Successfully reported this slideshow.
We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. You can change your ad preferences anytime.

Simplified Lung Ultrasound

3,609 views

Published on

To be expert in practicing Lung Ultrasound or even Teaching, you need to understand very easy core concept which I put in this slide.
It include A and B line, major two signs of Lung Ultrasounds.
It doesnot include Pneumothoax, how to differentiate CHF vs ARDS.

Published in: Health & Medicine
  • Sex in your area is here: ❤❤❤ http://bit.ly/2u6xbL5 ❤❤❤
       Reply 
    Are you sure you want to  Yes  No
    Your message goes here
  • Dating for everyone is here: ❤❤❤ http://bit.ly/2u6xbL5 ❤❤❤
       Reply 
    Are you sure you want to  Yes  No
    Your message goes here

Simplified Lung Ultrasound

  1. 1. Pleura Air Understand Basic Bedside Lung Ultrasound Suthaporn  Lumlertgul  MD Resus  Ultrasound  © Emergency    Unit   King  Chulalongkorn  Memorial  Hospital   Bangkok,  Thailand
  2. 2. Pleura Air And monitor too much fluid loading bedside Resus  Ultrasound  ©
  3. 3. Pleura Air Don’t be the one who cause this. Resus  Ultrasound  ©
  4. 4. Pleura Air Normally ultrasounds cannot get through air in Lung Therefore ultrasound bounce back almost 100% Resus  Ultrasound  ©
  5. 5. Multiple reflections of pleural 
 would appear Pleura Resus  Ultrasound  © Air
  6. 6. These reflections of pleural 
 call A line Pleura Resus  Ultrasound  © Air
  7. 7. Horizontal white line below pleural with repetitive same distance Resus  Ultrasound  © rib rib Pleural A line A line
  8. 8. Put ultrasound probe on both sides (echo or abdomen for beginners) on midclavicular line. On the left side avoid heart. Resus  Ultrasound  ©
  9. 9. Resus  Ultrasound  © Four areas each side
  10. 10. In patient with dyspnea from diseases with no extra water. U would see A line in bedside ultrasound Resus  Ultrasound  © Pulmonary Embolism COPD
  11. 11. In patient with dyspnea from diseases with no extra water. U would see A line in bedside ultrasound and in normal people as well. Resus  Ultrasound  © Pulmonary Embolism COPD
  12. 12. This helps differential dry dyspnea(black lung) from wet dyspnea(white lung) when you have no time for X-ray Resus  Ultrasound  © PECOPD CHF,ARDSPneumonia
  13. 13. What about white lung in X-ray?
 
 Or Lung with extra water extra pus. Resus  Ultrasound  © CHF,ARDSPneumonia
  14. 14. When there’s more water less air Pleura Resus  Ultrasound  © Air W ater
  15. 15. The reflection of pleura will be gone Pleura Resus  Ultrasound  © Air W ater
  16. 16. The sound would bounce between wet alveoli instead Pleura Resus  Ultrasound  © Air W ater
  17. 17. The multiple bouncing of sound between wet alveoli call B line Pleura Resus  Ultrasound  © Air W ater
  18. 18. This is what B line look like. Resus  Ultrasound  ©
  19. 19. This is what B line look like. Resus  Ultrasound  ©
  20. 20. Long white color start from pleural to the end of screen and you would see no A line Resus  Ultrasound  © B line
  21. 21. CHF,ARDS So you would find B line in both lungs CHF, ARDS. Resus  Ultrasound  ©
  22. 22. Lobar pneumonia In pneumonia you would find B line in one side that have pneumonia (extra pus instead of air) And A line in the normal lung. Resus  Ultrasound  ©
  23. 23. In Falls Protocol by Lichtenstein et al. Appear of B line can help you monitor bedside if you have load the patient too much water Resus  Ultrasound  ©
  24. 24. A horizontal white line DDX COPD, Asthma, PE B Vertical white line DDX CHF, ARDS, Pneumonia in Bad lung
 
 
 
 Resus  Ultrasound  © SUM UP
  25. 25. A horizontal white line DDX COPD, Asthma, PE B Vertical white line DDX CHF, ARDS, Pneumonia in Bad lung
 
 
 Normally we search IVC, Heart, DVT + clinical + Lab to conclude diagnosed not pure Lung Ultrasound 
 
 
 How to Ddx CHF VS ARDS, pneumothorax, atelectasis is not in this chapter 
 
 Resus  Ultrasound  © SUM UP
  26. 26. Don’t make decision only by ultrasound Always add clinical and Labs for confirmation. If you just start doing ultrasound in new organs. Resus  Ultrasound  ©
  27. 27. Pleura Air Resus  Ultrasound  © Effusion : Jelly fish sign, no Curtain Consolidate : Shred ,C Line Static Air Brochogram in 2D Pneumothorax Barcode in M mode No lung sliding in 2D Atelectasis Lung Pulse in M mode Static Air Brochogram in 2D A vsB Common probe using Lung Ultrasound (Abdominal  probe  can  be  used  instead  of  Echo  probe)   If  you  trained  your  eye,  any  probe  can  be  used  for  any  signs   this  is  just  recommend  for  the  beginning.
  28. 28. Resus  Ultrasound  © Not Here
  29. 29. resus.ultrasound@gmail.com https://www.facebook.com/resusultrasound/ Resus ultrasound (FREE Beta Launch!, only FAST section available ) Heart Coming Soon

×