Abstract
The first lung ultrasound (LU) pattern, obtained from a patient with pleural effusion, was described by Pell in 1964. Three years later, Joyner et al. [1] published the first study which described the accuracy and reliability of LU in the diagnosis of pleural fluid. Thereafter, for several years, the use of LU was limited only to the detection of pleural effusion. This has drastically changed in the last decade. Nowadays, LU has emerged as a powerful, non-invasive, easily repeatable bedside diagnostic tool, and is increasingly used in critically ill patients [2–4]. Studies have shown that in these patients, LU has a high diagnostic accuracy in identifying pneumothorax, consolidation/atelectasis, interstitial syndromes (i.e. pulmonary oedema of cardiogenic or non-cardiogenic origin), pleural effusion, and, on the appropriate clinical grounds, it may help in the diagnosis of pneumonia. Indeed, LU may be considered an alternative to thoracic computed tomography (CT) scan when identifying these pathological conditions which are commonly encountered in critically ill patients (Fig. 8.1) [2, 3].
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Abbreviations
- ARDS:
-
Adult respiratory distress syndrome
- LU:
-
Lung ultrasound
- PEEP:
-
Positive end-expiratory pressure
References
Joyner CR Jr, Herman RJ, Reid JM (1967) Reflected ultrasound in the detection and localization of pleural effusion. JAMA 200:399–402
Lichtenstein D, Goldstein I, Mourgeon E, Cluzel P, Grenier P, Rouby JJ (2004) Comparative diagnostic performances of auscultation, chest radiography, and lung ultrasonography in acute respiratory distress syndrome. Anesthesiology 100:9–15
Xirouchaki N, Magkanas E, Vaporidi K et al (2011) Lung ultrasound in critically ill patients: comparison with bedside chest radiography. Intensive Care Med 37:1488–1493
Georgopoulos D, Xirouchaki N, Volpicelli G (2014) Lung ultrasound in the intensive care unit: let’s move forward. Intensive Care Med 40:1592–1594
Xirouchaki N, Georgopoulos D (2014) Impact of lung ultrasound on clinical decision making in critically ill patients: response to O’Connor et al. Intensive Care Med 40:1063
Bouhemad B, Brisson H, Le-Guen M, Arbelot C, Lu Q, Rouby JJ (2011) Bedside ultrasound assessment of positive end-expiratory pressure-induced lung recruitment. Am J Respir Crit Care Med 183:341–347
Vivier E, Mekontso Dessap A, Dimassi S et al (2012) Diaphragm ultrasonography to estimate the work of breathing during non-invasive ventilation. Intensive Care Med 38:796–803
Yang PC (1996) Color Doppler ultrasound of pulmonary consolidation. Eur J Ultrasound 3:169–178
Aldrich JE (2007) Basic physics of ultrasound imaging. Crit Care Med 35:S131–S137
Picano E, Frassi F, Agricola E, Gligorova S, Gargani L, Mottola G (2006) Ultrasound lung comets: a clinically useful sign of extravascular lung water. J Am Soc Echocardiogr 19:356–363
Frassi F, Gargani L, Tesorio P, Raciti M, Mottola G, Picano E (2007) Prognostic value of extravascular lung water assessed with ultrasound lung comets by chest sonography in patients with dyspnea and/or chest pain. J Card Fail 13:830–835
Bouhemad B, Zhang M, Lu Q, Rouby JJ (2007) Clinical review: bedside lung ultrasound in critical care practice. Crit Care 11:205
Volpicelli G (2014) Lung sonography. J Ultrasound Med 32:165–171
Lichtenstein D (2005) Ultrasound diagnosis of atelectasis. Int J Intensive Care 12:88–93
Yang PC, Luh KT, Chang DB, Yu CJ, Kuo SH, Wu HD (1992) Ultrasonographic evaluation of pulmonary consolidation. Am Rev Respir Dis 146:757–762
Lichtenstein D, Meziere G, Seitz J (2009) The dynamic air bronchogram. A lung ultrasound sign of alveolar consolidation ruling out atelectasis. Chest 135:1421–1425
Lichtenstein D, Meziere G, Biderman P, Gepner A, Barre O (1997) The comet-tail artifact. An ultrasound sign of alveolar-interstitial syndrome. Am J Respir Crit Care Med 156:1640–1646
Copetti R, Soldati G, Copetti P (2008) Chest sonography: a useful tool to differentiate acute cardiogenic pulmonary edema from acute respiratory distress syndrome. Cardiovasc Ultrasound 6:16
Agricola E, Bove T, Oppizzi M et al (2005) “Ultrasound comet-tail images”: a marker of pulmonary edema: a comparative study with wedge pressure and extravascular lung water. Chest 127:1690–1695
Lichtenstein DA, Meziere GA (2008) Relevance of lung ultrasound in the diagnosis of acute respiratory failure: the BLUE protocol. Chest 134:117–125
Blaivas M (2012) Lung ultrasound in evaluation of pneumonia. J Ultrasound Med 31:823–826
Bouhemad B, Liu ZH, Arbelot C et al (2010) Ultrasound assessment of antibiotic-induced pulmonary reaeration in ventilator-associated pneumonia. Crit Care Med 38:84–92
Mathis G, Blank W, Reissig A et al (2005) Thoracic ultrasound for diagnosing pulmonary embolism: a prospective multicenter study of 352 patients. Chest 128:1531–1538
Volpicelli G (2011) Sonographic diagnosis of pneumothorax. Intensive Care Med 37(2):224–232
Lichtenstein DA, Lascols N, Prin S, Meziere G (2003) The “lung pulse”: an early ultrasound sign of complete atelectasis. Intensive Care Med 29:2187–2192
Lichtenstein DA (2009) Ultrasound examination of the lungs in the intensive care unit. Pediatr Crit Care Med 10:693–698
Lichtenstein D, Meziere G, Biderman P, Gepner A (2000) The “lung point”: an ultrasound sign specific to pneumothorax. Intensive Care Med 26:1434–1440
Maslove DM, Chen BT, Wang H, Kuschner WG (2012) The diagnosis and management of pleural effusions in the ICU. J Intensive Care Med 28:24–36
Remerand F, Dellamonica J, Mao Z et al (2010) Multiplane ultrasound approach to quantify pleural effusion at the bedside. Intensive Care Med 36:656–664
Vignon P, Chastagner C, Berkane V et al (2005) Quantitative assessment of pleural effusion in critically ill patients by means of ultrasonography. Crit Care Med 33:1757–1763
Balik M, Plasil P, Waldauf P et al (2006) Ultrasound estimation of volume of pleural fluid in mechanically ventilated patients. Intensive Care Med 32:318–321
Matamis D, Soilemezi E, Tsagourias M et al (2013) Sonographic evaluation of the diaphragm in critically ill patients. Technique and clinical applications. Intensive Care Med 39:801–810
Boussuges A, Gole Y, Blanc P (2009) Diaphragmatic motion studied by m-mode ultrasonography: methods, reproducibility, and normal values. Chest 135:391–400
DiNino E, Gartman EJ, Sethi JM, McCool FD (2014) Diaphragm ultrasound as a predictor of successful extubation from mechanical ventilation. Thorax 69:423–427
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Xirouchaki, N., Georgopoulos, D. (2016). The Role of Lung Ultrasound on the Daily Assessment of the Critically Ill Patient. In: Vizcaychipi, M., Corredor, C. (eds) Key Topics in Management of the Critically Ill. Springer, Cham. https://doi.org/10.1007/978-3-319-22377-3_8
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