International Journal of Health and Clinical Research

Yazarlar: Abhradip Das, Amit Dey, Ershad Ali, Saptaparni Gupta, Apurba Panja, Nibedita Chatterjee, Bodhisatwa Biswas

Konular:-

Anahtar Kelimeler:Acute respiratory distress,Acute hemodynamic pulmonary edema (AHPE),Dyspnea,Emergency department,Thoracic ultrasound,Pulse oximetry,Echocardiography

Özet: Introduction: Heterogeneous group of patients present with shortness of breath at emergency department. Initial and rapid diagnosis may be lifesaving. Bilateral diffuse anterior B-lines (3 or more) along with lung sliding (B-Profile) have been demonstrated to predict acute hemodynamic pulmonary edema (AHPE) in the BLUE (Bedside Lung Ultrasound in Emergency) protocol. Objectives: The objectives of this study are to find out causes of acute onset of dyspnea with special reference to bedside lung ultra sound. Methodology: In this study total number of the cases (N=438) were divided in acute hemodynamic pulmonary edema (AHPE Group, n=194) [i.e. B-Profile or (B/L) interstitial syndrome (3 & 3+ B-Line in all six BLUE points with lung sliding bilaterally)] and in the other – Group (n=244)[A/C/A-B profile]. Results: This AHPE-Group has significant low ejection fraction (44.28±10.92 with P value = 0.0001); significant low saturation at presentation (82.82±13.91 with P value = 0.0001) and significant high blood lactate level (2.41±1.91 with P value =0.0049).Total numbers of consolidation (pneumonia) found by bedside ultrasound in “Other” group was significantly higher than AHPE group (P value = 0.02426). Conclusion: Bedside lung ultrasound is a very useful tool to evaluate acute onset of dyspnea and to initiate prompt management.

---