Skip to content

Advertisement

Volume 3 Supplement 1

ESICM LIVES 2015

  • Poster presentation
  • Open Access

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

  • 1,
  • 1 and
  • 1
Intensive Care Medicine Experimental20153 (Suppl 1) :A273

https://doi.org/10.1186/2197-425X-3-S1-A273

  • Published:

Keywords

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

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

 

2011-2012

2013-2014

p

Number of hospitalized patients

666

648

NS

SAPS2

52,6

53,0

NS

Mean time of ICU hospitalization (days)

7,1

8,0

NS

Number of chest x-rays

1744

1612

NS

NUMBER OF CHEST-CT

52

34

p < 0,05

SUMMARISE DOSE OF RADIATION/YEAR [mGY/1,70 m2 BSA]

1199,2

925,6

p < 0,05

Mean time of mechanical ventilation

6,2

8,3

NS

Mortality

36,5%

36,0%

NS

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

Authors’ Affiliations

(1)
4 WSK z Poliklinika we Wroclawiu, Wrocław, Poland

References

  1. Bouhemad B, et al: Ultrasound assessment of antibiotic-induced pulmonary reaeration in ventilator-associated pneumonia. Crit Care Med. 2010, 38 (1): 84-92. 10.1097/CCM.0b013e3181b08cdb. JanPubMedView ArticleGoogle Scholar
  2. Soummer A: Ultrasound assessment of lung aeration loss during a successful weaning trial predicts postextubation distress. Crit Care Med. 2012, 40 (7): 2064-72. 10.1097/CCM.0b013e31824e68ae. JulPubMedView ArticleGoogle Scholar
  3. 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-Google Scholar
  4. 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.PubMedView ArticleGoogle Scholar
  5. Gargani L: Lung ultrasound a new tool for the cardiologist. Cardiovasc Ultrasound. 2011, 9: 6-10.1186/1476-7120-9-6.PubMedPubMed CentralView ArticleGoogle Scholar

Copyright

© Zawada et al.; 2015

This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Advertisement