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Principles of Lung Ultrasound
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We present the basics on Lung ultrasound for the Intensive Care practitioners
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Principles of Lung Ultrasound
1.
LUNG ULTRASOUND 2015
2.
5-10 MHz 1-5 MHz
3.
INTENSIVE CARE ULTRASOUND CHEST/LUNG
ULTRASOUND
4.
5.
Kocijancic et al
., J Clin Ultrasound 31: 69-74, 2003 COOPERATIVE PATIENTS
6.
CRITICALLY ILL PATIENTS Via
et al ., Int Care Med «26: 999-1007, 2010
7.
8.
CHEST/LUNG ULTRASOUND ARTIFACT 1. Pleural
sliding 2. “A” lines 3. “B” lines 4. “Z” lines 5. Lung Consolidation 6. Pleural effusions 7. Pneumothorax
9.
10.
11.
12.
CRITICAL CARE ULTRASOUND CHEST/LUNG
ULTRASOUND ARTIFACTS NORMAL / EXPECTED PATTERNS 1. Lung sliding 2. “A” lines 3. “Z” lines 4. SEASHORE SIGN
13.
14.
15.
16.
CRITICAL CARE ULTRASOUND CHEST/LUNG
ULTRASOUND ARTIFACT LUNG CONSOLIDATION PATTERN CT SCAN CORRELATION
17.
CLINICAL CASE 55, female Current
smoker 35years.pack Crack addicted Fever, cough, chest pain Leuco 18.500 bast 6% CRITICAL CARE ULTRASOUND CHEST/LUNG ULTRASOUND
18.
19.
20.
21.
22.
23.
24.
25.
26.
27.
28.
ARTIFACT PLEURAL EFFUSION PATTERN 1.
“WAVING HAND” CRITICAL CARE ULTRASOUND CHEST/LUNG ULTRASOUND
29.
30.
31.
32.
33.
34.
35.
ARTIFACT LUNG CONSOLIDATION PATTERN WITH
AIR BRONCHOGRAM CRITICAL CARE ULTRASOUND CHEST/LUNG ULTRASOUND
36.
37.
38.
ARTIFACT DIAPHRAGMATIC PATTERN 1. TORACO-ABDOMINAL
TRANSITION CRITICAL CARE ULTRASOUND CHEST/LUNG ULTRASOUND
39.
40.
41.
42.
43.
44.
ARTIFACT INTERSTITIAL PATTERN 1. “B”
lines: regular and/or irregular 2. Pleural sliding and gross tidal volume (Vt) CRITICAL CARE ULTRASOUND CHEST/LUNG ULTRASOUND
45.
46.
47.
48.
49.
50.
51.
52.
ARTIFACT PNEUMOTHORAX PATTERN 1. LUNG
SLIDING: presence or absence 2. EXCLUSIVE “A” lines 3. “BARCODE SIGN” 4. IF presence of “B” lines: NO PNEUMOTHORAX CRITICAL CARE ULTRASOUND CHEST/LUNG ULTRASOUND
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