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Clinical Updates in Lung Ultrasound

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Respiratory Medicine".

Deadline for manuscript submissions: 20 November 2025 | Viewed by 3382

Special Issue Editor


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Guest Editor
Medical Intensive Care Unit and Clinical Research Center, Soroka University Medical Center, Beer-Sheva 8457108, Israel
Interests: point-of-care ultrasound in acute care; artificial-intelligence-based real-time tools; medical education
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Special Issue Information

Dear Colleagues,

The evolution of lung ultrasound has significantly transformed clinical practice across various medical fields, from primary care to intensive care units. This versatile tool enables earlier and more accurate diagnoses, especially in conditions that previously required CT scans and other imaging modalities that are not always readily accessible. The integration of AI tools further enhances its precision, offering promising possibilities in personalized medicine. Lung ultrasound has shown potential in subphenotyping ARDS, which could allow for tailored treatments and faster definitive diagnoses. However, more studies are needed to demonstrate its impact on clinical outcomes and its role in precision medicine. This Special Issue invites submissions on the clinical advancements of lung ultrasound, focusing on its diagnostic and therapeutic applications across diverse settings, as well as research exploring its potential to improve outcomes through precision medicine.

Dr. Lior Fuchs
Guest Editor

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Keywords

  • lung ultrasound
  • intensive care
  • imaging
  • ARDS
  • POCUS

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Published Papers (2 papers)

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Research

19 pages, 1135 KB  
Article
Can Lung Ultrasound Act as a Diagnosis and Monitoring Tool in Children with Community Acquired Pneumonia? Correlation with Risk Factors, Clinical Indicators and Biologic Results
by Raluca Isac, Alexandra-Monica Cugerian-Ratiu, Andrada-Mara Micsescu-Olah, Alexandra Daniela Bodescu, Laura-Adelina Vlad, Anca Mirela Zaroniu, Mihai Gafencu and Gabriela Doros
J. Clin. Med. 2025, 14(15), 5304; https://doi.org/10.3390/jcm14155304 - 27 Jul 2025
Viewed by 1090
Abstract
Background: Community-acquired pneumonia (CAP) is the leading cause of mortality in children from middle- to low-income countries; diagnosing CAP includes clinical evaluation, laboratory testing and pulmonary imaging. Lung ultrasound (LUS) is a sensitive, accessible, non-invasive, non-radiant method for accurately evaluating the lung involvement [...] Read more.
Background: Community-acquired pneumonia (CAP) is the leading cause of mortality in children from middle- to low-income countries; diagnosing CAP includes clinical evaluation, laboratory testing and pulmonary imaging. Lung ultrasound (LUS) is a sensitive, accessible, non-invasive, non-radiant method for accurately evaluating the lung involvement in acute diseases. Whether LUS findings can be correlated with CAP’s severity or sepsis risk remains debatable. This study aimed to increase the importance of LUS in diagnosing and monitoring CAP. We analyzed 102 children aged 1 month up to 18 years, hospital admitted with CAP. Mean age was 5.71 ± 4.85 years. Underweight was encountered in 44.11% of children, especially below 5 years, while overweight was encountered in 11.36% of older children and adolescents. Patients with CAP presented with fever (79.41%), cough (97.05%), tachypnea (18.62%), respiratory failure symptoms (20.58%), chest pain (12.74%) or poor feeding. Despite the fact that 21.56% had clinically occult CAP and six patients (5.88%) experienced radiologically occult pneumonia, CAP diagnosis was established based on anomalies detected using LUS. Conclusions: Detailed clinical examination with abnormal/modified breath sounds and/or tachypnea is suggestive of acute pneumonia. LUS is a sensitive diagnostic tool. A future perspective of including LUS in the diagnosis algorithm of CAP should be taken into consideration. Full article
(This article belongs to the Special Issue Clinical Updates in Lung Ultrasound)
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13 pages, 985 KB  
Article
Perioperative Lung Ultrasound Findings in Elective Intra-Abdominal Surgery: Associations with Postoperative Pulmonary Complications
by Moshe Rucham, Yotam Lior, Lior Fuchs, Benjamin F. Gruenbaum, Asaf Acker, Alexander Zlotnik and Evgeni Brotfain
J. Clin. Med. 2024, 13(23), 7098; https://doi.org/10.3390/jcm13237098 - 24 Nov 2024
Viewed by 1844
Abstract
Background: For patients undergoing abdominal surgery, postoperative pulmonary complications (PPCs) are a major source of morbidity and mortality. The use of point-of-care ultrasonography (POCUS), and specifically POCUS of the lungs, has seen many advancements in recent years. Objectives: We hypothesize that perioperative lung [...] Read more.
Background: For patients undergoing abdominal surgery, postoperative pulmonary complications (PPCs) are a major source of morbidity and mortality. The use of point-of-care ultrasonography (POCUS), and specifically POCUS of the lungs, has seen many advancements in recent years. Objectives: We hypothesize that perioperative lung ultrasonography can be used as a predictor for PPCs. Methods: In a Single, 1000 beds, trauma level I medical center, patients presenting for elective intra-abdominal surgery with no severe pulmonary or cardiac diseases were evaluated preoperatively with a standardized 12-point lung ultrasound exam. A second identical exam was performed after surgery in the post-anesthesia care unit. PPCs were also documented. All lung ultrasound exams were presented to a blinded researcher and a lung ultrasound score (LUS) was calculated. Statistical analysis comparing pre- and postoperative LUS and PPC scores were performed. Results: A total of 61 patients were evaluated. The pre-surgery median LUS was 0 (in the range of 0–6) and the post-surgery median LUS was 3 (in the range of 0–14). The pre- to postsurgical LUS delta was 3.4 (standard deviation of 3.3). A postoperative LUS of 6 or more was defined as “high.” A High LUS did not correlate with prolonged post-anesthesia care unit or hospital stay, prolonged oxygen support, or number of desaturation events. Conclusion: For elective abdominal surgery in relatively healthy patients, preoperative LUS usually begins at a normal level and becomes worse after general anesthesia. However, this difference in LUS is not significantly associated with clinically relevant postoperative pulmonary complications such as prolonged oxygen therapy, pneumonia, and noninvasive or invasive mechanical ventilation. Trial registration: Clinicaltrials.gov identifier: NCT05502926. Summary: This paper explores the use of point-of-care ultrasonography as a predictor for postoperative pulmonary complications. The findings suggest that while the lung ultrasound score worsens with general anesthesia, the differences are not significantly associated with postoperative pulmonary complications. Full article
(This article belongs to the Special Issue Clinical Updates in Lung Ultrasound)
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