Objectives-Point-of-care lung sonography has theoretical usefulness in numerous diseases; however clinical indications and the impact of this technique have not been fully investigated. We aimed to describe the current use of point-of-care lung sonography. Methods-A 2-year prospective observational study was performed by pulmonologists in an Italian university hospital. Techniques, indications, consequences of lung sonography, and barriers to the examination were analyzed. Results-A total of 1150 lung sonographic examinations were performed on 951 patients. The most common indications were diagnosis and follow-up of pleural effusion in 361 cases (31%), evaluation of lung consolidation (322 [28%]), acute heart failure (195 [17%]), guide to pleural procedures (117 [10%]), pneumothorax (54 [5%]) and acute exacerbations of chronic obstructive pulmonary disease (30 [3%]). The mean duration of the examination6SD was 664 minutes. The transducers most frequently used were convex (746 [65%]) and linear (161 [14%]), whereas in 205 examinations (18%), both transducers were used. According to the judgment of the caring clinician, 51% of the examinations were clinically relevant. Conclusions-Point-of-care lung sonography performed by pulmonologists is quick and feasible and could be widely used for different clinical indications with a potentially high clinical impact. The widespread use of this technique may have a relevant clinical impact in several indications.

Point-of-Care Lung Sonography : An Audit of 1150 Examinations / G.F. SFERRAZZA PAPA, M. Mondoni, G. Volpicelli, P. Carlucci, F. DI MARCO, E.M. Parazzini, F. Reali, G.M. Pellegrino, P. Fracasso, S. Sferrazza Papa, L. Colombo, S. Centanni. - In: JOURNAL OF ULTRASOUND IN MEDICINE. - ISSN 0278-4297. - 36:8(2017 Aug), pp. 1687-1692.

Point-of-Care Lung Sonography : An Audit of 1150 Examinations

G.F. SFERRAZZA PAPA
Primo
;
M. Mondoni
Secondo
;
F. DI MARCO;E.M. Parazzini;F. Reali;G.M. Pellegrino;P. Fracasso;L. Colombo
Penultimo
;
S. Centanni
Ultimo
2017-08

Abstract

Objectives-Point-of-care lung sonography has theoretical usefulness in numerous diseases; however clinical indications and the impact of this technique have not been fully investigated. We aimed to describe the current use of point-of-care lung sonography. Methods-A 2-year prospective observational study was performed by pulmonologists in an Italian university hospital. Techniques, indications, consequences of lung sonography, and barriers to the examination were analyzed. Results-A total of 1150 lung sonographic examinations were performed on 951 patients. The most common indications were diagnosis and follow-up of pleural effusion in 361 cases (31%), evaluation of lung consolidation (322 [28%]), acute heart failure (195 [17%]), guide to pleural procedures (117 [10%]), pneumothorax (54 [5%]) and acute exacerbations of chronic obstructive pulmonary disease (30 [3%]). The mean duration of the examination6SD was 664 minutes. The transducers most frequently used were convex (746 [65%]) and linear (161 [14%]), whereas in 205 examinations (18%), both transducers were used. According to the judgment of the caring clinician, 51% of the examinations were clinically relevant. Conclusions-Point-of-care lung sonography performed by pulmonologists is quick and feasible and could be widely used for different clinical indications with a potentially high clinical impact. The widespread use of this technique may have a relevant clinical impact in several indications.
community-acquired pneumonia; lung imaging; lung sonography; pleural effusion; pneumonia diagnostics; pneumothorax; point-of-care ultrasound
Settore MED/10 - Malattie dell'Apparato Respiratorio
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Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/2434/521402
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