliable investigational technique for ARDS diagnosis, treatment, and prognosis in pediatric and adult population.
RESULTS
LUS has been successfully validated for facilitating early diagnosis and diagnosis of simultaneous lung conditions, predicting lung recruitment treatment effect, and evaluating the prognosis in ARDS patients. Whether lung US is a useful tool in the prediction of prone position and oxygenation response in patients with ARDS is conflicting.
CONCLUSIONS
LUS is a noninvasive, radiation-free, cheap, and easy to perform tool for critically ill patients with ARDS and might be a promising technique used in the Intensive Care Unit for ARDS management.
摘要
目的
本研究的目的是回顾和总结当前关于肺超声（LUS）在急性呼吸窘迫综合征（ARDS）危重症患者中的验证和应用的文献。
材料和方法
基于LUS是否应被视为儿科和成人人群中ARDS诊断、治疗和预后的可靠研究技术这一问题，使用PubMed、Cochrane综述、谷歌学术和俄亥俄州立大学链接进行了广泛的文献检索。
结果
LUS已成功验证可用于促进ARDS患者的早期诊断和同时存在的肺部疾病的诊断、预测肺复张治疗效果以及评估预后。肺超声在预测ARDS患者俯卧位和氧合反应方面是否有用存在争议。
结论
LUS是一种用于ARDS危重症患者的无创、无辐射、廉价且易于操作的工具，可能是重症监护病房用于ARDS管理的一种有前景的技术。
相似文献
1
Lung ultrasound: Predictor of acute respiratory distress syndrome in intensive care unit patients.肺部超声：重症监护病房患者急性呼吸窘迫综合征的预测指标
Saudi J Anaesth. 2018 Jul-Sep;12(3):457-461. doi: 10.4103/sja.SJA_73_18.
2
Lung ultrasound-guided treatment for acute respiratory distress syndrome in a critically ill patient with severe COVID-19: a case report.COVID-19 重症患者急性呼吸窘迫综合征的肺部超声引导治疗：病例报告。
Ann Palliat Med. 2022 Dec;11(12):3794-3803. doi: 10.21037/apm-22-1319.
3
Lung ultrasound score assessing the pulmonary edema in pediatric acute respiratory distress syndrome received continuous hemofiltration therapy: a prospective observational study.肺超声评分评估接受连续血液滤过治疗的小儿急性呼吸窘迫综合征的肺水肿：一项前瞻性观察研究。
BMC Pulm Med. 2021 Jan 25;21(1):40. doi: 10.1186/s12890-021-01394-w.
4
[The value of lung ultrasound score on evaluating clinical severity and prognosis in patients with acute respiratory distress syndrome].[肺部超声评分在评估急性呼吸窘迫综合征患者临床严重程度及预后中的价值]
Zhonghua Wei Zhong Bing Ji Jiu Yi Xue. 2015 Jul;27(7):579-84. doi: 10.3760/cma.j.issn.2095-4352.2015.07.008.
5
Correlation of Oxygenation and Radiographic Assessment of Lung Edema (RALE) Score to Lung Ultrasound Score (LUS) in Acute Respiratory Distress Syndrome (ARDS) Patients in the Intensive Care Unit.重症监护病房中急性呼吸窘迫综合征（ARDS）患者的氧合与肺水肿影像学评估（RALE）评分与肺部超声评分（LUS）的相关性
Can J Respir Ther. 2021 May 19;57:53-59. doi: 10.29390/cjrt-2020-063. eCollection 2021.
6
Prognostic value of extravascular lung water assessed with lung ultrasound score by chest sonography in patients with acute respiratory distress syndrome.胸部超声检查通过肺超声评分评估血管外肺水在急性呼吸窘迫综合征患者中的预后价值。
BMC Pulm Med. 2015 Aug 23;15:98. doi: 10.1186/s12890-015-0091-2.
