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Volume 3 Supplement 1

ESICM LIVES 2015

Point of care ultrasound - a way to reduce radiation exposure of patients and medical staff

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Introduction

Lungs ultrasonography and echocardiography is used by intensivist to provide assessments in patients with significant respiratory and cardiac diseases.

Transthoracic lung ultrasound allows to detect lung aerations and consolidations, to find pneumothorax or hydrothorax, localize alveolar-interstitial edema. It is also used as a monitoring tool to detect reaeration resulting from efficient treatment of pneumonia and lung recruitment resulting from PEEP. All the ultrasonographic measurements are made noninvasively and at the patient's bedside. Lung ultrasonography has been performed in our ICU for three years. Since then a tendency to reduce number of chest x-rays and chest CT has been observed.

Objectives

The aim of the study was to analyze whether usage of the lung utlrasonography as a diagnostic and monitoring tool leads to minimize the number of chest x-rays and chest CT and radiation dose in the ICU.

Methods

Data from 2 years before and 2 years after implementing a routine lung ultrasonography have been compared and statistical analysis has been made.

Results

Table 1 Table 1

Conclusions

The ability to perform transthoracic lung ultrasonography allowed us to reduce number of chest x-rays, chest-CT and overall radiation dose. The implementation of new diagnostic technique did not influence on length of hospital stay or mortality.

Grant Acknowledgment

ICU Staff

References

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    Algieri I, et al: CT scan and ultrasound comparative assessment of PEEP-induced lung aeration changes in ARDS. Crit Care Med. 2014, 18 (Suppl 1): P285-

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    Bouhemad B. , et al: Bedside ultrasound assessment of positive end- expiratory pressure-induced lung recruitment. Am J Respir Crit Care Med. 2011, 183: 341-347. 10.1164/rccm.201003-0369OC.

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    Gargani L: Lung ultrasound a new tool for the cardiologist. Cardiovasc Ultrasound. 2011, 9: 6-10.1186/1476-7120-9-6.

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Author information

Correspondence to T Zawada.

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Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (https://creativecommons.org/licenses/by/4.0), which permits use, duplication, adaptation, distribution, and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.

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Keywords

  • Pneumonia
  • Radiation Dose
  • Radiation Exposure
  • Pneumothorax
  • Medical Staff