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Lung ultrasound in critical care: a narrative review

Lung ultrasound in critical care: a narrative review
Lung ultrasound in critical care: a narrative review

Lung ultrasound (LUS) has become a crucial part of the investigative tools available in the management of critically ill patients, both within the intensive care unit setting and in prehospital medicine. The increase in its application, in part driven by the COVID-19 pandemic, along with the easy access and use of mobile and handheld devices, allows for immediate access to information, reducing the need for other radiological investigations. LUS allows for the rapid and accurate diagnosis and grading of respiratory pathology, optimisation of ventilation, assessment of weaning, and monitoring of the efficacy of surfactant therapies. This, however, must occur within the framework of accreditation to ensure patient safety and prevent misinterpretation and misdiagnosis. This narrative review aims to outline the current uses of LUS within the context of published protocols, associated pathologies, LUS scoring systems, and their applications, whilst exploring more novel uses.

COVID-19, acute respiratory failure, lung aeration, lung ultrasound, point-of-care ultrasound, weaning
2075-4418
Berry, Lee
fa1ed75a-ee81-4aca-b302-16481e04122e
Rehnberg, Lucas
f10d6bbf-4bdd-4cdb-917d-ebfdaea30475
Groves, Paul
7a3c8a9e-70eb-45db-91ee-b218eb0b5583
Knight, Martin
a3707416-0369-4878-959a-02b09641dd3e
Stewart, Michael
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Dushianthan, Ahilanandan
013692a2-cf26-4278-80bd-9d8fcdb17751
Berry, Lee
fa1ed75a-ee81-4aca-b302-16481e04122e
Rehnberg, Lucas
f10d6bbf-4bdd-4cdb-917d-ebfdaea30475
Groves, Paul
7a3c8a9e-70eb-45db-91ee-b218eb0b5583
Knight, Martin
a3707416-0369-4878-959a-02b09641dd3e
Stewart, Michael
2923f4a0-bdd6-4a35-97a0-0ce5467faa85
Dushianthan, Ahilanandan
013692a2-cf26-4278-80bd-9d8fcdb17751

Berry, Lee, Rehnberg, Lucas, Groves, Paul, Knight, Martin, Stewart, Michael and Dushianthan, Ahilanandan (2025) Lung ultrasound in critical care: a narrative review. Diagnostics, 15 (6), [755]. (doi:10.3390/diagnostics15060755).

Record type: Review

Abstract

Lung ultrasound (LUS) has become a crucial part of the investigative tools available in the management of critically ill patients, both within the intensive care unit setting and in prehospital medicine. The increase in its application, in part driven by the COVID-19 pandemic, along with the easy access and use of mobile and handheld devices, allows for immediate access to information, reducing the need for other radiological investigations. LUS allows for the rapid and accurate diagnosis and grading of respiratory pathology, optimisation of ventilation, assessment of weaning, and monitoring of the efficacy of surfactant therapies. This, however, must occur within the framework of accreditation to ensure patient safety and prevent misinterpretation and misdiagnosis. This narrative review aims to outline the current uses of LUS within the context of published protocols, associated pathologies, LUS scoring systems, and their applications, whilst exploring more novel uses.

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diagnostics-15-00755 - Version of Record
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More information

Accepted/In Press date: 13 March 2025
Published date: 17 March 2025
Keywords: COVID-19, acute respiratory failure, lung aeration, lung ultrasound, point-of-care ultrasound, weaning

Identifiers

Local EPrints ID: 501445
URI: http://eprints.soton.ac.uk/id/eprint/501445
ISSN: 2075-4418
PURE UUID: b20ee0a0-f563-4409-b782-27ccffa4179c
ORCID for Ahilanandan Dushianthan: ORCID iD orcid.org/0000-0002-0165-3359

Catalogue record

Date deposited: 02 Jun 2025 16:34
Last modified: 22 Aug 2025 02:24

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Contributors

Author: Lee Berry
Author: Lucas Rehnberg
Author: Paul Groves
Author: Martin Knight
Author: Michael Stewart
Author: Ahilanandan Dushianthan ORCID iD

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