Di Serafino Marco, Dell'Aversano Orabona Giuseppina, Caruso Martina, Camillo Costanza, Viscardi Daniela, Iacobellis Francesca, Ronza Roberto, Sabatino Vittorio, Barbuto Luigi, Oliva Gaspare, Romano Luigia
Department of General and Emergency Radiology, "Antonio Cardarelli" Hospital, 80131 Naples, Italy.
Department of Intensive Care and Resuscitation, "Antonio Cardarelli" Hospital, 80131 Naples, Italy.
J Pers Med. 2023 Oct 26;13(11):1541. doi: 10.3390/jpm13111541.
Patients in intensive care units (ICUs) are critically ill and require constant monitoring of clinical conditions. Due to the severity of the underlying disease and the need to monitor devices, imaging plays a crucial role in critically ill patients' care. Given the clinical complexity of these patients, who typically need respiratory assistance as well as continuous monitoring of vital functions and equipment, computed tomography (CT) can be regarded as the diagnostic gold standard, although it is not a bedside diagnostic technique. Despite its limitations, portable chest X-ray (CXR) is still today an essential diagnostic tool used in the ICU. Being a widely accessible imaging technique, which can be performed at the patient's bedside and at a low healthcare cost, it provides additional diagnostic support to the patient's clinical management. In recent years, the use of point-of-care lung ultrasound (LUS) in ICUs for procedure guidance, diagnosis, and screening has proliferated, and it is usually performed at the patient's bedside. This review illustrates the role of point-of-care LUS in ICUs from a purely radiological point of view as an advanced method in ICU CXR reports to improve the interpretation and monitoring of lung CXR findings.
重症监护病房(ICU)的患者病情危急,需要持续监测临床状况。由于基础疾病的严重性以及对监测设备的需求,影像学在重症患者的护理中起着至关重要的作用。鉴于这些患者的临床复杂性,他们通常需要呼吸辅助以及对生命功能和设备的持续监测,计算机断层扫描(CT)可被视为诊断金标准,尽管它不是床旁诊断技术。尽管存在局限性,但便携式胸部X光(CXR)至今仍是ICU中使用的一种重要诊断工具。作为一种广泛可用的成像技术,它可以在患者床边进行,且医疗成本较低,为患者的临床管理提供了额外的诊断支持。近年来,床旁肺部超声(LUS)在ICU中用于操作指导、诊断和筛查的应用迅速增加,并且通常在患者床边进行。本综述从纯粹的放射学角度阐述了床旁LUS在ICU中的作用,作为ICU CXR报告中的一种先进方法,以改善对肺部CXR检查结果的解读和监测。