The role of lung ultrasound in differentiating lung congestion and lung infection in pediatric cardiac patients
Moustafa, M., Ahmed El Kholy, M., Abdelaal Askar, G., Raafat, D., El Sisi, A. (2018). The role of lung ultrasound in differentiating lung congestion and lung infection in pediatric cardiac patients. EKB Journal Management System, 3(1), 30-36. doi: 10.4103/JCMRP.JCMRP_39_17
Mahmoud Kamal Moustafa; Maha Mohammad Ahmed El Kholy; Gamal Ali Abdelaal Askar; Duaa Mohammad Raafat; Amal Mahmoud El Sisi. "The role of lung ultrasound in differentiating lung congestion and lung infection in pediatric cardiac patients". EKB Journal Management System, 3, 1, 2018, 30-36. doi: 10.4103/JCMRP.JCMRP_39_17
Moustafa, M., Ahmed El Kholy, M., Abdelaal Askar, G., Raafat, D., El Sisi, A. (2018). 'The role of lung ultrasound in differentiating lung congestion and lung infection in pediatric cardiac patients', EKB Journal Management System, 3(1), pp. 30-36. doi: 10.4103/JCMRP.JCMRP_39_17
Moustafa, M., Ahmed El Kholy, M., Abdelaal Askar, G., Raafat, D., El Sisi, A. The role of lung ultrasound in differentiating lung congestion and lung infection in pediatric cardiac patients. EKB Journal Management System, 2018; 3(1): 30-36. doi: 10.4103/JCMRP.JCMRP_39_17

The role of lung ultrasound in differentiating lung congestion and lung infection in pediatric cardiac patients

Journal of Current Medical Research and Practice
Volume 3, Issue 1, January 2018, Page 30-36  XML PDF (1.13 MB)
DOI: 10.4103/JCMRP.JCMRP_39_17
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Authors
Mahmoud Kamal Moustafa; Maha Mohammad Ahmed El Kholy; Gamal Ali Abdelaal Askar; Duaa Mohammad Raafat; Amal Mahmoud El Sisi
Abstract
Background
Lung sonography in emergency situations has become one of the most appropriate studies. This technique allows us to diagnose the major causes of acute respiratory distress at the bedside without major interventions. It is an easy and costless approach to diagnose many lung diseases.
Patients and methods
This work is a cross-sectional, prospective, and descriptive study that included cardiac patients admitted to the pediatric cardiology ward through a period of 6 months. They had their data completely revised and their treatment recorded and diagnosis traced with a direct question: is it congestion or infection. A lung ultrasound (LUS) was done to assure the diagnosis. Also, chest radiography and echocardiography correlation were assessed.
Results
A total of 60 patients were enrolled over a period of 6 months (58% were males), with a mean age ± SD of 17.33 ± 30.91 months. The B-profile was found in 27 patients; A-profile was found in 35 patients; AB-profile was found in six cases and hypoechoic areas were found in nine cases. LUS appeared to be normal in three cases.
Conclusion
LUS shows high reliability and accuracy in the diagnosis of pneumonia, pulmonary congestion, pulmonary edema, air trapping, and the possibility of a follow-up until complete resolution of many lung diseases, without exposure to harmful radiation.
Keywords
A-profile; B-profile; Congenital heart disease; Heart failure; lung ultrasound; pulmonary congestion; Pulmonary edema
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