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Transthoracic Ultrasound in the Diagnosis and Follow-up of Ventilator Associated Pneumonia

A

Assiut University

Status

Unknown

Conditions

Lung Ultrasound
Ventilator Associated Pneumonia

Treatments

Device: transthoracic ultrasound

Study type

Interventional

Funder types

Other

Identifiers

NCT04057625
sonar in vap

Details and patient eligibility

About

To evaluate the sensitivity, specificity and diagnostic accuracy of bedside transthoracic ultrasound examination in the diagnosis and follow up of ventilator associated pneumonia.

Full description

VAP is the most frequent hospital-acquired infection in intensive care units. Depending on the diagnostic criteria used, its incidence ranges from 5% to 67%. The risk of acquiring VAP is 3% per day during the first 5 days on mechanical ventilation, and it is decreased to 1% per day for the following days.

VAP is suspected when subject shows high grade fever, increase in leukocyte count, change in color of sputum and tachypnea. It's a leading cause of mortality in 15- 65% of the cases.

Serial chest x-ray for diagnosis and follow up, done at time of diagnosis, after 5 days and after 10 days. Chest radiography is consistently carried out after LUS , LUS is done every other day, measuring the largest area of consolidation according to the intercostal space and direction of the probe . Chest radiography is read by two physicians.

Enrollment

1 estimated patient

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • Mechanical ventilation for at least 48 hours.
  • New or evolving infiltrate on chest radiograph (CXR).
  • Clinical pulmonary infection score more than or equal 6

Exclusion criteria

  • Patients who are less than 18 years old.
  • Patients who have evidence of pneumonia before or prior to being mechanically ventilated.
  • Patients with pulmonary infarction.

Trial design

Primary purpose

Diagnostic

Allocation

N/A

Interventional model

Single Group Assignment

Masking

None (Open label)

1 participants in 1 patient group

lung ultrasound
Other group
Description:
using lung ultrasound in diagnosis and follow up of vap measuring the largest area of consolidation according to intercostal space and the direction of the probe
Treatment:
Device: transthoracic ultrasound

Trial contacts and locations

0

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Data sourced from clinicaltrials.gov

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