We present the basics on Lung ultrasound for the Intensive Care practitioners

1. LUNG ULTRASOUND
2015

2. 5-10 MHz
1-5 MHz

3. INTENSIVE CARE ULTRASOUND
CHEST/LUNG ULTRASOUND

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

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

12. CRITICAL CARE ULTRASOUND
CHEST/LUNG ULTRASOUND
ARTIFACTS
NORMAL / EXPECTED PATTERNS
1. Lung sliding
2. “A” lines
3. “Z” lines
4. SEASHORE SIGN

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

26. 

28. ARTIFACT
PLEURAL EFFUSION PATTERN
1. “WAVING HAND”
CRITICAL CARE ULTRASOUND
CHEST/LUNG ULTRASOUND

35. ARTIFACT
LUNG CONSOLIDATION PATTERN
WITH AIR BRONCHOGRAM
CRITICAL CARE ULTRASOUND
CHEST/LUNG ULTRASOUND

38. ARTIFACT
DIAPHRAGMATIC PATTERN
1. TORACO-ABDOMINAL TRANSITION
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. 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