What’s new in lung ultrasound in the critically ill or injured child
Lung ultrasonography (LUS) is a well-established technique in adult critical care, but remains insufficiently recognized in children and infants. The purpose of this short review is to describe the rapidly growing field of point-of-care LUS in critically ill and injured children.
LUS interpretation is based on the analysis of dynamic artifacts, mostly related to the air–fluid ratio and lung density. All LUS patterns originate from the pleural line because LUS, as a surface technique, is not able to detect consolidation in the deep lung far from the surface. Although not scientifically demonstrated, because of their small lung volume, children—and specifically infants—may be more suitable for in-depth analysis of the lung parenchyma and identification of deep alveolar consolidations, atelectasis and interstitial infiltrates. Similarly, the use of linear probes in infants and curvilinear probes in older children is preferred. LUS semiology is well characterized and identifies normal lung...
- 5.International Liaison Committee on Lung Ultrasound (ILC-LUS) for the International Consensus Conference on Lung Ultrasound (ICC-LUS), Volpicelli G, Elbarbary M, Blaivas M, Lichtenstein DA, Mathis G et al (2012) International evidence-based recommendations for point-of-care lung ultrasound. Intensive Care Med 38(4):577–591. https://doi.org/10.1007/s00134-012-2513-4 CrossRefGoogle Scholar