Hegazy Laila M, Rezk Ahmed R, Sakr Hossam M, Ahmed Asmaa S
Department of Pediatrics, Ain Shams University Hospital, Cairo, Egypt.
Department of Radiology, Ain Shams University Hospital, Cairo, Egypt.
Indian J Crit Care Med. 2020 Jun;24(6):459-464. doi: 10.5005/jp-journals-10071-23459.
Respiratory distress (RD) in children is a life-threatening condition. Delay in diagnosis has a deleterious effect on morbidity and mortality. The bedside lung ultrasound in emergency (BLUE) is a fast method that aims to accelerate the diagnosis with minimal radiological exposure. We targeted to evaluate the efficacy of BLUE protocol to speed and increase the precision of recognizing the cause of RD compared with chest X-ray (CXR) in the emergency department.
A cross-sectional study on 63 children with RD attended the emergency of a tertiary, university-affiliated, pediatric medical center between January 2017 and January 2018.
Most cases were males 52.4%. We designed to estimate the value of BLUE as a diagnostic tool for RD and comparing it with CXR. Pneumonia with or without pleural effusion was the main etiology of RD detected by BLUE in 47.7% of studied children, pulmonary edema in 22.2%, bronchiolitis and asthma in 17.4%, and pneumothorax in 12.7%. Lung ultrasound (LUS) was superior to CXR in the diagnosis of RD cause, and most cases, 47.7% were diagnosed with pneumonia with a sensitivity of 93.5% and specificity 96.9%.
Bedside lung ultrasound in emergency is an effective tool for identifying the cause of RD which is more sensitive and specific compared with CXR.
Hegazy LM, Rezk AR, Sakr HM, Ahmed AS. Comparison of Efficacy of LUS and CXR in the Diagnosis of Children Presenting with Respiratory Distress to Emergency Department. Indian J Crit Care Med 2020;24(6):459-464.
儿童呼吸窘迫（RD）是一种危及生命的状况。诊断延迟会对发病率和死亡率产生有害影响。床旁急诊肺部超声（BLUE）是一种快速的方法，旨在以最小的放射暴露加速诊断。我们旨在评估BLUE方案在急诊科与胸部X线（CXR）相比，在加快和提高识别RD病因的准确性方面的效果。
对2017年1月至2018年1月期间在一所大学附属的三级儿科医疗中心急诊科就诊的63例RD儿童进行了横断面研究。
大多数病例为男性，占52.4%。我们旨在评估BLUE作为RD诊断工具的价值，并将其与CXR进行比较。在研究的儿童中，BLUE检测到的RD的主要病因是伴有或不伴有胸腔积液的肺炎，占47.7%，肺水肿占22.2%，细支气管炎和哮喘占17.4%，气胸占12.7%。肺部超声（LUS）在诊断RD病因方面优于CXR，大多数病例（47.7%）被诊断为肺炎，敏感性为93.5%，特异性为96.9%。
床旁急诊肺部超声是识别RD病因的有效工具，与CXR相比更敏感、更具特异性。
Hegazy LM, Rezk AR, Sakr HM, Ahmed AS. 比较LUS和CXR在急诊科诊断呼吸窘迫儿童中的效果。《印度重症医学杂志》2020；24(6):459 - 464。
