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Principles of Lung Ultrasound
This document discusses lung ultrasound patterns and artifacts that can be identified using ultrasound in intensive care and critically ill patients. It outlines ultrasound frequencies used for chest/lung ultrasound. Key normal and abnormal ultrasound findings are described, including pleural sliding, A-lines, B-lines, lung consolidation, pleural effusions, and pneumothorax patterns. A clinical case example is provided of a current smoker presenting with fever, cough and chest pain. Lung ultrasound findings are correlated with CT scans.
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Principles of Lung Ultrasound
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- 3. INTENSIVE CARE ULTRASOUND CHEST/LUNGULTRASOUND
- 5. Kocijancic et al., J Clin Ultrasound 31: 69-74, 2003 COOPERATIVE PATIENTS
- 6. CRITICALLY ILL PATIENTS Viaet al ., Int Care Med «26: 999-1007, 2010
- 8. CHEST/LUNG ULTRASOUND ARTIFACT 1. Pleuralsliding 2. “A” lines 3. “B” lines 4. “Z” lines 5. Lung Consolidation 6. Pleural effusions 7. Pneumothorax
- 12. CRITICAL CARE ULTRASOUND CHEST/LUNGULTRASOUND ARTIFACTS NORMAL / EXPECTED PATTERNS 1. Lung sliding 2. “A” lines 3. “Z” lines 4. SEASHORE SIGN
- 16. CRITICAL CARE ULTRASOUND CHEST/LUNGULTRASOUND ARTIFACT LUNG CONSOLIDATION PATTERN CT SCAN CORRELATION
- 17. CLINICAL CASE 55, female Currentsmoker 35years.pack Crack addicted Fever, cough, chest pain Leuco 18.500 bast 6% CRITICAL CARE ULTRASOUND CHEST/LUNG ULTRASOUND
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- 28. ARTIFACT PLEURAL EFFUSION PATTERN 1.“WAVING HAND” CRITICAL CARE ULTRASOUND CHEST/LUNG ULTRASOUND
- 35. ARTIFACT LUNG CONSOLIDATION PATTERN WITHAIR BRONCHOGRAM CRITICAL CARE ULTRASOUND CHEST/LUNG ULTRASOUND
- 38. ARTIFACT DIAPHRAGMATIC PATTERN 1. TORACO-ABDOMINALTRANSITION CRITICAL CARE ULTRASOUND CHEST/LUNG ULTRASOUND
- 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
- 52. ARTIFACT PNEUMOTHORAX PATTERN 1. LUNGSLIDING: presence or absence 2. EXCLUSIVE “A” lines 3. “BARCODE SIGN” 4. IF presence of “B” lines: NO PNEUMOTHORAX CRITICAL CARE ULTRASOUND CHEST/LUNG ULTRASOUND