WORLD JOURNAL OF ADVANCE
HEALTHCARE RESEARCH

Dr. Taha Abdullah Ali*, Dr. Reem Abbas Naeem and Dr. Jabbar Kadhim Jabbar

ABSTRACT

Background: In low-resource settings it is not always possible to acquire the information required to diagnose acute respiratory distress syndrome (ARDS). Ultrasound and pulse oximetry, however, may be available in these settings. This study was designed to test whether pulmonary ultrasound and pulse oximetry could be used in place of traditional radiographic and oxygenation evaluation for ARDS. Aim of study: To evaluate the useful of non-invasive bed-side pulmonary U/S and pulse oximetry in the diagnosis and assessment of ARDS in pediatrics. Methods: This a prospective study has been conducted on (100) samples of children between 2 to 14 years old, under mechanical ventilation, who are admitted to PICU of child welfare teaching hospital in medical city. Bedside pulmonary ultrasound was performed. Pulse oximetric oxygen saturation (SpO2), partial pressure of oxygen (PaO2), fraction of inspired oxygen (FiO2), provider diagnoses, and chest radiograph closest to time of ultrasound were recorded or interpreted. Corresponding measurements, as well as demographic and diagnostic information, were included in the database. Results: There is a moderate level of agreement between bilateral lung infiltration of x-ray and U/S, and this agreement was statistically significant (kappa= 0.514, P=0.001). Perfect positive correlation was seen between S/F and P/F ratios (r= 0.907, P= 0.001). Conclusion: This study clearly demonstrates that lung U/S and pulse oximeter are a safe and validated tools, which can use through assessment in the diagnosis of ARDS.

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