Document Type : Original Article
Authors
1
Department of Anesthesiology, Intensive Care and Pain Management, Faculty of Medicine, Al-Azhar University, Cairo, Egypt
2
Department of Anesthesiology, intensive care, and pain management, Faculty of Medicine, Al-Azhar University, Cairo, Egypt
3
Department of Chest Diseases, Faculty of Medicine, Al-Azhar University, Cairo, Egypt
4
Department of Cardiology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt
10.21608/asja.2024.285878.1102
Abstract
Background: With the decreasing utilization of invasive hemodynamic monitoring, bedside-focused ultrasound had emerged as a valuable adjunct in the assessment and treatment of patients experiencing shock.
Purpose: The aim of the current study is to assess the heart & lung conditions in shocked patients using focused cardio-pulmonary ultrasound for treatment guidance and their implication on the patient’s outcome.
Methods: This randomized prospective case control study was conducted on 108 shocked cases. The primary outcome included mortality rate, 72 hours after the initial fluid resuscitation. Secondary outcomes included duration of intensive care unit (ICU) stay, duration of mechanical ventilation, frequency of acute kidney injury and correlation between ultrasound variables with mortality rate.
Results: This study revealed that 72-hour mortality rate in group (A) was 46.3%, compared with 25.9% in group B (P= 0.027). A strong positive correlation was reported among 72-hour mortality & IVC diameter, LUSS, EPSS, APACHE II score and serum lactate. PaO2/FiO2 was negatively related with mortality. Group A revealed a significantly more extended duration of ICU stay compared with group B (7.89 vs 5.83 days, P <0.001) respectively. The mean duration of mechanical ventilation in group (B) was 68.31 hours and 81.82 hours in group (A) (P= 0.035)
Conclusion: This study revealed a significant decline in 72-hour mortality rate in ultrasound treated patients’ group, in comparison with the standard treated patients’ group. Integrated cardiopulmonary ultrasound resulted in shorter ICU stay and mechanical ventilation.
Keywords
)
View on SCiNiTO