The application of Critical Care Chest Ultrasonic Evaluation-plus Protocol in the etiological diagnosis of dyspnea and/or hemodynamic instability caused by abdominal abnormality

• Published in: Chung-hua nei kʿo tsa chih Vol. 56; no. 8; p. 583
• Main Authors: Li, L, Ai, Y H, Jiang, S, Zhang, Y X, Hu, C H, Ai, M L, Ma, X H, Liu, Z Y, Zhang, L N
• Format: Journal Article
• Language: Chinese
• Published: China 01.08.2017
• Subjects: Critical Care; Critical Illness; Diaphragm - diagnostic imaging; Dyspnea - diagnosis; Dyspnea - etiology; Hemodynamics - physiology; Humans; Intensive Care Units; Lung - diagnostic imaging; Lung - physiopathology; Lung Diseases; Physical Examination; Respiratory Distress Syndrome, Adult - diagnosis; Sensitivity and Specificity; Tomography, X-Ray Computed; Ultrasonography - methods; Critical illness; Intestinal obstruction; Dyspnea; Critical care ultrasonography; Etiological diagnosis
• ISSN: 0578-1426
• DOI: 10.3760/cma.j.issn.0578-1426.2017.08.006

To investigate the application of Critical Care Chest Ultrasonic Examination (CCUE)-plus (CCUE-plus) in the etiological diagnosis in patients with dyspnea and/or hemodynamic instability caused by abdominal abnormalities. Patients who suffered from dyspnea and/or hemodynamic instability in the Department of Critical Care Medicine, Xiangya Hospital, Central South University from September 2013 to September 2016 were recruited in this study. A total of 255 consecutive patients completed CCUE within 2hrs of admission. If the diaphragm could not be seen in the routine phrenic points according to Bedside Lung Ultrasound Evaluation (BLUE) protocol, it would be found along midaxillary line and defined m-point. The 59 patients with altered diaphragmatic position (m-point was more than 2 cm higher than phrenic point) received sequential abdominal ultrasonography. The latter ultrasonographic findings were compared with CT results. There were 42(71.19%) cases with positive findings of abdominal ultrasonography, including