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BLUE-Protocol and Pulmonary Embolism

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Lung Ultrasound in the Critically Ill
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Abstract

Pulmonary embolism has a special place in most minds, probably because of the risk of sudden death if the diagnosis is not immediate. Atypical cases, generating delays in the therapy, are the most dangerous. Any help should be studied with interest, especially if noninvasive.

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References

  1. Stein PD, Henry JW (1995) Prevalence of acute pulmonary embolism among patients in a general hospital and at autopsy. Chest 108:978–981

    Article  CAS  PubMed  Google Scholar 

  2. Goldhaber SZ (2002) Echocardiography in the management of pulmonary embolism. Ann Intern Med 136:691–700

    Article  PubMed  Google Scholar 

  3. Tapson VF, Davidson CJ, Kisslo KB, Stack RS (1994) Rapid visualization of massive pulmonary emboli utilizing intravascular ultrasound. Chest 105:888–890

    Article  CAS  PubMed  Google Scholar 

  4. Haeger K (1969) Problems of acute deep vein thrombosis: the interpretation of signs and symptoms. Angiology 20:219–223

    Article  CAS  PubMed  Google Scholar 

  5. Kakkar VV (1975) Deep venous thrombosis: detection and prevention. Circulation 51:8–12

    Article  CAS  PubMed  Google Scholar 

  6. Stein PD, Athanasoulis C, Alavi A, Greenspan RH, Hales CA, Saltzman HA, Vreim CE, Terrin ML, Weg JG (1992) Complications and validity of pulmonary angiography in acute pulmonary embolism. Circulation 85:462–468

    Article  CAS  PubMed  Google Scholar 

  7. Gibson NS, Sohne M, Gerdes V, Nijkeuter M, Buller HR (2008) The importance of clinical probability assessment in interpreting a normal D-Dimer in patients with suspected pulmonary embolism. Chest 134:789–793

    Article  PubMed  Google Scholar 

  8. Goodman LR, Curtin JJ, Mewissen MW et al (1995) Detection of pulmonary embolism in patients with unresolved clinical and scintigraphic diagnosis: helical CT versus angiography. Am J Rœntgenol 164:1369–1374

    Google Scholar 

  9. Levine MN, Hirsh J, Landefeld S, Raskob G (1992) Hemorrhagic complications of anticoagulant therapy. Chest 102(Suppl):352S–363S

    Article  CAS  PubMed  Google Scholar 

  10. Mant M, O’Brien B, Thong KL, Hammond GW, Birtwhistle RV, Grace MG (1977) Haemorrhagic complications of heparin therapy. Lancet 1(8022):1133–1135

    Article  CAS  PubMed  Google Scholar 

  11. Hampton AA, Sherertz RJ (1988) Vascular-access infection in hospitalized patients. Surg Clin North Am 68:57–71

    Article  CAS  PubMed  Google Scholar 

  12. Lichtenstein D, Mezière G (2008) Relevance of lung ultrasound in the diagnosis of acute respiratory failure. The BLUE-protocol. Chest 134:117–125

    Article  PubMed  PubMed Central  Google Scholar 

  13. Lichtenstein D, Menu Y (1995) A bedside ultrasound sign ruling out pneumothorax in the critically ill: lung sliding. Chest 108:1345–1348

    Article  CAS  PubMed  Google Scholar 

  14. Lichtenstein D, Mezière G, Biderman P, Gepner A (2000) The “lung point”: an ultrasound sign specific to pneumothorax. Intensive Care Med 26:1434–1440

    Article  CAS  PubMed  Google Scholar 

  15. Lichtenstein D, Mezière G, Biderman P, Gepner A, Barré O (1997) The comet-tail artifact, an ultrasound sign of alveolar-interstitial syndrome. Am J Respir Crit Care Med 156:1640–1646

    Article  CAS  PubMed  Google Scholar 

  16. Lichtenstein D, Mezière G (1998) A lung ultrasound sign allowing bedside distinction between pulmonary edema and COPD: the comet-tail artifact. Intensive Care Med 24:1331–1334

    Article  CAS  PubMed  Google Scholar 

  17. Lichtenstein D, Loubières Y (2003) Lung ultrasonography in pulmonary embolism, Letter to the Editor. Chest 123(6):2154

    Article  PubMed  Google Scholar 

  18. Reissig A, Heynes JP, Kroegel C (2001) Sonography of lung and pleura in pulmonary embolism: sonomorphologic characterization and comparison with spiral CT scanning. Chest 120(6):1977–1983

    Article  CAS  PubMed  Google Scholar 

  19. Mathis G, Blank W, Reißig A, Lechleitner P, Reuß J, Schuler A, Beckh S (2001) Thoracic ultrasound for diagnosing pulmonary embolism. Chest 128:1531–1538

    Article  Google Scholar 

  20. Mathis G, Blank W, Reißig A, Lechleitner P, Reuß J, Schuler A, Beckh S (2005) Thoracic ultrasound for diagnosing pulmonary embolism. A prospective multicenter study of 352 patients. Chest 128:1531–1538

    Article  PubMed  Google Scholar 

  21. Reissig A, Kroegel C (2009) Relevance of subpleural consolidations in chest ultrasound. Chest 136:1706

    Article  PubMed  Google Scholar 

  22. Lichtenstein D, Mezière G (2009) Response to “relevance of subpleural consolidations in chest ultrasound” (Reissig A & Kroegel C). Chest 136:1706–1707

    Article  Google Scholar 

  23. Lensing AW, Prandoni P, Brandjes D, Huisman PM, Vigo M, Tomasella G, Krekt J, Wouter Ten Cate J, Huisman MV, Büller HR (1989) Detection of deep-vein thrombosis by real-time B-mode ultrasonography. N Engl J Med 320:342–345

    Article  CAS  PubMed  Google Scholar 

  24. Couson F, Bounameaux C, Didier D, Geiser D, Meyerovitz MF, Schmitt HE, Schneider PA (1993) Influence of variability of interpretation of contrast venography for screening of postoperative deep venous thrombosis on the results of the thromboprophylactic study. Thromb Haemost 70:573–575

    CAS  PubMed  Google Scholar 

  25. Cronan JJ (1993) Venous thromboembolic disease: the role of ultrasound, state of the art. Radiology 186:619–630

    Article  CAS  PubMed  Google Scholar 

  26. Hull RD, Hirsh J, Carter CJ, Jay RM, Dodd PE, Ockelford PA, Coates G, Gill GJ, Turpie AG, Doyle DJ, Buller HR, Raskob GE (1983) Pulmonary angiography, ventilation lung scanning and venography for clinically suspected pulmonary embolism with abnormal perfusion lung scan. Ann Intern Med 98:891–899

    Article  CAS  PubMed  Google Scholar 

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Lichtenstein, D.A. (2016). BLUE-Protocol and Pulmonary Embolism. In: Lung Ultrasound in the Critically Ill. Springer, Cham. https://doi.org/10.1007/978-3-319-15371-1_26

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  • DOI: https://doi.org/10.1007/978-3-319-15371-1_26

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-15370-4

  • Online ISBN: 978-3-319-15371-1

  • eBook Packages: MedicineMedicine (R0)

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