Journal ArticleDOI
Ultrasound for "lung monitoring" of ventilated patients.
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TLDR
In this article, the anterior and posterior axillary lines are used as anatomical landmarks to locate the diaphragm and the lungs, and three areas per hemithorax (anterior, lateral, and posterior) are iden-tified.Abstract:
LUS is normally performed in supine patients. Operator should firstly locate the diaphragm and the lungs. Lung consolidation or pleural effusion is found predominantly in dependent and dorsal lung regions and can be easily distinguished from liver or spleen once the diaphragm has been identified. By using the anterior and posterior axillary lines as anatomical landmarks, three areas per hemithorax (anterior, lateral, and posterior) can be iden-tified. Each area is divided in two, superior and inferior. In a given region of interest, lung surface of all adjacent inter-costal spaces must be explored by moving the probe trans-versally.read more
Citations
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Journal ArticleDOI
Spectrum of Cardiac Manifestations in COVID-19: A Systematic Echocardiographic Study.
Yishay Szekely,Yael Lichter,Philippe Taieb,Ariel Banai,Aviram Hochstadt,Ilan Merdler,Amir Gal Oz,Ehud Rothschild,Guy Baruch,Yogev Peri,Yaron Arbel,Yan Topilsky +11 more
TL;DR: In COVID-19 infection, LV systolic function is preserved in the majority of patients, but LV diastolic and RV function are impaired, and Elevated troponin and poorer clinical grade are associated with worse RV function.
Journal ArticleDOI
Lung Ultrasound for Critically Ill Patients.
TL;DR: Lung ultrasound is a useful diagnostic and monitoring tool that might in the near future become part of the basic knowledge of physicians caring for the critically ill patient.
Journal ArticleDOI
Lung ultrasound predicts clinical course and outcomes in COVID-19 patients.
Yael Lichter,Yan Topilsky,Philippe Taieb,Ariel Banai,Aviram Hochstadt,Ilan Merdler,Amir Gal Oz,Jacob Vine,Or Goren,Barak Cohen,Orly Sapir,Yoav Granot,Tomer Mann,Shirley Friedman,Yoel Angel,Nimrod Adi,Michal Laufer-Perl,Merav Ingbir,Yaron Arbel,Idit Matot,Yishay Szekely,Yishay Szekely +21 more
TL;DR: Routine use of LUS may guide patients’ management strategies, as well as resource allocation in case of surge capacity, and is a strong predictor of mortality.
Journal ArticleDOI
Assessment of Lung Aeration and Recruitment by CT Scan and Ultrasound in Acute Respiratory Distress Syndrome Patients.
Davide Chiumello,Silvia Mongodi,I Algieri,Giordano Luca Vergani,Anita Orlando,Gabriele Via,Francesco Crimella,Massimo Cressoni,Francesco Mojoli +8 more
TL;DR: Global Lung Ultrasound score variations should not be used for bedside assessment of positive end-expiratory pressure–induced recruitment, and is a valid tool to assess regional and global lung aeration.
Journal ArticleDOI
Our Italian experience using lung ultrasound for identification, grading and serial follow-up of severity of lung involvement for management of patients with COVID-19.
Luigi Vetrugno,Tiziana Bove,Daniele Orso,Federico Barbariol,Flavio Bassi,Enrico Boero,Giovanni Ferrari,Robert Kong +7 more
TL;DR: Use of LU has helped in clinical decision making and reduced the use of both chest x‐rays and computed tomography (CT) in patients with suspected or documented COVID‐19 infection.
References
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Journal ArticleDOI
International evidence-based recommendations for point-of-care lung ultrasound.
Giovanni Volpicelli,Mahmoud Elbarbary,Michael Blaivas,Daniel Lichtenstein,Gebhard Mathis,Andrew W. Kirkpatrick,Lawrence Melniker,Luna Gargani,Vicki E. Noble,Gabriele Via,Anthony J. Dean,James W. Tsung,Gino Soldati,Roberto Copetti,Belaid Bouhemad,Angelika Reissig,Eustachio Agricola,Jean-Jacques Rouby,Charlotte Arbelot,Andrew S. Liteplo,Ashot E. Sargsyan,Fernando Silva,Richard Hoppmann,Raoul Breitkreutz,Armin Seibel,Luca Neri,Enrico Storti,Tomislav Petrovic +27 more
TL;DR: This document reflects the overall results of the first consensus conference on “point-of-care” lung ultrasound and utilizes the RAND appropriateness method for panel judgment and decisions/consensus.
