The sound of air: point-of-care lung ultrasound in perioperative medicine

作者: Alberto Goffi , Richelle Kruisselbrink , Giovanni Volpicelli

DOI: 10.1007/S12630-018-1062-X

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摘要: Lung ultrasound (LUS) has emerged as an effective and accurate goal-directed diagnostic tool that can be applied in real time for the bedside assessment of patients with respiratory symptoms signs. definite easily recognized findings been shown to outperform physical examination chest radiography diagnosis monitoring many pulmonary pleural conditions. In this article, we review principles LUS image acquisition interpretation, summarizing key terms sonographic findings. Although is easy learn, adequate training performance organized fashion are crucial its clinical effectiveness prevent harm. Therefore, normal propose step-wise approaches most common diagnoses, such pneumothorax, effusion, interstitial syndrome, lung consolidation. We highlight potential pitfalls avoid a recently published practical algorithm use practice. Because unique properties lungs, only careful systematic analysis both artifacts anatomical images allows interpretation Future studies exploring software automatic quantitative methods continuous devices may further simplify expand technique at acute medicine perioperative setting.

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