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首页> 美国卫生研究院文献>Critical Ultrasound Journal >Routine lung ultrasound to detect postoperative pulmonary complications following major abdominal surgery: a prospective observational feasibility study
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Routine lung ultrasound to detect postoperative pulmonary complications following major abdominal surgery: a prospective observational feasibility study

机译：大腹部手术后常规肺部超声检查以发现术后肺部并发症：前瞻性观察可行性研究

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BackgroundPostoperative pulmonary complications after major abdominal surgery are associated with adverse outcome. The diagnostic accuracy of chest X-rays (CXR) to detect pulmonary disorders is limited. Alternatively, lung ultrasound (LUS) is an established evidence-based point-of-care diagnostic modality which outperforms CXR in critical care. However, its feasibility and diagnostic ability for postoperative pulmonary complications following abdominal surgery are unknown. In this prospective observational feasibility study, we included consecutive patients undergoing major abdominal surgery with an intermediate or high risk developing postoperative pulmonary complications according to the Assess Respiratory risk In Surgical patients in CATalonia (ARISCAT) score. LUS was routinely performed on postoperative days 0–3 by a researcher blinded for CXR or other clinical findings. Then, reports were drawn up for LUS concerning feasibility and detection rates of postoperative pulmonary complications. CXRs were performed on demand according to daily clinical practice. Subsequently, we compared LUS and CXR findings.
机译：背景大腹部手术后的肺部并发症与不良预后相关。胸部X射线（CXR）检测肺部疾病的诊断准确性受到限制。另外，肺部超声检查（LUS）是一种已建立的基于证据的即时诊断方法，在重症监护中优于CXR。但是，其在腹部手术后对肺部并发症的可行性和诊断能力尚不清楚。在这项前瞻性观察可行性研究中，我们根据CATalonia外科手术患者评估呼吸道风险（ARISCAT）评分，对连续进行大腹部手术的患者进行中等或高风险术后肺部并发症的纳入。 LUS通常在术后0至3天由一位对CXR或其他临床发现不知情的研究人员进行。然后，针对LUS编写了有关术后肺部并发症的可行性和检出率的报告。根据日常临床实践，按需执行CXR。随后，我们比较了LUS和CXR的发现。

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