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5.1.7 - Lung Ultrasound

from Section 5.1 - Practical Respiratory System

Published online by Cambridge University Press:  27 July 2023

By
Arthur W. E. Lieveld  and
Andrew P. Walden
Edited by
Ned Gilbert-Kawai ,
Debashish Dutta  and
Carl Waldmann
Ned Gilbert-Kawai
Affiliation:
The Royal Liverpool Hospital
Debashish Dutta
Affiliation:
Princess Alexandra Hospital NHS Trust, Harlow
Carl Waldmann
Affiliation:
Royal Berkshire Hospital, Reading
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Summary

Key Learning Points

  1. 1. Bedside lung ultrasound has similar diagnostic properties to computed tomography in the diagnosis of acute respiratory failure.

  2. 2. A scan can be performed in under 5 minutes, reducing time to diagnosis and treatment.

  3. 3. It can be useful in monitoring lung aeration and guiding weaning of mechanical ventilation.

  4. 4. It can help in assessing and draining pleural effusions.

  5. 5. It can differentiate between pneumonia, acute respiratory distress syndrome and cardiac pulmonary oedema.

Keywords

lung ultrasoundARDSBLUE protocolA-lineB-line
Type
Chapter
Information
Intensive Care Medicine
The Essential Guide
 , pp. 549 - 554
Publisher: Cambridge University Press
Print publication year: 2021

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References

Further Reading and References

Lichtenstein, DA. BLUE-Protocol and FALLS-Protocol. Chest 2015;147:1659–70.CrossRefGoogle ScholarPubMed
Llamas-Álvarez, AM, Tenza-Lozano, EM, Latour-Pérez, J. Diaphragm and lung ultrasound to predict weaning outcome: systematic review and meta-analysis. Chest 2017;152:1140–50.CrossRefGoogle ScholarPubMed
Mojoli, F, Bouhemad, B, Mongodi, S, Lichtenstein, D. Lung ultrasound for critically ill patients. Am J Respir Crit Care Med 2019;199:701–14.Google Scholar
Staub, LJ, Biscaro, RRM, Maurici, R. Accuracy and applications of lung ultrasound to diagnose ventilator-associated pneumonia: a systematic review. J Intensive Care Med 2018;33:447–55.Google Scholar
Staub, LJ, Mazzali Biscaro, RR, Kaszubowski, E, Maurici, R. Lung ultrasound for the emergency diagnosis of pneumonia, acute heart failure, and exacerbations of chronic obstructive pulmonary disease/asthma in adults: a systematic review and meta-analysis. J Emerg Med 2019;56:53–69.CrossRefGoogle ScholarPubMed

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