Ultrasonography in the Diagnosis of Bronchiolitis: Evaluation of Effectiveness and Application in Clinical Practice
Introduction and Purpose This study investigates the effectiveness and clinical applicability of lung ultrasound (LUS) in diagnosing acute bronchiolitis. Bronchiolitis is challenging to diagnose due to symptom overlap with other respiratory infections and varying clinical presentations. While co...
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| Format: | Article |
| Language: | English |
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Kazimierz Wielki University
2024-12-01
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| Series: | Journal of Education, Health and Sport |
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| Online Access: | https://apcz.umk.pl/JEHS/article/view/55983 |
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| author | Karolina Zalewa Joanna Olszak Wojciech Kapłan Dominika Orłowska Lidia Bartoszek Mikołaj Poleszczuk Karol Poleszczuk Anna Czuba Alicja Milewska |
| author_facet | Karolina Zalewa Joanna Olszak Wojciech Kapłan Dominika Orłowska Lidia Bartoszek Mikołaj Poleszczuk Karol Poleszczuk Anna Czuba Alicja Milewska |
| author_sort | Karolina Zalewa |
| collection | DOAJ |
| description |
Introduction and Purpose
This study investigates the effectiveness and clinical applicability of lung ultrasound (LUS) in diagnosing acute bronchiolitis. Bronchiolitis is challenging to diagnose due to symptom overlap with other respiratory infections and varying clinical presentations. While conventional diagnosis relies on patient history and physical examination, LUS has emerged as a promising, non-invasive tool that may improve diagnostic accuracy and provide valuable insights into disease severity without the radiation risks associated with X-rays.
Material and Methods
This review is based on articles from the PubMed database, covering the years 2012-2024, using keywords: bronchiolitis, LUS, lung ultrasound.
Results
The study found that LUS demonstrated high sensitivity and specificity for identifying bronchiolitis-related lung abnormalities, including areas of consolidation and interstitial involvement. A strong association was observed between ultrasound scores and clinical severity, with elevated scores correlating with increased need for respiratory support. LUS was more effective than conventional chest X-rays for detecting consolidations over 1 cm and predicting oxygenation issues in critically ill patients.
Conclusions
LUS proves to be a valuable diagnostic tool for bronchiolitis, providing a safe, radiation-free alternative to traditional imaging and yielding reliable information on disease severity. Its ease of use, combined with its predictive value in identifying children at risk for respiratory complications, highlights LUS as a practical method for bedside assessment. Moreover, advancements in AI-supported LUS analysis hold potential for reducing operator dependency, enhancing diagnostic consistency, and improving workflow efficiency in emergency settings. Integrating LUS into routine practice could thus enhance care for pediatric bronchiolitis patients, supporting more accurate, timely diagnoses and targeted treatment interventions.
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| format | Article |
| id | doaj-art-755df24a92124965a048a1be05078f2c |
| institution | OA Journals |
| issn | 2391-8306 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Kazimierz Wielki University |
| record_format | Article |
| series | Journal of Education, Health and Sport |
| spelling | doaj-art-755df24a92124965a048a1be05078f2c2025-08-20T02:19:34ZengKazimierz Wielki UniversityJournal of Education, Health and Sport2391-83062024-12-017510.12775/JEHS.2024.75.55983Ultrasonography in the Diagnosis of Bronchiolitis: Evaluation of Effectiveness and Application in Clinical PracticeKarolina Zalewa0Joanna Olszak1Wojciech Kapłan2Dominika Orłowska3Lidia Bartoszek4Mikołaj Poleszczuk5Karol Poleszczuk6Anna Czuba7Alicja Milewska8Medical University of WarsawIndependent Public Hospital No. 4 in LublinIndependent Public Hospital No. 4 in LublinTrauma Surgery Hospital of St. Anna, National Medical Institute of the Ministry of the Interior and AdministrationMedical University of LublinKazimierz Pułaski University of RadomStefan Żeromski Specialist Hospital SP ZOZ in KrakówKazimierz Pułaski University of Radom Introduction and Purpose This study investigates the effectiveness and clinical applicability of lung ultrasound (LUS) in diagnosing acute bronchiolitis. Bronchiolitis is challenging to diagnose due to symptom overlap with other respiratory infections and varying clinical presentations. While conventional diagnosis relies on patient history and physical examination, LUS has emerged as a promising, non-invasive tool that may improve diagnostic accuracy and provide valuable insights into disease severity without the radiation risks associated with X-rays. Material and Methods This review is based on articles from the PubMed database, covering the years 2012-2024, using keywords: bronchiolitis, LUS, lung ultrasound. Results The study found that LUS demonstrated high sensitivity and specificity for identifying bronchiolitis-related lung abnormalities, including areas of consolidation and interstitial involvement. A strong association was observed between ultrasound scores and clinical severity, with elevated scores correlating with increased need for respiratory support. LUS was more effective than conventional chest X-rays for detecting consolidations over 1 cm and predicting oxygenation issues in critically ill patients. Conclusions LUS proves to be a valuable diagnostic tool for bronchiolitis, providing a safe, radiation-free alternative to traditional imaging and yielding reliable information on disease severity. Its ease of use, combined with its predictive value in identifying children at risk for respiratory complications, highlights LUS as a practical method for bedside assessment. Moreover, advancements in AI-supported LUS analysis hold potential for reducing operator dependency, enhancing diagnostic consistency, and improving workflow efficiency in emergency settings. Integrating LUS into routine practice could thus enhance care for pediatric bronchiolitis patients, supporting more accurate, timely diagnoses and targeted treatment interventions. https://apcz.umk.pl/JEHS/article/view/55983bronchiolitisluslung ultrasound |
| spellingShingle | Karolina Zalewa Joanna Olszak Wojciech Kapłan Dominika Orłowska Lidia Bartoszek Mikołaj Poleszczuk Karol Poleszczuk Anna Czuba Alicja Milewska Ultrasonography in the Diagnosis of Bronchiolitis: Evaluation of Effectiveness and Application in Clinical Practice Journal of Education, Health and Sport bronchiolitis lus lung ultrasound |
| title | Ultrasonography in the Diagnosis of Bronchiolitis: Evaluation of Effectiveness and Application in Clinical Practice |
| title_full | Ultrasonography in the Diagnosis of Bronchiolitis: Evaluation of Effectiveness and Application in Clinical Practice |
| title_fullStr | Ultrasonography in the Diagnosis of Bronchiolitis: Evaluation of Effectiveness and Application in Clinical Practice |
| title_full_unstemmed | Ultrasonography in the Diagnosis of Bronchiolitis: Evaluation of Effectiveness and Application in Clinical Practice |
| title_short | Ultrasonography in the Diagnosis of Bronchiolitis: Evaluation of Effectiveness and Application in Clinical Practice |
| title_sort | ultrasonography in the diagnosis of bronchiolitis evaluation of effectiveness and application in clinical practice |
| topic | bronchiolitis lus lung ultrasound |
| url | https://apcz.umk.pl/JEHS/article/view/55983 |
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