Sudanese chest sonography workshop (Sonography in critical ill patients)
Chest Sonography in CriticallyIll PatientsGamal Rabie Agmy ,MD ,FCCPProfessor of Chest Diseases, Assiut UniversityERS National Delegate of Egypt
cAt the bedside, chest radiography remains the reference for lung imaging incritically ill patients. However, radiographical images are often oflimited quality• Movements of the chest wall• Film cassette posterior to thethorax• X-ray beam originating anteriorly, ata shorter distance thanrecommended and not tangential tothe diaphragmatic cupola .Mistaken assessmentof :c• Pleural effusion• Alveolar consolidation• Alveolar-interstitialsyndromeBedside Chest Radiography in the Criticallyill02 09 2012
Clinical applications of lung ultrasonography in theintensive care unit1. Diagnosis of pulmonary consolidation.2. Diagnosis of atelectasis3. Diagnosis of alveolar-interstitialsyndrome4. Differentiating between pulmonary oedema and ARDS5. Differentiating between pulmonary oedema and COPD6. Diagnosis of pulmonary embolism7. Diagnosis of pneumothorax8. Diagnosis and estimation of volume and nature of pleural effusion.9. Diagnostic and therapeutic ultrasound-guided thoracentesis.
Absent lung slidingExaggerated horizontal artifactsLoss of comet-tail artifactsBroadening of the pleural line to a bandThe key sonographic signs ofPneumothorax