LUS me up: elevating ARDS diagnosis

Crit Care. 2024 Jul 29;28(1):257. doi: 10.1186/s13054-024-05044-5.

Abstract

Boumans et al. conducted a systematic review and meta-analysis to evaluate the diagnostic accuracy of lung ultrasound (LUS) in acute respiratory distress syndrome (ARDS). The study found that LUS has high specificity (0.942, 95% CI 0.856-0.978) but variable sensitivity (0.631, 95% CI 0.450-0.782) for identifying ARDS-related diffuse lung pathologies. LUS demonstrates comparable or superior performance to chest radiography and CT scans, facilitating rapid bedside diagnosis and management. However, variability in operator experience and interpretation criteria, as well as challenges in detecting mild or early-stage ARDS, remain. The study highlights the need for further research to refine LUS protocols and training, enhancing its application in clinical practice and improving patient outcomes.

Publication types

  • Systematic Review
  • Meta-Analysis
  • Letter
  • Comment

MeSH terms

  • Humans
  • Lung / diagnostic imaging
  • Lung / physiopathology
  • Respiratory Distress Syndrome* / physiopathology
  • Respiratory Distress Syndrome* / therapy
  • Sensitivity and Specificity
  • Ultrasonography* / methods