Journal article
Lung Ultrasound Artifact Findings in Pediatric Patients Admitted to the Intensive Care Unit for Acute Respiratory Failure
Journal of ultrasound
10 Apr 2022
PMID: 35397743
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Purpose To describe point-of-care lung ultrasound (POC-LUS) artifact findings in children admitted to the pediatric intensive care unit (PICU) for acute respiratory failure (ARF). Methods This is a secondary analysis of a prospective observational study completed in a 21-bed PICU. Children > 37 weeks gestational age and <= 18 years were enrolled from December 2018 to February 2020. POC-LUS was completed and interpreted by separate physicians blinded to all clinical information. POC-LUS was evaluated for the presence of lung sliding, pleural line characteristics, ultrasound artifacts, and the ultrasound diagnosis. Results Eighty-seven subjects were included. A-lines were the most frequent artifact, occurring in 58% of lung zones (163/281) in those with bronchiolitis, 39% of lung zones (64/164) in those with pneumonia, and 81% of lung zones (48/59) in those with status asthmaticus. Sub-pleural consolidation was second most common, occurring in 28% (80/281), 30% (50/164), and 12% (7/59) of those with bronchiolitis, pneumonia, and status asthmaticus, respectively. The pattern a priori defined as bronchiolitis, pneumonia, and status asthmaticus was demonstrated in 31% (15/48), 10% (3/29), and 40% (4/10) of subjects with bronchiolitis, pneumonia, and status asthmaticus, respectively. Conclusion We found significant heterogeneity and overlap of POC-LUS artifacts across the most common etiologies of ARF in children admitted to the PICU. We have described the POC-LUS artifact findings in pediatric ARF to support clinicians using POC-LUS and to guide future pediatric POC-LUS studies. Determining the optimal role of POC-LUS as an adjunct in the care of pediatric patients requires further study.
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Details
- Title
- Lung Ultrasound Artifact Findings in Pediatric Patients Admitted to the Intensive Care Unit for Acute Respiratory Failure
- Creators
- Ryan L. DeSanti - St. Christopher's Hospital for ChildrenEileen A. Cowan - University of Wisconsin–MadisonPierre D. Kory - Aurora Health CareMichael R. Lasarev - University of Wisconsin–MadisonJessica Schmidt - University of Wisconsin–MadisonAwni M. Al-Subu - University of Wisconsin–Madison
- Publication Details
- Journal of ultrasound
- Publisher
- SPRINGER INT PUBL AG
- Number of pages
- 9
- Grant note
- UL1TR002373 / Clinical and Translational Science Award (CTSA) program through the NIH National Center for Advancing Translational Sciences (NCATS); United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Center for Advancing Translational Sciences (NCATS)
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Pediatrics
- Web of Science ID
- WOS:000779981500001
- Scopus ID
- 2-s2.0-85127812864
- Other Identifier
- 991019167845904721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Radiology, Nuclear Medicine & Medical Imaging