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Clinical Updates in Lung Ultrasound
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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: closed (30 April 2025) | Viewed by 1383

Special Issue Editor

Dr. Lior Fuchs

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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
Special Issues, Collections and Topics in MDPI journals

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

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Journal of Clinical Medicine is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2600 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

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

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Published Papers (1 paper)

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Research

13 pages, 985 KiB  
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 1095
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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