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Diagnostic Accuracy of Bedside Lung Ultrasound in Critically Ill Respiratory Failure Patients

Hatem Hamed Elatroush, Tarek Samy Essawy, Mahmoud Mohamed Kenawy, Ahmed Samir Abd El Aziem Karoub, Amira Mohamed Ismail

The aim of the current study was to assess the accuracy of lung ultrasound algorithm in ICU patients with respiratory failure. Thus, this randomized comparative study included 80 patients admitted to the intensive care unit, Shebin El-Kom teaching hospital during three years from October 2017-October 2020. The study received the approval of ethical committee of faculty medicine, Kasr-El-Einy, Cairo university. History, clinical examination, chest X ray, CT chest, lung US, and Echocardiography were done. Results showed that, US showed sensitivity and specificity 100 %, 100% respectively in diagnosis of pneumothorax regarding pneumonia, sensitivity and specificity of US were (68.2%, 86.2% respectively). Regarding ILD, sensitivity and specificity of US were (55.6%, 98.6%). Additionally, as regard pulmonary edema and pleural effusion, US sensitivity and specificity were (66.7%, 97.4%) and (78.9%, 98.4%) respectively.