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LUNG ULTRASOUND
2015
5-10 MHz
1-5 MHz
INTENSIVE CARE ULTRASOUND
CHEST/LUNG ULTRASOUND
Kocijancic et al ., J Clin Ultrasound 31: 69-74, 2003
COOPERATIVE PATIENTS
CRITICALLY ILL PATIENTS
Via et al ., Int Care Med «26: 999-1007, 2010
CHEST/LUNG ULTRASOUND
ARTIFACT
1. Pleural sliding
2. “A” lines
3. “B” lines
4. “Z” lines
5. Lung Consolidation
6. Pleural ...
CRITICAL CARE ULTRASOUND
CHEST/LUNG ULTRASOUND
ARTIFACTS
NORMAL / EXPECTED PATTERNS
1. Lung sliding
2. “A” lines
3. “Z” li...
CRITICAL CARE ULTRASOUND
CHEST/LUNG ULTRASOUND
ARTIFACT
LUNG CONSOLIDATION PATTERN
CT SCAN CORRELATION
CLINICAL CASE
55, female
Current smoker 35years.pack
Crack addicted
Fever, cough, chest pain
Leuco 18.500 bast 6%
CRITICAL...

ARTIFACT
PLEURAL EFFUSION PATTERN
1. “WAVING HAND”
CRITICAL CARE ULTRASOUND
CHEST/LUNG ULTRASOUND
ARTIFACT
LUNG CONSOLIDATION PATTERN
WITH AIR BRONCHOGRAM
CRITICAL CARE ULTRASOUND
CHEST/LUNG ULTRASOUND
ARTIFACT
DIAPHRAGMATIC PATTERN
1. TORACO-ABDOMINAL TRANSITION
CRITICAL CARE ULTRASOUND
CHEST/LUNG ULTRASOUND
ARTIFACT
INTERSTITIAL PATTERN
1. “B” lines: regular and/or irregular
2. Pleural sliding and gross tidal volume
(Vt)
CRITIC...
ARTIFACT
PNEUMOTHORAX PATTERN
1. LUNG SLIDING: presence or absence
2. EXCLUSIVE “A” lines
3. “BARCODE SIGN”
4. IF presence...
Principles of Lung Ultrasound
Principles of Lung Ultrasound
Principles of Lung Ultrasound
Principles of Lung Ultrasound
Principles of Lung Ultrasound
Principles of Lung Ultrasound
Principles of Lung Ultrasound
Principles of Lung Ultrasound
Principles of Lung Ultrasound
Principles of Lung Ultrasound
Principles of Lung Ultrasound
Principles of Lung Ultrasound
Principles of Lung Ultrasound
Principles of Lung Ultrasound
Principles of Lung Ultrasound
Principles of Lung Ultrasound
Principles of Lung Ultrasound
Principles of Lung Ultrasound
Principles of Lung Ultrasound
Principles of Lung Ultrasound
Principles of Lung Ultrasound
Principles of Lung Ultrasound
Principles of Lung Ultrasound
Principles of Lung Ultrasound
Principles of Lung Ultrasound
Principles of Lung Ultrasound
Principles of Lung Ultrasound
Principles of Lung Ultrasound
Principles of Lung Ultrasound
Principles of Lung Ultrasound
Principles of Lung Ultrasound
Principles of Lung Ultrasound
Principles of Lung Ultrasound
Principles of Lung Ultrasound
Principles of Lung Ultrasound
Principles of Lung Ultrasound
Principles of Lung Ultrasound
Principles of Lung Ultrasound
Principles of Lung Ultrasound
Principles of Lung Ultrasound
Principles of Lung Ultrasound
Principles of Lung Ultrasound
Principles of Lung Ultrasound
Principles of Lung Ultrasound
Principles of Lung Ultrasound
Principles of Lung Ultrasound
Principles of Lung Ultrasound
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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. 1. LUNG ULTRASOUND 2015
  2. 2. 5-10 MHz 1-5 MHz
  3. 3. INTENSIVE CARE ULTRASOUND CHEST/LUNG ULTRASOUND
  4. 4. Kocijancic et al ., J Clin Ultrasound 31: 69-74, 2003 COOPERATIVE PATIENTS
  5. 5. CRITICALLY ILL PATIENTS Via et al ., Int Care Med «26: 999-1007, 2010
  6. 6. CHEST/LUNG ULTRASOUND ARTIFACT 1. Pleural sliding 2. “A” lines 3. “B” lines 4. “Z” lines 5. Lung Consolidation 6. Pleural effusions 7. Pneumothorax
  7. 7. CRITICAL CARE ULTRASOUND CHEST/LUNG ULTRASOUND ARTIFACTS NORMAL / EXPECTED PATTERNS 1. Lung sliding 2. “A” lines 3. “Z” lines 4. SEASHORE SIGN
  8. 8. CRITICAL CARE ULTRASOUND CHEST/LUNG ULTRASOUND ARTIFACT LUNG CONSOLIDATION PATTERN CT SCAN CORRELATION
  9. 9. 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
  10. 10.
  11. 11. ARTIFACT PLEURAL EFFUSION PATTERN 1. “WAVING HAND” CRITICAL CARE ULTRASOUND CHEST/LUNG ULTRASOUND
  12. 12. ARTIFACT LUNG CONSOLIDATION PATTERN WITH AIR BRONCHOGRAM CRITICAL CARE ULTRASOUND CHEST/LUNG ULTRASOUND
  13. 13. ARTIFACT DIAPHRAGMATIC PATTERN 1. TORACO-ABDOMINAL TRANSITION CRITICAL CARE ULTRASOUND CHEST/LUNG ULTRASOUND
  14. 14. ARTIFACT INTERSTITIAL PATTERN 1. “B” lines: regular and/or irregular 2. Pleural sliding and gross tidal volume (Vt) CRITICAL CARE ULTRASOUND CHEST/LUNG ULTRASOUND
  15. 15. 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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