Bedside lung ultrasound in the assessment of alveolar-interstitial syndrome

To assess the potential of bedside lung ultrasound to diagnose the radiologic alveolar-interstitial syndrome (AIS) in patients admitted to an emergency medicine unit and to estimate the occurrence of ultrasound pattern of diffuse and multiple comet tail artifacts in diseases involving lung interstit...

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Bibliographic Details
Published in:The American journal of emergency medicine 2006-10, Vol.24 (6), p.689-696
Main Authors: Volpicelli, Giovanni, Mussa, Alessandro, Garofalo, Giorgio, Cardinale, Luciano, Casoli, Giovanna, Perotto, Fabio, Fava, Cesare, Frascisco, Mauro
Format: Article
Language:English
Subjects:
Aged
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Biological and medical sciences
Chronic obstructive pulmonary disease
Chronic obstructive pulmonary disease, asthma
Edema
Emergency and intensive respiratory care
Emergency medical care
Female
Heart failure
Hospitals
Humans
Intensive care medicine
Lung diseases
Lung Diseases, Interstitial - diagnostic imaging
Male
Medical sciences
Patients
Pneumology
Pneumonia
Point-of-Care Systems
Pulmonary Edema - diagnostic imaging
Pulmonary fibrosis
Radiography, Thoracic
Sensitivity and Specificity
Syndrome
Tomography, X-Ray Computed
Ultrasonic imaging
Ultrasonography
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Description
Summary:To assess the potential of bedside lung ultrasound to diagnose the radiologic alveolar-interstitial syndrome (AIS) in patients admitted to an emergency medicine unit and to estimate the occurrence of ultrasound pattern of diffuse and multiple comet tail artifacts in diseases involving lung interstitium. The ultrasonic feature of multiple and diffuse comet tail artifacts B line was investigated in each of 300 consecutive patients within 48 hours after admission to our emergency medicine unit. Sonographic examination was performed at bedside in a supine position. Eight anterolateral ultrasound chest intercostal scans were obtained for each patient. The artifact showed a sensitivity of 85.7% and a specificity of 97.7% in recognition of radiologic AIS. Corresponding figures in the identification of a disease involving lung interstitium were 85.3% and 96.8%. Comet tail artifact B line is a lung ultrasound sign reasonably accurate for diagnosing AIS at bedside.
ISSN:0735-6757
1532-8171
DOI:10.1016/j.ajem.2006.02.013