The Role of Pocus in Acute Respiratory Failure: A Narrative Review on Airway and Breathing Assessment

被引:1
作者
Sartini, Stefano [1 ]
Ferrari, Lorenzo [2 ]
Cutuli, Ombretta [1 ]
Castellani, Luca [1 ]
Bagnasco, Maddalena [1 ,2 ]
Corsello, Luca Moisio [1 ]
Bracco, Cristina [1 ]
Cristina, Maria Luisa [3 ,4 ]
Arboscello, Eleonora [1 ]
Sartini, Marina [3 ,4 ]
机构
[1] IRCCS Policlin San Martino, Emergency Med Dept, Largo Rosanna Benzi 10, I-16132 Genoa, Italy
[2] Univ Genoa, Emergency Med Postgrad Sch, Via Balbi 5, I-16126 Genoa, Italy
[3] Univ Genoa, Dept Hlth Sci, I-16132 Genoa, Italy
[4] Hosp Hyg, EO Ospedali Galliera, Via Alessandro Volta 8, I-16128 Genoa, Italy
关键词
acute respiratory failure; lung ultrasound; upper airways management; pneumonia; pneumothorax; lung effusion; COPD; heart failure; diaphragm impairment; acute heart failure; BEDSIDE LUNG ULTRASOUND; DIAGNOSTIC-ACCURACY; ACUTE EXACERBATION; LARYNGEAL ULTRASONOGRAPHY; EMERGENCY PROTOCOL; ENDOTRACHEAL-TUBE; DISTRESS-SYNDROME; CARE; SONOGRAPHY; MANAGEMENT;
D O I
10.3390/jcm13030750
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Acute respiratory failure (ARF) is a challenging condition that clinicians, especially in emergency settings, have to face frequently. Especially in emergency settings, many underlying diseases can lead to ARF and life-threatening conditions have to be promptly assessed and correctly treated to avoid unfavorable outcomes. In recent years, point-of-care ultrasound (POCUS) gained growing consideration due to its bedside utilization, reliability and reproducibility even in emergency settings especially in unstable patients. Research on POCUS application to assess ARF has been largely reported mainly with observational studies showing heterogeneous results from many different applications. This narrative review describes the wide potentiality of POCUS to face airways and breathing life-threatening conditions such as upper airway management, pulmonary and pleural pathologies and diaphragm impairment. We conducted extensive research of the literature to report from major studies to case reports deemed useful in practical clinical utilization of POCUS in ARF. Due to the huge amount of the literature found, we focused on airways and breathing assessment trying to systematize the evidence according to clinical care of ARF in emergency settings. Further studies, possibly trials, should determine how POCUS is crucial in clinical practice in terms of standard of care improvements, patient safety and cost-benefit analysis.
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页数:20
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