In the case of critically sick patients, acute respiratory distress syndrome (ARDS) may be life-threatening and necessitate the need for intensive care unit (ICU) admission. Continuous monitoring is required for mechanical ventilation and recruitment movements as necessary. In this research, the goal is to investigate the use of ultrasonography in the evaluation of positive end exhalatory pressure–induced Lung Recruitment in ARDS patients. Methods and Subjects: A total of 25 ARDS patients were included in this research, which was done in the hospital's respiratory care unit. All of the patients were seen by a doctor, had a chest X-ray, and had laboratory tests. Mechanical ventilation was used in the care of all patients. Using PEEP values of 5 and 15, we measured PV and LUS tracings. The PV curve approach was used to assess PEEP-induced lung recruitment. Between PEEP 5 and PEEP 15, there was an extremely strong positive connection between reaeration score and the change in lung volume (r = 0.737, P 0.001). Results: Between PEEP 5 and PEEP 15, there was a substantial (r=0.577, P=0.003) positive association between the reaeration score and the decrease in PaO2. There was a substantial negative association between reaeration score and mortality (rpb = - 0.842, P 0.001), in which mortality reduces as the score increases. Conclusion: For quantitative evaluation of PEEP-induced lung recruitment, bedside LUS is equal to the PV curve approach. In patients with ARDS, positive end-expiratory pressure (PEEP)-induced Lung Recruitment may be assessed using ultrasonography. |
