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Chapter 7 - Point-of-Care Lung Ultrasound

Published online by Cambridge University Press:  28 April 2020

By
Zachary Kuschner  and
John M. Oropello
Edited by
Andrew B. Leibowitz  and
Suzan Uysal
Andrew B. Leibowitz
Affiliation:
Icahn School of Medicine at Mount Sinai
Suzan Uysal
Affiliation:
Icahn School of Medicine at Mount Sinai
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Summary

Lung ultrasound is a point-of-care test particularly well suited to diagnose pneumothorax, pleural effusion, pulmonary edema, and consolidation. In the operating room setting imaging can establish a baseline for comparison to maximize confidence in later examinations displaying new pathology. In conjunction with cardiac and IVC ultrasound, the etiology of hypotension can be ascertained as hypovolemic, distributive, and cardiac. In addition, even more basic assessment regarding volume status and fluid responsiveness is improved. Ultrasound can be used to guide, confirm, and localize tracheal tube placement. In the postoperative setting pulmonary ultrasound can facilitate clinical decisions regarding weaning patients from mechanical ventilation and the need for ICU admission.

Keywords

Lung ultrasoundpoint-of-carepneumothoraxpulmonary edemapleural effusionconsolidationatelectasisartifactstracheal intubation
Type
Chapter
Information
Modern Monitoring in Anesthesiology and Perioperative Care , pp. 67 - 79
Publisher: Cambridge University Press
Print publication year: 2020

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