A prospective cohort study of thoracic ultrasound in acute respiratory failure: the C3PO protocol

JRSM Open
Peter D WallbridgeMark Hew

Abstract

This study was performed to assess the clinical utility of a standardised thoracic ultrasound examination when added to standard care in patients with acute respiratory failure admitted to an intermediate care unit. This study aimed to assess the impact on clinical diagnosis, clinician confidence and management. Ultrasound has been shown to have utility in patients admitted to intensive care and emergency; however, utility in a ward setting is unknown. Prospective cohort study. Tertiary hospital in Melbourne, Australia. 50 patients with acute respiratory failure requiring admission to an intermediate care unit. (1) Change in clinical diagnosis or additional clinical diagnosis following thoracic ultrasound. (2) Change in diagnostic confidence following thoracic ultrasound. (3) Change to management following thoracic ultrasound. In 34% of patients, ultrasound detected unexpected findings that changed or added to the clinical diagnosis. Diagnostic confidence was increased in 44%, and the treating clinician altered the management plan in 30% as a result of the ultrasound. Ultrasound was particularly useful in clarifying the diagnosis in patients with multiple initial diagnoses, reducing to a single diagnosis in 69%. Thoracic ultras...Continue Reading

References

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Citations

Sep 1, 2019·BMJ : British Medical Journal·Nicholas SmallwoodNajib M Rahman
Dec 17, 2020·International Journal of Chronic Obstructive Pulmonary Disease·Peter WallbridgeDaniel Steinfort

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