Research Article
Volume 5 Issue 12 - 2021
Trans-Thoracic Ultrasound: An Excellent Decision Making Tool in Pulmonary Emergency (Study of 2873 Cases)
Abdul Rasheed Qureshi, Muhammad Irfan* and Huma Bilal
Gulab Devi Chest Hospital, Lahore, Pakistan
*Corresponding Author: Muhammad Irfan, Chest Emergency Department, Gulab Devi Chest Hospital, Lahore, Pakistan.
Received: October 14, 2021; Published: November 24, 2021




Abstract

Background: Pleural effusions, pneumonia, pneumothorax and cardiac problems are commonly encountered in pulmonary emergency. Imaging is suggested for timely diagnosis. Chest x-ray is the usual option but thoracic ultrasound can also provide useful imaging and is procuring admiration gradually in our region. Furthermore, pediatric and newborn disease can be worked up by detecting congenital or acquired chest disease. Similarly, pregnant patients can also be worked up without any fear of exposure to ionizing radiation and teratogenicity. Additionally, thoracic ultrasound finds very useful therapeutic application of guiding during pleural aspiration or chest drain insertion.

Objectives: To determine the efficacy of thoracic ultrasound in pulmonary emergency.

Materials and Methods: This analytical cross sectional study included 2873 consecutive cases, scanned in the Emergency of Gulab Devi Chest Hospital, Lahore from January 2019 to February 2020. Patients suggesting an acute respiratory illness on history, physical examination and chest x-ray (CXR) were included. While those with clear chest x-ray, cardiac issues and without suspicion of any chest pathology were excluded. The records of the patients were retrieved and reviewed retrospectively, ultrasound findings and final diagnosis were recorded. Results were tabulated and statistical analysis was performed using SPSS-21. Categorical data was represented as percentage. P-value was calculated by chi-square test and p < 0.05 was considered significant.

Results: Pleural effusions were diagnosed in 1522/2873 (52.97%) cases. 640 cases (22.27%) with normal pleurae, 65 (2.26%) pneumothorax, 260 (9.04%) consolidation, 212 (7.37%) pleural thickening, 35 (1.21%) cases of covid-19 pneumonia, 17 (0.59%) lung abscess, 27 (0.93%) atelectasis, destroyed lung 11 (0.38%) and diagnosis of mass lesion was made in 84 (2.92%) patients. Thoracic ultrasound eliminated the need of pleural aspiration in 1351 (47.03%) cases with obvious radiographic signs of pleural effusion for which attempted pleural aspiration and organ puncture was inevitable otherwise.

Conclusion: Trans-thoracic ultrasound is a tremendous tool for any pulmonary emergency, capable of diagnosing an array of pleuro-pulmonary maladies and providing solid foundations for precise treatment.

Keywords: Diagnostic; Emergency; Efficacy; Pleuro-Pulmonary Disorders; Therapeutic; Thoracic Ultrasonography

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Citation: Muhammad Irfan., et al. "Trans-Thoracic Ultrasound: An Excellent Decision Making Tool in Pulmonary Emergency (Study of 2873 Cases)”. EC Emergency Medicine and Critical Care 5.12 (2021): 33-40.

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