English (United Kingdom)

https://curated-unify.zendy.io/wp-json/zendy-region/v1/featured_content/oa?rat=en

https://curated-unify.zendy.io/wp-json/zendy-region/v1/highlighted_journal/

Global: Zendy Plus annual

Presents the access of premium content as premium feature

Premium Content

Presents the keyphrase highlighting as premium feature

Keyphrase Highlighting

Presents the summarisation as premium feature

Summarisation

Insights

Presents the pdf analysis as premium feature

PDF Analysis

Presents the zaia usage as premium feature

ZAIA

Global: Zendy Tools annual

Global: Zendy Free Plan

Global: Zendy Tools monthly

Global: Zendy Plus monthly

Objective  To evaluate the efficacy of bedside ultrasound in detecting lung atelectasis/consolidation in multiple trauma patients with mechanical ventilation.    Methods  This prospective observation study was conducted in the emergency intensive care unit (EICU) over an 18-month period from January 2007 to June 2008. Chest ultrasound was performed in 81 multiple trauma patients with mechanical ventilation. Computed tomography (CT) was regarded as the “golden standard” to diagnose lung atelectasis/consolidation.    Results  Computed tomography detected 154 lung atelectasis/consolidation in 324 lung regions in 81 patients. Ultrasound confirmed 126 lung atelectasis/consolidation, 87 with complete and 39 with incomplete atelectasis/consolidation. The sensitivity, specificity, positive predictive value, negative predictive value and accuracy of ultrasound were 81.8, 100, 100, 85.9 and 91.4%, respectively. A Kappa agreement test showed a very high concordance between ultrasound and CT with a Kappa coefficient of 0.825 (P = 0.031). The effective ratio of ultrasound guiding lung recruitment was 80.2%.    Conclusion  Ultrasound is a safe, dynamic viewing and accurate method to diagnose and manage lung atelectasis/consolidation in multiple trauma patients with mechanical ventilation.

Detection of lung atelectasis/consolidation by ultrasound in multiple trauma patients with mechanical ventilation