Usefulness of lung ultrasound in assessment of aeration before and after Recruitment maneuver in ARDS patients
Mohamed, M., Abdel Aal. Zidan, A., Abo Hamila, M. (2022). Usefulness of lung ultrasound in assessment of aeration before and after Recruitment maneuver in ARDS patients. EKB Journal Management System, 3(1), 303-312. doi: 10.21608/ejmr.2022.222724
Mohamed Sayed Mohamed; Ahmed Abdel Fattah Abdel Aal. Zidan; Mohamed Abd alkader Abo Hamila. "Usefulness of lung ultrasound in assessment of aeration before and after Recruitment maneuver in ARDS patients". EKB Journal Management System, 3, 1, 2022, 303-312. doi: 10.21608/ejmr.2022.222724
Mohamed, M., Abdel Aal. Zidan, A., Abo Hamila, M. (2022). 'Usefulness of lung ultrasound in assessment of aeration before and after Recruitment maneuver in ARDS patients', EKB Journal Management System, 3(1), pp. 303-312. doi: 10.21608/ejmr.2022.222724
Mohamed, M., Abdel Aal. Zidan, A., Abo Hamila, M. Usefulness of lung ultrasound in assessment of aeration before and after Recruitment maneuver in ARDS patients. EKB Journal Management System, 2022; 3(1): 303-312. doi: 10.21608/ejmr.2022.222724

Usefulness of lung ultrasound in assessment of aeration before and after Recruitment maneuver in ARDS patients

Egyptian Journal of Medical Research
Article 23, Volume 3, Issue 1, January 2022, Page 303-312  XML PDF (396.52 K)
Document Type: Original Article
DOI: 10.21608/ejmr.2022.222724
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Authors
Mohamed Sayed Mohamed1; Ahmed Abdel Fattah Abdel Aal. Zidan2; Mohamed Abd alkader Abo Hamila1
1Critical Care medicine department, Faculty of Medicine, Beni-Suef University, Egypt
2Radiology department, Faculty of Medicine, Beni-Suef University, Egypt.
Abstract
Objective: The aim of this study is to evaluate the usefulness of lung ultrasound in assessment of lung aeration and to follow up Recruitment Maneuver in ARDS patients. Methods: A total of 40 patients with ARDS were given the standard sustained inflation recruitment manoeuvre. The utility of lung ultrasound in assessing lung aeration and lung recruitment was evaluated using the Lung Ultrasound Score, PO2, PO2/FIO2, and lung compliance before and after recruitment. Results: RM with sustained inflation technique lead to an improvement in lung compliance and PO2/FIO2 in studied ARDS patients (P< .05) LUS decreased from (25.3±6.3) before RM to (17.4±6.5) after RM with a (p value ≤ 0.001), and after 12 hours it significantly decreased to (15.38±8.62) with a (p value ≤ 0.001), there is a significant negative correlation between LUS and PO2/FIO2, also a strong negative correlation between LUS and lung compliance. Conclusion: Bedside ultrasonography can be used in the evaluation and management of mechanically ventilated patients in intensive care units, also to assess lung aeration and the effectiveness of the recruitment maneuver in ARDS patients.
Keywords
Lung Ultrasound; ARDS; Recruitment Maneuver
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