RecruitingNCT06728709

Lung Ultrasound in Critically Ill Obstetrics and Gynecological Patients

Perioperative Lung Ultrasound Phenotypes and Clinical Outcomes in Critically Ill Obstetrics and Gynaecologic Patients (POLUS): A Prospective Cohort Study

Sponsor

Ain Shams University

Enrollment

64 participants

Start Date

Dec 15, 2024

Study Type

OBSERVATIONAL

Conditions

Gynecologic Cancer Ultrasound Lung Diseases Obstetric Complication

Summary

Pulmonary dysfunction aggravates the illness of critically ill obstetrics and gynecological patients. Early identification with bedside technique and prompt management may improve the outcome of critical care in this vulnerable population

Eligibility

Sex: FEMALE

Plain Language Summary

Simplified for easier understanding

This study is using lung ultrasound — a bedside imaging tool — to monitor the lungs of critically ill obstetric (pregnancy-related) and gynecological patients in an intensive care unit. The goal is to evaluate whether lung ultrasound findings help guide treatment and predict outcomes in this vulnerable patient group. **You may be eligible if...** - You are a patient admitted to an obstetrics and gynecology intensive care unit **You may NOT be eligible if...** - You decline to participate - A lung ultrasound cannot be performed within the first 24 hours of your admission Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

DIAGNOSTIC_TESTultrasound detection of any abnormal ultrasonographical findings.

ultrasound assessment within 24 hours. Then reassessment every 48 hours or when the patient develops respiratory distress. While the patient is in a supine or semi-recumbent position, and the probe is in a short axis. The 8-region technique will be used. The areas are four on each side of the chest. The examiner will assess 8 regions -Anterior chest wall ( ACW), Anterior axillary line (AAXL), costo-phrenic angle (COSTO), Postero-lateral alveolar \&/ or pleural syndrome (PLAPS) right and left . Each region will be scored using the LUS aeration score. as follows: "0," A-pattern with 0-2 B-lines; "1," more than 2 separated B-lines; "2," multiple coalescent B-lines; or "3," lung consolidation, . A global LUS score will be calculated at each time point and range from 0 to 24. posterior region will be assessed if needed and if feasible. The venous status will be assessed through a subcostal view for inferior vena cava diameter.