ArticleCritical ultrasound journal2018
Pre-hospital lung ultrasound for cardiac heart failure and COPD: is it worthwhile?
Article in Critical ultrasound journal, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 39 citations in OpenAlex.
- Contribution of point-of-care ultrasound in the prehospital management of patients with non-trauma acute dyspnea: a systematic review and meta-analysis.European journal of emergency medicine : official journal of the European Society for Emergency Medicine · 2025Pooled it
- Recommendations for Lung Ultrasound in Internal Medicine.Diagnostics (Basel, Switzerland) · 2020Guideline
- An Integrated Prehospital Point-of-Care Lung Ultrasound Protocol for Patients With Dyspnea.Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine · 2026Article
- Prehospital treatment modalities for acute exacerbation of chronic obstructive pulmonary disease: a scoping review.BMC emergency medicine · 2026Article
- Interpretation Accuracy and Theoretical Decision Impact of Prehospital Ultrasound for Paramedics - Analysis of a Rural Pilot Program.Prehospital emergency care · 2026Observational
- Effectiveness of a simulation-based point-of-care ultrasound course for prehospital providers - a single group quasi-experimental study.BMC medical education · 2025Article
- Evolving role of point-of-care ultrasound in prehospital emergency care: a narrative review.Scandinavian journal of trauma, resuscitation and emergency medicine · 2025Review
- Use of Ultrasound in the Prehospital Setting: A Scoping Review.Journal of the American College of Emergency Physicians open · 2025Review
- Accuracy of Lung Ultrasonography for Diagnosis of Heart Failure; a Systematic Review and Meta-analysis.Archives of academic emergency medicine · 2025Review
- The LUSBI Protocol (Lung Ultrasound/BREST Score/Inferior Vena Cava)-Its Role in a Differential Diagnostic Approach to Dyspnea of Cardiogenic and Non-Cardiogenic Origin.Medicina (Kaunas, Lithuania) · 2024Article
- Impact of Prehospital Ultrasound Training on Simulated Paramedic Clinical Decision-Making.The western journal of emergency medicine · 2024Article
- [Prehospital ultrasound in emergency medicine].Die Anaesthesiologie · 2024Article
- Lung ultrasound training: how short is too short? observational study on the effects of a focused theoretical training for novice learners.BMC medical education · 2024Observational
- [Recommendations for Education in Sonography in Prehospital Emergency Medicine (pPOCUS): Consensus paper of DGINA, DGAI, BAND, BV-ÄLRD, DGU, DIVI and DGIIN].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2023Review
- [Recommendations for Education in Sonography in Prehospital Emergency Medicine (pPOCUS): Consensus paper of DGINA, DGAI, BAND, BV-ÄLRD, DGU, DIVI and DGIIN].Die Anaesthesiologie · 2023Review
- Acute dyspnea in the emergency department: a clinical review.Internal and emergency medicine · 2023Review
- Remote real-time supervision of prehospital point-of-care ultrasound: a feasibility study.Scandinavian journal of trauma, resuscitation and emergency medicine · 2022Observational
- The role of lung ultrasonography in COVID-19 disease management.Journal of the American College of Emergency Physicians open · 2020Article
- Point-of-care ultrasound modalities in terms of diagnosing acute decompensated heart failure in emergency department; a diagnostic accuracy study.Internal and emergency medicine · 2020Article
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPre-hospital ultrasound is a new challenge and lung ultrasound could be an interesting opportunity in the pre-hospital medical service. The aim of our study was to evaluate the efficacy of lung ultrasound in out-of-hospital non-traumatic respiratory insufficiency.
methodsWe planned a case-controlled study in the ULSS 5 ovest vicentino area (Vicenza-Italy) enrolling subjects with severe dyspnea caused by cardiac heart failure or acute exacerbation of chronic obstructive pulmonary disease. We compared drugs administration, oxygen delivery, and laboratory tests between those patients with ultrasound integrated management and those without ultrasound.
resultsPre-hospital lung ultrasound had a high specificity (94.4%) and sensitivity (100%) for the correct identification of alveolar interstitial syndrome using B lines, whereas the percentages obtained with pleural effusion were lower (83.3, 53.3%, respectively). The patients with ultrasound integrated management received a more appropriate pharmacological therapy (p 0.01), as well as non-invasive ventilation (CPAP) was used more frequently in those with an acute exacerbation of chronic obstructive pulmonary disease (p 0.011). Laboratory tests and blood gases analysis were not significant different between the two study groups. In a sub-analysis of the patients with an A profile, we observed a significant lower concentration of PCO
conclusionsPre-hospital lung ultrasound is easy and feasible, and learning curve is rapid. Our study suggests that cardiac heart failure and acute exacerbation of chronic obstructive pulmonary disease can be considered two indications for pre-hospital ultrasound, and can improve the management of patient with acute respiratory insufficiency.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.