Efficacy of Lung Ultrasound in Monitoring Fluid Resuscitation in Chest Trauma Patients
Study Details
Study Description
Brief Summary
Efficacy of Lung ultrasound in monitoring fluid resuscitation in chest trauma patients with lung contusions
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Detailed Description
Trauma is a public health problem, associated to high morbidity and mortality, In Egypt the mortality from road traffic crashes is about 12000 victims per year.
- Chest trauma represents from 10% to 15% of the total number of traumas worldwide.
According to ATLS protocol , early diagnosis and management of Chest trauma are essential. *Pulmonary contusion is found in 30-75% of cases of chest injury.
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point of care Ultrasound (POCUS) is Now a corner stone in Emergency management it can predict lung contusions within the first 72 hours after trauma.
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Recently, LUS Play a major role in assessment of the volume status in Trauma patients.
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B-lines score (BLS) has been validated as a lung ultrasound quantification of pulmonary congestion.The sum of all B-lines yields a score, B-lines score (BLS), which assess the degree of lung contusion. So that LUS may provide a valuable safety threshold to conduct fluid therapy.
Study Design
Outcome Measures
Primary Outcome Measures
- Number of patients with lung contusion [Upto 24 hours after trauma]
Pulmonary edema will be detected by B_lines trauma patients with lung contusions
Secondary Outcome Measures
- Clinical correlation between Type & volume of Fluid & occurance of pulmonary edema. Correlation between severity of pulmonary lung contusion & The final disposition of the patients whatever (OR _another department _death….. etc) upto 24hr. [For first 24 hours after trauma]
Follow up on degree of contusions after fluid resuscitation
Eligibility Criteria
Criteria
Inclusion Criteria:
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Age > 18 years.
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chest trauma patients either with or without other injuries.
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Any patient with either blunt or penetrating chest trauma.
Exclusion Criteria:
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- Patients in cardiac arrest.
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Patient refusal to participate
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Pregnant females.
Contacts and Locations
Locations
No locations specified.Sponsors and Collaborators
- Assiut University
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
- Cohn SM. Pulmonary contusion: review of the clinical entity. J Trauma. 1997 May;42(5):973-9. Review.
- Miller DL, Mansour KA. Blunt traumatic lung injuries. Thorac Surg Clin. 2007 Feb;17(1):57-61, vi. Review.
- Ullman EA, Donley LP, Brady WJ. Pulmonary trauma emergency department evaluation and management. Emerg Med Clin North Am. 2003 May;21(2):291-313. Review.
- Chest US in lung contusion