Chest imaging in patients with acute respiratory failure plays an important role in diagnosing, monitoring and assessing the underlying disease. The available modalities range from plain chest X-ray to computed tomography, lung ultrasound, electrical impedance tomography and positron emission tomography. Surprisingly, there are presently no clear-cut recommendations for critical care physicians regarding indications for and limitations of these different techniques.The purpose of the present European Respiratory Society (ERS) statement is to provide physicians with a comprehensive clinical review of chest imaging techniques for the assessment of patients with acute respiratory failure, based on the scientific evidence as identified by systematic searches. For each of these imaging techniques, the panel evaluated the following items: possible indications, technical aspects, qualitative and quantitative analysis of lung morphology and the potential interplay with mechanical ventilation. A systematic search of the literature was performed from inception to September 2018. A first search provided 1833 references. After evaluating the full text and discussion among the committee, 135 references were used to prepare the current statement.These chest imaging techniques allow a better assessment and understanding of the pathogenesis and pathophysiology of patients with acute respiratory failure, but have different indications and can provide additional information to each other.

ERS statement on chest imaging in acute respiratory failure / D. Chiumello, G.F. Sferrazza Papa, A. Artigas, B. Bouhemad, A. Grgic, L. Heunks, K. Markstaller, G.M. Pellegrino, L. Pisani, D. Rigau, M.J. Schultz, G. Sotgiu, P. Spieth, M. Zompatori, P. Navalesi. - In: EUROPEAN RESPIRATORY JOURNAL. - ISSN 1399-3003. - 54:3(2019), pp. 1900435.1-1900435.23. [10.1183/13993003.00435-2019]

ERS statement on chest imaging in acute respiratory failure

D. Chiumello
Primo
;
G.F. Sferrazza Papa
Secondo
;
G.M. Pellegrino;
2019

Abstract

Chest imaging in patients with acute respiratory failure plays an important role in diagnosing, monitoring and assessing the underlying disease. The available modalities range from plain chest X-ray to computed tomography, lung ultrasound, electrical impedance tomography and positron emission tomography. Surprisingly, there are presently no clear-cut recommendations for critical care physicians regarding indications for and limitations of these different techniques.The purpose of the present European Respiratory Society (ERS) statement is to provide physicians with a comprehensive clinical review of chest imaging techniques for the assessment of patients with acute respiratory failure, based on the scientific evidence as identified by systematic searches. For each of these imaging techniques, the panel evaluated the following items: possible indications, technical aspects, qualitative and quantitative analysis of lung morphology and the potential interplay with mechanical ventilation. A systematic search of the literature was performed from inception to September 2018. A first search provided 1833 references. After evaluating the full text and discussion among the committee, 135 references were used to prepare the current statement.These chest imaging techniques allow a better assessment and understanding of the pathogenesis and pathophysiology of patients with acute respiratory failure, but have different indications and can provide additional information to each other.
Electric Impedance; Europe; Heart Failure; Humans; Pleural Effusion; Pneumonia; Pneumothorax; Positron-Emission Tomography; Pulmonary Disease, Chronic Obstructive; Pulmonary Medicine; Radiography, Thoracic; Respiratory Distress Syndrome, Adult; Respiratory Insufficiency; Tomography, X-Ray Computed; Ultrasonography
Settore MED/10 - Malattie dell'Apparato Respiratorio
2019
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2434/777566
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