Diagnostic Accuracy of Bedside Lung Ultrasound and Chest Radiography Compared to Thoracic Computed Tomography in Critically Ill Patients

Bedside lung ultrasound (LUS) is being adopted in ICUs, with a higher diagnostic accuracy for consolidation, interstitial syndrome, pleural effusion, and pneumothorax when compared chest radiography (CXR). Compare the performance of LUS CXR detection pathologic abnormalities critically ill patients ICU, using thoracic computed tomography (CT) as gold standard. Prospective descriptive single-center study. Prior to CT, we performed bedside CXR, evaluating hemithoraces characterized them positive or negative each four (consolidation pneumothorax). We decided therapeutic intervention after CT. A total 58 were evaluated. With consolidation was present 100 (89.3%) evaluated hemithoraces, followed by effusion 74 (66.1%), syndrome 40 (35.7%), 4 (3.6%). better than exhibiting significantly sensitivity all conditions. had marginally specificity pneumothorax. In 42 (72%) patients, imaging studies led specific action; 33 (79%) subsequent measure based on information provided LUS. shows diagnosis common conditions could be an alternative CT scans.