{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,3]],"date-time":"2026-11-03T11:34:27Z","timestamp":1793705667567,"version":"4.5.1"},"reference-count":15,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T00:00:00Z","timestamp":1785196800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of the Intensive Care Society"],"published-print":{"date-parts":[[2026,11]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Lung ultrasound (LUS) is a non-invasive, point-of-care imaging modality increasingly used by physiotherapists to support diagnosis and guide intervention in critically ill patients. Evidence describing its impact on physiotherapy assessment, management, and resource utilisation remains limited.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>To describe physiotherapy-led LUS practice, including scan indications, scan findings, influence on physiotherapy intervention selection, and potential implications for resource utilisation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A single-centre, prospective service evaluation was conducted between September 2024 and May 2025. Data were collected for all patients receiving physiotherapy-led LUS capturing patient demographics, scan indications and findings, intervention changes, and predicted resource implications. Descriptive statistics were used to summarise outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>117 scans were completed. Patients were predominantly post-cardiac surgery in intensive care (43\/117, 37%). Acute deterioration was the most common indication (41%). LUS most frequently identified lobar collapse and pleural effusion. Physiotherapists reported reduced diagnostic uncertainty (97%), modified interventions (76% of cases) and the prevention of physiotherapy intervention that would otherwise have been ineffective (85\/117, 73%). Predicted reductions in imaging and treatment duration were noted in 39% of assessments.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Physiotherapy-led LUS appears feasible and may enhance assessment accuracy, guide targeted interventions, and optimise resource utilisation across respiratory care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/17511437261471434","type":"journal-article","created":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T11:19:26Z","timestamp":1785237566000},"page":"555-560","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["The impact of physiotherapy led lung ultrasound on patient management: A single centre service evaluation"],"prefix":"10.1177","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1507-6748","authenticated-orcid":false,"given":"Ema","family":"Swingwood","sequence":"first","affiliation":[{"name":"Adult Therapy Services, Bristol NHS Foundation Trust, Bristol, UK"},{"name":"Centre of Health and Clinical Research, University of the West of England, Bristol, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-9966-9653","authenticated-orcid":false,"given":"Tom","family":"Lunn","sequence":"additional","affiliation":[{"name":"Adult Therapy Services, Bristol NHS Foundation Trust, Bristol, UK"},{"name":"Centre of Health and Clinical Research, University of the West of England, Bristol, UK"},{"name":"Bristol Biomedical Research Centre, University of Bristol, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Olivia","family":"James","sequence":"additional","affiliation":[{"name":"Adult Therapy Services, Bristol NHS Foundation Trust, Bristol, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sean","family":"Harrison","sequence":"additional","affiliation":[{"name":"Adult Therapy Services, Bristol NHS Foundation Trust, Bristol, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tim","family":"Hutchinson","sequence":"additional","affiliation":[{"name":"Adult Therapy Services, Bristol NHS Foundation Trust, Bristol, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ryan","family":"Hanney","sequence":"additional","affiliation":[{"name":"Adult Therapy Services, Bristol NHS Foundation Trust, Bristol, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-8441-689X","authenticated-orcid":false,"given":"Mark","family":"Juniper","sequence":"additional","affiliation":[{"name":"Health Innovation West of England, Bristol, UK"},{"name":"Great Western Hospital, Swindon, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,7,28]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"crossref","unstructured":"Lockstone J Love A Hung Lau Y et al. The use of diaphragm and lung ultrasound in acute respiratory physiotherapy practice and the impact on clinical decision-making: a systematic review and meta-analysis. Aust Crit Care 2024; 37(1): 176\u2013184\u2013https:\/\/doi.org\/10.1016\/j.aucc.2023.10.001","DOI":"10.1016\/j.aucc.2023.10.001"},{"issue":"4","key":"e_1_3_2_3_2","article-title":"Thoracic ultrasound: a review of the state-of-the-art","volume":"50","author":"Colares PFB","year":"2024","unstructured":"Colares PFB, Mafort TT, Sanches FM, et al. Thoracic ultrasound: a review of the state-of-the-art. J Bras Pneumol 2024; 50(4): e20230395.","journal-title":"J Bras Pneumol"},{"key":"e_1_3_2_4_2","doi-asserted-by":"crossref","unstructured":"Curry S Tan A Gargani L et al. Lung ultrasound and the role of lung aeration score in patients with acute respiratory distress syndrome on extracorporeal membrane oxygenation. 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