Feasibility study of ICU nurses screening the causes of dyspnea in severe patients by using pulmonary ultrasound
10.3760/cma.j.issn.1672-7088.2018.21.012
- VernacularTitle: ICU护士应用肺部超声筛查呼吸困难的可行性研究
- Author:
Xin LI
;
Qing ZHANG
;
Jianhua SUN
;
Mingxi ZHAO
;
Hailing GUO
;
Zunzhu LI
;
Hongbo LUO
;
Jinbang LIU
;
Xiaoting WANG
1
Author Information
1. Department of Intensive Care Unit, Chinese Academy of Medical Sciences Peking Union Medical College, Beijing 100730, China
- Collective Name:Chinese Critical Ultrasound Study Group
- Publication Type:Journal Article
- Keywords:
Nursing care;
Ultrasonography;
Dyspnea;
Respiratory therapy;
Critical ill patients
- From:
Chinese Journal of Practical Nursing
2018;34(21):1651-1655
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the feasibility of ICU nurse-performed lung ultrasound in screening the reason of dyspnea in ICU patients, and to explore the effect on nursing decisions.
Methods:ICU nurses trained on lung ultrasound with 16 hours performed point-of-care lung ultrasound in patient with acute respiratory failure to assess the condition of the patient′s lungs and screen for pleural effusion, atelectasis/lung consolidation. Etc; Repeated examinations by ICU physicians accredited by the International Critical Ultrasound Alliance to evaluate the accuracy of ICU nurse interpretation.
Results:A total of 510 lung ultrasonographic examinations were performed in 51 patients. Compared with physicians, ICU nurses correctly interpreted 472 ultrasound signs, accounting for 92.53%. ICU nurses found that the sensitivity of the pleural effusion was 86.7%, the specificity was 95.2%, and the diagnostic accuracy rate was 90.2%, and Youden index was 81.9%. The ultrasonography revealed a sensitivity of 92.1% for atelectic/pulmonary consolidation and a specificity of 92.3.%, the diagnostic accuracy rate was 92.2% and Youden index was 84.4%.
Conclusion:ICU nurses who have undergone standardized training can correctly interpret lung ultrasound signs and have good diagnostic value for screening of pleural effusions and atelectasis/lung consolidation; they provide the basis for optimization of chest physiotherapy programs.