7
Lung ultrasonography for assessment of oxygenation response to prone position ventilation in ARDS.肺部超声评估 ARDS 患者俯卧位通气氧合反应。
Intensive Care Med. 2016 Oct;42(10):1546-1556. doi: 10.1007/s00134-016-4411-7. Epub 2016 Jun 20.
8
Lung Recruitment Maneuvers Assessment by Bedside Lung Ultrasound in Pediatric Acute Respiratory Distress Syndrome.床边肺部超声评估小儿急性呼吸窘迫综合征中的肺复张手法
Children (Basel). 2022 May 27;9(6):789. doi: 10.3390/children9060789.
9
[Application of lung ultrasonography on evaluating extravascular lung water and prognosis in patients with acute respiratory distress syndrome].[肺部超声在评估急性呼吸窘迫综合征患者血管外肺水及预后中的应用]
Zhonghua Wei Zhong Bing Ji Jiu Yi Xue. 2020 May;32(5):585-589. doi: 10.3760/cma.j.cn121430-20200102-00088.
10
Diagnostic accuracy of lung ultrasound in diagnosis of ARDS and identification of focal or non-focal ARDS subphenotypes: a systematic review and meta-analysis.肺部超声在 ARDS 诊断及局灶性或非局灶性 ARDS 亚表型鉴别中的诊断准确性：系统评价和荟萃分析。
Crit Care. 2024 Jul 8;28(1):224. doi: 10.1186/s13054-024-04985-1.
引用本文的文献
1
Self-administered at-home lung ultrasound with remote guidance in patients without clinical training.未经临床培训的患者在家中自行进行远程指导下的肺部超声检查。
Respir Res. 2024 Mar 5;25(1):111. doi: 10.1186/s12931-024-02744-y.
2
Thoracic ultrasonographic and clinical findings at 12-month follow-up of patients admitted with COVID-19.新型冠状病毒肺炎（COVID-19）入院患者12个月随访时的胸部超声检查及临床结果
Eur Clin Respir J. 2023 Sep 24;10(1):2257992. doi: 10.1080/20018525.2023.2257992. eCollection 2023.
3
Lung ultrasound detects regional aeration inhomogeneity in ventilated preterm lambs.肺超声可检测通气早产儿肺内区域性通气不均。
Pediatr Res. 2024 Jan;95(1):129-134. doi: 10.1038/s41390-023-02781-1. Epub 2023 Aug 17.
4
Clinical Outcome Discrimination in Pediatric ARDS by Chest Radiograph Severity Scoring.基于胸部 X 线严重程度评分的小儿急性呼吸窘迫综合征临床转归的鉴别。
Can Respir J. 2022 May 14;2022:9309611. doi: 10.1155/2022/9309611. eCollection 2022.
5
Experimental Technologies in the Diagnosis and Treatment of COVID-19 in Patients with Comorbidities.合并症患者新冠病毒病诊断与治疗中的实验技术
J Healthc Inform Res. 2022;6(1):48-71. doi: 10.1007/s41666-021-00106-7. Epub 2021 Sep 15.
6
Advances in medical imaging to evaluate acute respiratory distress syndrome.评估急性呼吸窘迫综合征的医学成像进展。
Chin J Acad Radiol. 2022;5(1):1-9. doi: 10.1007/s42058-021-00078-y. Epub 2021 Jul 17.
7
Should lung ultrasound be always performed in older patients with possible COVID-19 disease?对于可能患有新冠肺炎的老年患者，是否应始终进行肺部超声检查？
Eur Geriatr Med. 2021 Dec;12(6):1123-1125. doi: 10.1007/s41999-021-00538-9.
8
Correlation of Oxygenation and Radiographic Assessment of Lung Edema (RALE) Score to Lung Ultrasound Score (LUS) in Acute Respiratory Distress Syndrome (ARDS) Patients in the Intensive Care Unit.重症监护病房中急性呼吸窘迫综合征（ARDS）患者的氧合与肺水肿影像学评估（RALE）评分与肺部超声评分（LUS）的相关性
Can J Respir Ther. 2021 May 19;57:53-59. doi: 10.29390/cjrt-2020-063. eCollection 2021.
