Effect of use of Integrated cardiac and lung Ultrasound on the clinical outcome of the patients admitted to ICU suffering from shock

Kahla, Ayman Hussein Fahmy Mohamad; Mohamed, Mohamed Ahmed Elbadawy; Abd-Elaty, Moaz Atef El-Shahat; Khalaf, Hani Abdelshafook Badr; Ahmad, Abdul-Azim Ahmad Abdul-Azim

doi:https://doi.org/10.21608/aimj.2025.446498

Effect of use of Integrated cardiac and lung Ultrasound on the clinical outcome of the patients admitted to ICU suffering from shock

Document Type : Original Article

Authors

¹ Professor of Anesthesia, Intensive Care and Pain Management , Faculty of Medicine, Al-Azhar University, Cairo, Egypt;

² Lecturer of Anesthesia, Intensive Care and Pain Management, Faculty of Medicine, Al-Azhar University, Cairo, Egypt;

³ Assistant Professor of Chest Diseases, Faculty of Medicine, Al-Azhar University, Cairo, Egypt

⁴ Lecturer of Cardiology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt

⁵ MSc, Anesthesia and Intensive Care, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.

https://doi.org/10.21608/aimj.2025.446498

Abstract

Abstract

Background: Ultrasound technology has become a cornerstone in medical imaging, employing high-frequency sound waves to visualize internal structures in real time. This non-invasive technique finds applications across various fields, most notably in emergency medicine through point-of-care ultrasound(POCUS).
Aim and objectives: To assess the severity of cardiac and pulmonary problems in shock patients in order to direct their treatment and determine the likelihood of a positive result.
Subjects and methods: From March 2022 through March 2024, 108 patients suffering from shock were enrolled in this randomized prospective case-control research at the intensive care units (ICUs) of the Cairo University Hospitals affiliated with the Faculty of Medicine, Al-Azhar. Patients who were shocked enough to participate in this trial were split evenly among two categories.
Results: There were no discernible variations in APACHE II scores or cardiopulmonary ultrasonography measures between the categories. IVC diameter ranged from 0.65-2.71cm (mean 1.62±0.642cm), LUSS from 0-22cm (mean 11.94±7.183cm), MAPSE from 0.80-2.90cm (mean 1.34±0.655cm), and TAPSE from 1.10-2.60cm (mean 2.35±0.832cm). Group (A) had an APACHE II score of 21.80±6.725 and Group (B) had a score of 20.78±8.284, with a p-value of only 0.485. Nevertheless, with a p-value of just 0.035, Group-(A) required mechanical ventilation for a considerably longer period of time (81.82±38.827 hours) than Group-(B) (68.31±25.332 hours).
Conclusion: A significant decline in the overall mortality rate among the ultrasound treated Group, contrasted with the control group. Integrated cardiopulmonary ultrasound resulted in shorter ICU stay and mechanical ventilation. Pearson’s correlation coefficients between patient mortality and the diameter of IVC, LUSS, EPSS, and APACHE II showed a strong positive correlation between these variables and mortality.

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