Lung Ultrasound versus Pulmonary Auscultation in Detecting Pulmonary Congestion in the Critically Ill

BACKGROUND: In critically ill patients, auscultation might be challenging as dorsal lung fields are difficult to reach in supine-positioned and the environment is often noisy. recent years, clinicians have started consider ultrasound (LUS) a useful diagnostic tool for variety of pulmonary pathologies, including edema. AIM: The aim this study was compare LUS versus detecting edema patients. PATIENTS AND METHODS: Sixty-one patients were included study, all underwent clinical examination, chest anterior lateral (axillary) wall back each hemithorax supine position done, followed by using Bedside Emergency (BLUE) protocol. score recorded; abnormal defined presence rales or wheezes. Laboratory tests done on admission such pro-BNP, renal function, blood gases. Pro-BNP used volume overload correlated with stethoscope Pneumonia excluded normal total leukocyte counts, C-reactive protein, absence fever. RESULTS: This 61 diagnosis edema, data recorded showed that there statistically significant good positive correlation between (p < 0.05), Pearson among studied at 0.01 level (two-tailed). Furthermore, we found both higher 0.05) only 36 (59%) (presence rales) 25 (41%) negative (NO RALES) while they (high score)and pro-BNP. CONCLUSION: Pulmonary has poor sensitivity congestion had