9
Lung ultrasound may be a valuable aid in decision making for patients admitted with COVID-19 disease.肺部超声对于因新冠肺炎入院的患者而言，在决策过程中可能是一项有价值的辅助手段。
Eur Clin Respir J. 2021 Apr 7;8(1):1909521. doi: 10.1080/20018525.2021.1909521.
本文引用的文献
1
Lung ultrasound can be used to predict the potential of prone positioning and assess prognosis in patients with acute respiratory distress syndrome.肺部超声可用于预测急性呼吸窘迫综合征患者俯卧位通气的可能性并评估其预后。
Crit Care. 2016 Nov 30;20(1):385. doi: 10.1186/s13054-016-1558-0.
2
Lung ultrasonography for assessment of oxygenation response to prone position ventilation in ARDS.肺部超声评估 ARDS 患者俯卧位通气氧合反应。
Intensive Care Med. 2016 Oct;42(10):1546-1556. doi: 10.1007/s00134-016-4411-7. Epub 2016 Jun 20.
3
Guidelines for the Appropriate Use of Bedside General and Cardiac Ultrasonography in the Evaluation of Critically Ill Patients-Part II: Cardiac Ultrasonography.危重症患者评估中床边常规及心脏超声检查合理应用指南 - 第二部分：心脏超声检查
Crit Care Med. 2016 Jun;44(6):1206-27. doi: 10.1097/CCM.0000000000001847.
4
Imaging in acute respiratory distress syndrome.急性呼吸窘迫综合征的影像学表现。
Intensive Care Med. 2016 May;42(5):686-698. doi: 10.1007/s00134-016-4328-1. Epub 2016 Mar 31.
5
Can lung ultrasonography predict prone positioning response in acute respiratory distress syndrome patients?肺部超声能否预测急性呼吸窘迫综合征患者的俯卧位通气反应？
J Crit Care. 2016 Apr;32:36-41. doi: 10.1016/j.jcrc.2015.12.015. Epub 2015 Dec 30.
6
Extravascular lung water in critical care: recent advances and clinical applications.重症监护中的血管外肺水：最新进展与临床应用。
Ann Intensive Care. 2015 Dec;5(1):38. doi: 10.1186/s13613-015-0081-9. Epub 2015 Nov 6.
7
Use of Lung Ultrasound to Assess the Efficacy of an Alveolar Recruitment Maneuver in Rabbits With Acute Respiratory Distress Syndrome.使用肺部超声评估急性呼吸窘迫综合征兔肺泡复张手法的疗效。
J Ultrasound Med. 2015 Dec;34(12):2209-15. doi: 10.7863/ultra.14.11051. Epub 2015 Nov 5.
8
Lung ultrasonography for the diagnosis of 11 patients with acute respiratory distress syndrome due to bird flu H7N9 infection.超声检查在诊断11例H7N9禽流感感染所致急性呼吸窘迫综合征中的应用
Virol J. 2015 Oct 26;12:176. doi: 10.1186/s12985-015-0406-1.
9
Hospital Incidence and Outcomes of the Acute Respiratory Distress Syndrome Using the Kigali Modification of the Berlin Definition.采用柏林定义的基加利修订版评估急性呼吸窘迫综合征的医院发病情况和结局。
Am J Respir Crit Care Med. 2016 Jan 1;193(1):52-9. doi: 10.1164/rccm.201503-0584OC.
10
Prognostic value of extravascular lung water assessed with lung ultrasound score by chest sonography in patients with acute respiratory distress syndrome.胸部超声检查通过肺超声评分评估血管外肺水在急性呼吸窘迫综合征患者中的预后价值。
BMC Pulm Med. 2015 Aug 23;15:98. doi: 10.1186/s12890-015-0091-2.
Zotero 插件