• Crit Care · Jul 2024

    Comment Letter Meta Analysis

    LUS me up: elevating ARDS diagnosis.

    • Rogério da Hora Passos, Rafaella Maria da Cunha Lyrio, Igor Dovorake Lourenço, Evandro José de Almeida Figueiredo, FlatoUri Adrian PryncUAPCritical Care Unit, Hospital Israelita Albert Einstein, São Paulo, Brazil., Carmen Valente Barbas, and Arnaldo Alves da Silva.
    • Critical Care Unit, Hospital Israelita Albert Einstein, São Paulo, Brazil. oiregorpassos@yahoo.com.br.
    • Crit Care. 2024 Jul 29; 28 (1): 257257.

    AbstractBoumans 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.© 2024. The Author(s).

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