Efficacy of Lung Ultrasound in Monitoring Fluid Resuscitation in Chest Trauma Patients

Assiut University100 enrolled

Overview

Efficacy of Lung ultrasound in monitoring fluid resuscitation in chest trauma patients with lung contusions

Trauma is a public health problem, associated to high morbidity and mortality, In Egypt the mortality from road traffic crashes is about 12000 victims per year. * Chest trauma represents from 10% to 15% of the total number of traumas worldwide. According to ATLS protocol , early diagnosis and management of Chest trauma are essential. \*Pulmonary contusion is found in 30-75% of cases of chest injury. * point of care Ultrasound (POCUS) is Now a corner stone in Emergency management it can predict lung contusions within the first 72 hours after trauma. * Recently, LUS Play a major role in assessment of the volume status in Trauma patients. * B-lines score (BLS) has been validated as a lung ultrasound quantification of pulmonary congestion.The sum of all B-lines yields a score, B-lines score (BLS), which assess the degree of lung contusion. So that LUS may provide a valuable safety threshold to conduct fluid therapy.

Study Type

OBSERVATIONAL

Enrollment

100

Conditions

Contusions Pulmonary Lung Injury Chest Trauma Fluid Overload Pulmonary Edema

Interventions

Chest examination with Ultrasound deviceOTHER

Chest examination with Ultrasound device

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Age \> 18 years. * chest trauma patients either with or without other injuries. * Any patient with either blunt or penetrating chest trauma. Exclusion Criteria: * \- Patients in cardiac arrest. * Patient refusal to participate * Pregnant females.

Locations (1)

Faculty of medicine Assiut University

Asyut, Egypt

Outcomes

Primary Outcomes

Number of patients with lung contusion

Pulmonary edema will be detected by B\_lines trauma patients with lung contusions

Time frame: Upto 24 hours after trauma

Secondary Outcomes

Clinical correlation between Type & volume of Fluid & occurance of pulmonary edema. Correlation between severity of pulmonary lung contusion & The final disposition of the patients whatever (OR _another department _death….. etc) upto 24hr.

Follow up on degree of contusions after fluid resuscitation

Time frame: For first 24 hours after trauma

Data from ClinicalTrials.gov

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