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Nuts and bolts of lung ultrasound: utility, scanning techniques, protocols, and findings in common pathologies
Critical Care ( IF 8.8 ) Pub Date : 2024-10-07 , DOI: 10.1186/s13054-024-05102-y
Michael Beshara, Edward A. Bittner, Alberto Goffi, Lorenzo Berra, Marvin G. Chang

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.

中文翻译:


肺部超声的基本要素:实用性、扫描技术、方案和常见病理学的发现



肺部床旁超声 (POCUS),也称为肺部超声 (LUS),已成为一种技术,与胸部 X 光检查和听诊等传统技术相比,它可以更准确、更快速地诊断许多呼吸系统疾病。本叙述性综述的目标是为重症监护、肺和麻醉提供者以及呼吸治疗师和其他医疗保健提供者提供一种简单实用的 LUS 方法,以便能够将该技术实施到他们的临床实践中。在这篇综述中,我们将讨论 LUS 的基本物理学,提供动手扫描技术,描述在正常和病理状况(如主干插管、气胸、肺不张、肺炎、误吸、COPD 恶化、心源性肺水肿、ARDS 和胸腔积液)中看到的 LUS 发现,并回顾获得 LUS 能力所需的培训。
更新日期:2024-10-08
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