Journal ArticleDOI
Lung Recruitment in Patients with the Acute Respiratory Distress Syndrome
Luciano Gattinoni,Pietro Caironi,Massimo Cressoni,Davide Chiumello,V. Marco Ranieri,Michael Quintel,Sebastiano G. Russo,Nicolò Patroniti,Rodrigo Cornejo,Guillermo Bugedo +9 more
TL;DR: In ARDS, the percentage of potentially recruitable lung is extremely variable and is strongly associated with the response to PEEP, which may decrease ventilator-induced lung injury by keeping lung regions open that otherwise would be collapsed.
Journal ArticleDOI
Comparative Diagnostic Performances of Auscultation, Chest Radiography, and Lung Ultrasonography in Acute Respiratory Distress Syndrome
Daniel Lichtenstein,Ivan Goldstein,E. Mourgeon,Philippe Cluzel,Philippe Grenier,Jean-Jacques Rouby +5 more
TL;DR: At the bedside, lung ultrasonography is highly sensitive, specific, and reproducible for diagnosing the main lung pathologic entities in patients with ARDS and can be considered an attractive alternative to bedside chest radiography and thoracic computed tomography.
Journal ArticleDOI
American College of Chest Physicians/La Société de Réanimation de Langue Française Statement on Competence in Critical Care Ultrasonography
Paul H. Mayo,Yannick Beaulieu,Peter Doelken,David Feller-Kopman,Christopher G. Harrod,Adolfo Kaplan,John Oropello,Antoine Vieillard-Baron,Olivier Axler,Daniel Lichtenstein,Eric Maury,Michel Slama,Philippe Vignon +12 more
TL;DR: In defining a reasonable minimum standard for CCUS, the statement serves as a guide for the intensivist to follow in achieving proficiency in the field.
Journal ArticleDOI
Assessing and grading congestion in acute heart failure: a scientific statement from the Acute Heart Failure Committee of the Heart Failure Association of the European Society of Cardiology and endorsed by the European Society of Intensive Care Medicine
Mihai Gheorghiade,Ferenc Follath,Piotr Ponikowski,Jeffrey H. Barsuk,John E.A. Blair,John G.F. Cleland,Kenneth Dickstein,Kenneth Dickstein,Mark H. Drazner,Gregg C. Fonarow,Tiny Jaarsma,Guillaume Jondeau,Jose Lopez Sendon,A. Mebazaa,Marco Metra,Markku S. Nieminen,Peter S. Pang,Petar M. Seferovic,Lynne W. Stevenson,Dirk J. van Veldhuisen,Faiez Zannad,Stefan D. Anker,Andrew Rhodes,John J.V. McMurray,Gerasimos Filippatos +24 more
TL;DR: This document reviews the available methods of evaluating congestion, provides suggestions on how to properly perform these measurements, and proposes a method to quantify the amount of congestion present.
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International evidence-based recommendations for point-of-care lung ultrasound.
Giovanni Volpicelli,Mahmoud Elbarbary,Michael Blaivas,Daniel Lichtenstein,Gebhard Mathis,Andrew W. Kirkpatrick,Lawrence Melniker,Luna Gargani,Vicki E. Noble,Gabriele Via,Anthony J. Dean,James W. Tsung,Gino Soldati,Roberto Copetti,Belaid Bouhemad,Angelika Reissig,Eustachio Agricola,Jean-Jacques Rouby,Charlotte Arbelot,Andrew S. Liteplo,Ashot E. Sargsyan,Fernando Silva,Richard Hoppmann,Raoul Breitkreutz,Armin Seibel,Luca Neri,Enrico Storti,Tomislav Petrovic +27 more