ERS statement on chest imaging in acute respiratory failure

Davide Chiumello, Giuseppe Francesco Sferrazza Papa, Antonio Artigas, Belaid Bouhemad, Aleksandar Grgic, Leo Heunks, Klaus Markstaller, Giulia M. Pellegrino, Lara Pisani, David Rigau, Marcus J. Schultz, Giovanni Sotgiu, Peter Spieth, Maurizio Zompatori, Paolo Navalesi

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Chest imaging in patients with acute respiratory failure plays an important role in diagnosing, monitoring and assessing the underlying disease. The available modalities range from plain chest X-ray to computed tomography, lung ultrasound, electrical impedance tomography and positron emission tomography. Surprisingly, there are presently no clear-cut recommendations for critical care physicians regarding indications for and limitations of these different techniques.The purpose of the present European Respiratory Society (ERS) statement is to provide physicians with a comprehensive clinical review of chest imaging techniques for the assessment of patients with acute respiratory failure, based on the scientific evidence as identified by systematic searches. For each of these imaging techniques, the panel evaluated the following items: possible indications, technical aspects, qualitative and quantitative analysis of lung morphology and the potential interplay with mechanical ventilation. A systematic search of the literature was performed from inception to September 2018. A first search provided 1833 references. After evaluating the full text and discussion among the committee, 135 references were used to prepare the current statement.These chest imaging techniques allow a better assessment and understanding of the pathogenesis and pathophysiology of patients with acute respiratory failure, but have different indications and can provide additional information to each other.
Original languageEnglish
JournalEuropean Respiratory Journal
Volume54
Issue number3
DOIs
Publication statusPublished - 1 Sep 2019

Cite this

Chiumello, Davide ; Sferrazza Papa, Giuseppe Francesco ; Artigas, Antonio ; Bouhemad, Belaid ; Grgic, Aleksandar ; Heunks, Leo ; Markstaller, Klaus ; Pellegrino, Giulia M. ; Pisani, Lara ; Rigau, David ; Schultz, Marcus J. ; Sotgiu, Giovanni ; Spieth, Peter ; Zompatori, Maurizio ; Navalesi, Paolo. / ERS statement on chest imaging in acute respiratory failure. In: European Respiratory Journal. 2019 ; Vol. 54, No. 3.
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abstract = "Chest imaging in patients with acute respiratory failure plays an important role in diagnosing, monitoring and assessing the underlying disease. The available modalities range from plain chest X-ray to computed tomography, lung ultrasound, electrical impedance tomography and positron emission tomography. Surprisingly, there are presently no clear-cut recommendations for critical care physicians regarding indications for and limitations of these different techniques.The purpose of the present European Respiratory Society (ERS) statement is to provide physicians with a comprehensive clinical review of chest imaging techniques for the assessment of patients with acute respiratory failure, based on the scientific evidence as identified by systematic searches. For each of these imaging techniques, the panel evaluated the following items: possible indications, technical aspects, qualitative and quantitative analysis of lung morphology and the potential interplay with mechanical ventilation. A systematic search of the literature was performed from inception to September 2018. A first search provided 1833 references. After evaluating the full text and discussion among the committee, 135 references were used to prepare the current statement.These chest imaging techniques allow a better assessment and understanding of the pathogenesis and pathophysiology of patients with acute respiratory failure, but have different indications and can provide additional information to each other.",
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Chiumello, D, Sferrazza Papa, GF, Artigas, A, Bouhemad, B, Grgic, A, Heunks, L, Markstaller, K, Pellegrino, GM, Pisani, L, Rigau, D, Schultz, MJ, Sotgiu, G, Spieth, P, Zompatori, M & Navalesi, P 2019, 'ERS statement on chest imaging in acute respiratory failure' European Respiratory Journal, vol. 54, no. 3. https://doi.org/10.1183/13993003.00435-2019, https://doi.org/10.1183/13993003.00435-2019

ERS statement on chest imaging in acute respiratory failure. / Chiumello, Davide; Sferrazza Papa, Giuseppe Francesco; Artigas, Antonio; Bouhemad, Belaid; Grgic, Aleksandar; Heunks, Leo; Markstaller, Klaus; Pellegrino, Giulia M.; Pisani, Lara; Rigau, David; Schultz, Marcus J.; Sotgiu, Giovanni; Spieth, Peter; Zompatori, Maurizio; Navalesi, Paolo.

In: European Respiratory Journal, Vol. 54, No. 3, 01.09.2019.

Research output: Contribution to journalArticleAcademicpeer-review

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AU - Chiumello, Davide

AU - Sferrazza Papa, Giuseppe Francesco

AU - Artigas, Antonio

AU - Bouhemad, Belaid

AU - Grgic, Aleksandar

AU - Heunks, Leo

AU - Markstaller, Klaus

AU - Pellegrino, Giulia M.

AU - Pisani, Lara

AU - Rigau, David

AU - Schultz, Marcus J.

AU - Sotgiu, Giovanni

AU - Spieth, Peter

AU - Zompatori, Maurizio

AU - Navalesi, Paolo

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N2 - Chest imaging in patients with acute respiratory failure plays an important role in diagnosing, monitoring and assessing the underlying disease. The available modalities range from plain chest X-ray to computed tomography, lung ultrasound, electrical impedance tomography and positron emission tomography. Surprisingly, there are presently no clear-cut recommendations for critical care physicians regarding indications for and limitations of these different techniques.The purpose of the present European Respiratory Society (ERS) statement is to provide physicians with a comprehensive clinical review of chest imaging techniques for the assessment of patients with acute respiratory failure, based on the scientific evidence as identified by systematic searches. For each of these imaging techniques, the panel evaluated the following items: possible indications, technical aspects, qualitative and quantitative analysis of lung morphology and the potential interplay with mechanical ventilation. A systematic search of the literature was performed from inception to September 2018. A first search provided 1833 references. After evaluating the full text and discussion among the committee, 135 references were used to prepare the current statement.These chest imaging techniques allow a better assessment and understanding of the pathogenesis and pathophysiology of patients with acute respiratory failure, but have different indications and can provide additional information to each other.

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