Nuts and bolts of lung ultrasound: utility, scanning techniques, protocols, and findings in common pathologies

IF 8.8 1区 医学 Q1 CRITICAL CARE MEDICINE
Michael Beshara, Edward A. Bittner, Alberto Goffi, Lorenzo Berra, Marvin G. Chang
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引用次数: 0

Abstract

Point of Care ultrasound (POCUS) of the lungs, also known as lung ultrasound (LUS), has emerged as a technique that allows for the diagnosis of many respiratory pathologies with greater accuracy and speed compared to conventional techniques such as chest x-ray and auscultation. The goal of this narrative review is to provide a simple and practical approach to LUS for critical care, pulmonary, and anesthesia providers, as well as respiratory therapists and other health care providers to be able to implement this technique into their clinical practice. In this review, we will discuss the basic physics of LUS, provide a hands-on scanning technique, describe LUS findings seen in normal and pathological conditions (such as mainstem intubation, pneumothorax, atelectasis, pneumonia, aspiration, COPD exacerbation, cardiogenic pulmonary edema, ARDS, and pleural effusion) and also review the training necessary to achieve competence in LUS.
肺部超声波的基本原理:实用性、扫描技术、规程和常见病症的检查结果
肺部护理点超声(POCUS)又称肺部超声(LUS),与胸部 X 光和听诊等传统技术相比,它是一种能够更准确、更快速地诊断多种呼吸系统病变的新兴技术。本综述旨在为重症监护、肺部和麻醉服务提供者以及呼吸治疗师和其他医疗服务提供者提供一种简单实用的 LUS 方法,使他们能够在临床实践中应用这种技术。在这篇综述中,我们将讨论 LUS 的基本物理原理,提供实际操作的扫描技术,描述正常和病理情况下的 LUS 发现(如主干插管、气胸、肺不张、肺炎、吸入、慢性阻塞性肺疾病加重、心源性肺水肿、急性呼吸系统综合症和胸腔积液),并回顾为获得 LUS 能力所需的培训。
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来源期刊
Critical Care
Critical Care 医学-危重病医学
CiteScore
20.60
自引率
3.30%
发文量
348
审稿时长
1.5 months
期刊介绍: Critical Care is an esteemed international medical journal that undergoes a rigorous peer-review process to maintain its high quality standards. Its primary objective is to enhance the healthcare services offered to critically ill patients. To achieve this, the journal focuses on gathering, exchanging, disseminating, and endorsing evidence-based information that is highly relevant to intensivists. By doing so, Critical Care seeks to provide a thorough and inclusive examination of the intensive care field.
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