ERS statement on chest imaging in acute respiratory failure
Por:
Chiumello, D, Papa, GFS, Artigas, A, Bouhemad, B, Grgic, A, Heunks, L, Markstaller, K, Pellegrino, GM, Pisani, L, Rigau, D, Schultz, MJ, Sotgiu, G, Spieth, P, Zompatori, M, Navalesi, P
Publicada:
1 sep 2019
Resumen:
Chest imaging in patients with acute respiratory failure plays an important role in diagnosing, monitoring and assessing the underlying disease. The available modalities range from plain chest X-ray to computed tomography, lung ultrasound, electrical impedance tomography and positron emission tomography. Surprisingly, there are presently no clear-cut recommendations for critical care physicians regarding indications for and limitations of these different techniques.
The purpose of the present European Respiratory Society (ERS) statement is to provide physicians with a comprehensive clinical review of chest imaging techniques for the assessment of patients with acute respiratory failure, based on the scientific evidence as identified by systematic searches. For each of these imaging techniques, the panel evaluated the following items: possible indications, technical aspects, qualitative and quantitative analysis of lung morphology and the potential interplay with mechanical ventilation. A systematic search of the literature was performed from inception to September 2018. A first search provided 1833 references. After evaluating the full text and discussion among the committee, 135 references were used to prepare the current statement.
These chest imaging techniques allow a better assessment and understanding of the pathogenesis and pathophysiology of patients with acute respiratory failure, but have different indications and can provide additional information to each other.
Filiaciones:
Chiumello, D:
Osped San Paolo Polo Univ, ASST Santi Paolo & Carlo, SC Anestesia & Rianimaz, Milan, Italy
Univ Milan, Ctr Ric Coordinata Insufficienza Resp, Dipartimento Sci Salute, Milan, Italy
Papa, GFS:
Casa Cura Policlin, Dipartimento Sci Neuroriabilitat, Milan, Italy
Artigas, A:
Autonomous Univ Barcelona, Univ Parc Tauli, CIBER Enfermedades Resp, Corp Sanitaria, Sabadell, Spain
Univ Hosp Sagrado Corazon Gen Cataluna, Intens Care Dept, Quiron Salud, Barcelona, Spain
Bouhemad, B:
Univ Bourgogne Franche Comte, Serv Anesthesie Reanimat, Incumr 866L, Dijon, France
Grgic, A:
Saarland Univ, Med Ctr, Dept Nucl Med, Homburg, Germany
Heunks, L:
Vrije Univ Amsterdam, Amsterdam UMC, Dept Intens Care Med, Amsterdam, Netherlands
Markstaller, K:
Med Univ Vienna, Dept Anesthesia Gen Intens Care Med & Pain Therap, Vienna, Austria
Pellegrino, GM:
Univ Milan, Ctr Ric Coordinata Insufficienza Resp, Dipartimento Sci Salute, Milan, Italy
Casa Cura Policlin, Dipartimento Sci Neuroriabilitat, Milan, Italy
Pisani, L:
Univ Bologna, St Orsola Malpighi Hosp, Alma Mater Studiorum, Resp & Crit Care Unit, Bologna, Italy
Rigau, D:
Cochrane Iberoamer, Barcelona, Spain
Schultz, MJ:
Mahidol Univ, Mahidol Oxford Trop Med Res Unit, Bangkok, Thailand
Sotgiu, G:
Univ Sassari, Dept Clin & Expt Med, Clin Epidemiol & Med Stat Unit, Sassari, Italy
Spieth, P:
Tech Univ Dresden, Univ Hosp Carl Gustav Carus, Dept Anesthesiol & Crit Care Med, Dresden, Germany
Dresden Int Univ, Div Hlth Care Sci, Ctr Clin Res & Management Educ, Dresden, Germany
Zompatori, M:
S Giuseppe Hosp, Multimed IRCCS, Milan, Italy
Navalesi, P:
Magna Graecia Univ Catanzaro, Dept Med & Surg Sci, Anaesthesia & Intens Care, Catanzaro, Italy
Green Published, Bronze
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