Effect of use of Integrated cardiac and lung Ultrasound on the clinical outcome of the patients admitted to ICU suffering from shock | ||||
| Al-Azhar International Medical Journal | ||||
| Volume 2025, Issue 3, March 2025, Page 259-265 PDF (732.75 K) | ||||
| Document Type: Original Article | ||||
| DOI: https://doi.org/10.21608/aimj.2025.446498 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
Ayman Hussein Fahmy Mohamad Kahla1; Mohamed Ahmed Elbadawy Mohamed 2; Moaz Atef El-Shahat Abd-Elaty3; Hani Abdelshafook Badr Khalaf4; Abdul-Azim Ahmad Abdul-Azim Ahmad* 5
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| 1Professor of Anesthesia, Intensive Care and Pain Management , Faculty of Medicine, Al-Azhar University, Cairo, Egypt; | ||||
| 2Lecturer of Anesthesia, Intensive Care and Pain Management, Faculty of Medicine, Al-Azhar University, Cairo, Egypt; | ||||
| 3Assistant Professor of Chest Diseases, Faculty of Medicine, Al-Azhar University, Cairo, Egypt | ||||
| 4Lecturer of Cardiology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt | ||||
| 5MSc, Anesthesia and Intensive Care, Faculty of Medicine, Al-Azhar University, Cairo, Egypt. | ||||
| Abstract | ||||
| Abstract Background: Ultrasound technology has become a cornerstone in medical imaging, employing high-frequency sound waves to visualize internal structures in real time. This non-invasive technique finds applications across various fields, most notably in emergency medicine through point-of-care ultrasound(POCUS). Aim and objectives: To assess the severity of cardiac and pulmonary problems in shock patients in order to direct their treatment and determine the likelihood of a positive result. Subjects and methods: From March 2022 through March 2024, 108 patients suffering from shock were enrolled in this randomized prospective case-control research at the intensive care units (ICUs) of the Cairo University Hospitals affiliated with the Faculty of Medicine, Al-Azhar. Patients who were shocked enough to participate in this trial were split evenly among two categories. Results: There were no discernible variations in APACHE II scores or cardiopulmonary ultrasonography measures between the categories. IVC diameter ranged from 0.65-2.71cm (mean 1.62±0.642cm), LUSS from 0-22cm (mean 11.94±7.183cm), MAPSE from 0.80-2.90cm (mean 1.34±0.655cm), and TAPSE from 1.10-2.60cm (mean 2.35±0.832cm). Group (A) had an APACHE II score of 21.80±6.725 and Group (B) had a score of 20.78±8.284, with a p-value of only 0.485. Nevertheless, with a p-value of just 0.035, Group-(A) required mechanical ventilation for a considerably longer period of time (81.82±38.827 hours) than Group-(B) (68.31±25.332 hours). Conclusion: A significant decline in the overall mortality rate among the ultrasound treated Group, contrasted with the control group. Integrated cardiopulmonary ultrasound resulted in shorter ICU stay and mechanical ventilation. Pearson’s correlation coefficients between patient mortality and the diameter of IVC, LUSS, EPSS, and APACHE II showed a strong positive correlation between these variables and mortality. | ||||
| Keywords | ||||
| Cardiopulmonary ultrasound; Clinical outcome; Shock | ||||
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