Lung ultrasound in critically ill patients: a new diagnostic tool

被引:25
|
作者
Dexheimer Neto, Felippe Leopoldo
Roth Dalcin, Paulo de Tarso
Teixeira, Cassiano
Beltrami, Flavia Gabe
机构
[1] Hosp Ernesto Dornelles, Porto Alegre, RS, Brazil
[2] Hosp Moinhos de Vento, Porto Alegre, RS, Brazil
[3] Univ Fed Ciencias Saude Porto Alegre, Porto Alegre, RS, Brazil
[4] Univ Fed Rio Grande do Sul, Dept Med Interna, Porto Alegre, RS, Brazil
关键词
Ultrasonography; Lung; Critical care; Intensive care units; MECHANICAL VENTILATION; BEDSIDE ULTRASOUND; PLEURAL EFFUSIONS; CHEST RADIOGRAPHY; ULTRASONOGRAPHY; PNEUMOTHORAX; PRESSURE;
D O I
10.1590/S1806-37132012000200015
中图分类号
R56 [呼吸系及胸部疾病];
学科分类号
摘要
The evaluation of critically ill patients using lung ultrasound, even if performed by nonspecialists, has recently garnered greater interest. Because lung ultrasound is based on the fact that every acute illness reduces lung aeration, it can provide information that complements the physical examination and clinical impression, the main advantage being that it is a bedside tool. The objective of this review was to evaluate the clinical applications of lung ultrasound by searching the PubMed and the Brazilian Virtual Library of Health databases. We used the following search terms (in Portuguese and English): ultrasound; lung; and critical care. In addition to the most relevant articles, we also reviewed specialized textbooks. The data show that lung ultrasound is useful in the differential diagnosis of pulmonary infiltrates, having good accuracy in identifying consolidations and interstitial syndrome. In addition, lung ultrasound has been widely used in the evaluation and treatment of pleural effusions, as well as in the identification of pneumothorax. This technique can also be useful in the immediate evaluation of patients with dyspnea or acute respiratory failure. Other described applications include monitoring treatment response and increasing the safety of invasive procedures. Although specific criteria regarding training and certification are still lacking, lung ultrasound is a fast, inexpensive, and widely available tool. This technique should progressively come to be more widely incorporated into the care of critically ill patients.
引用
收藏
页码:246 / 256
页数:11
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