Ebook Key topics in management of the critically ill: Part 2
➤ Gửi thông báo lỗi ⚠️ Báo cáo tài liệu vi phạmNội dung chi tiết: Ebook Key topics in management of the critically ill: Part 2
Ebook Key topics in management of the critically ill: Part 2
https: //khothuvien .comThe Role of Lung Ultrasound on the Daily Assessment of the Critically8III PatientNektaria Xirouchaki and Dimitrios Georgopoulo Ebook Key topics in management of the critically ill: Part 2osSummary of AbbreviationsARDSLUPEEPAdult respiratory distress syndromeLung ultrasoundPositive end-expiratory pressure8.1IntroductionThe first lung ultrasound (LU) pattern, obtained from a patient with pleural effusion, was described by Pell in 1964. Three years later. Joyner et al. [ I ] published Ebook Key topics in management of the critically ill: Part 2the first study which described the accuracy and reliability of LU in the diagnosis of pleural fluid. Thereafter, for several years, the use of LU wasEbook Key topics in management of the critically ill: Part 2
limited only to the detection of pleural effusion. This has drastically changed in the last decade. Nowadays. LU has emerged as a powerful, non-invashttps: //khothuvien .comThe Role of Lung Ultrasound on the Daily Assessment of the Critically8III PatientNektaria Xirouchaki and Dimitrios Georgopoulo Ebook Key topics in management of the critically ill: Part 2LU has a high diagnostic accuracy in identifying pneumothorax, con-solidation/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 Ebook Key topics in management of the critically ill: Part 2 considered an alternative to thoracic computed tomography (CT) scan when identifying theseN. Xirouchaki (El) • D. GeorgopoulosDepartment of IntensiveEbook Key topics in management of the critically ill: Part 2
Care Medicine. University Hospital of Heraklion. Heraklion. Greecee-mail: nxirouch@otenet.gr; georgop@med.uoc.gr© Springer International Publishing Shttps: //khothuvien .comThe Role of Lung Ultrasound on the Daily Assessment of the Critically8III PatientNektaria Xirouchaki and Dimitrios Georgopoulo Ebook Key topics in management of the critically ill: Part 2and D. Georgopoulospathological conditions which are commonly encountered in critically ill patients (Fig. 8.1) [2,3].As a result. LL' is likely to have a significant impact on clinical decision-making and therapeutic management of these patients [3. 5]. LU may also be used to assess and monitor lun Ebook Key topics in management of the critically ill: Part 2g aeration, which is of particular importance in patients with acute respiratory distress syndrome. This application may guide the titration of positiEbook Key topics in management of the critically ill: Part 2
ve end-expiratory airway pressure (PEEP) and may serve as a safeguard against excessive fluid loading in critically ill patients [6]. Finally, it has https: //khothuvien .comThe Role of Lung Ultrasound on the Daily Assessment of the Critically8III PatientNektaria Xirouchaki and Dimitrios Georgopoulo Ebook Key topics in management of the critically ill: Part 2stimation of the work of breathing in critically ill patients [7/.Despite the proven diagnostic ability of LU and its influence on decision-making and therapeutic management, there are significant barriers to the widespread use of this pragmatic, non-invasive bedside tool. The fact that the interpre Ebook Key topics in management of the critically ill: Part 2tation of LU findings is heavily dependent on operator experience represents one important limitation. In addition. LU may not identify with accuracy,Ebook Key topics in management of the critically ill: Part 2
deep pulmonary lesions.The aim of this chapter is to introduce the ultrasonography imaging of the lungs and pleura, and the main LU findings associathttps: //khothuvien .comThe Role of Lung Ultrasound on the Daily Assessment of the Critically8III PatientNektaria Xirouchaki and Dimitrios Georgopoulo Ebook Key topics in management of the critically ill: Part 2rast arterial revealed bilateral consolidations with air bronchogram (arrows), associated with pleural effusions. Right: Lung ultrasound longitudinal scan at the lower lateral regions. The main ultrasound features included bilateral consolidations with air bronchograin (tfiTOWi) and pleural effusion Ebook Key topics in management of the critically ill: Part 2s (From Georgopoulos et al. [4|)8 The Role of Lung Ultrasound on the Daily Assessment of the Critically III Patient 107Table 8.1 The use of lung ultraEbook Key topics in management of the critically ill: Part 2
sound in various lung and pleural pathologic conditionsLung parenchyma abnormalities1. Consolidation(a) Atelectasis(b) Pneumonia(c) Lung contusion2. Ihttps: //khothuvien .comThe Role of Lung Ultrasound on the Daily Assessment of the Critically8III PatientNektaria Xirouchaki and Dimitrios Georgopoulohttps: //khothuvien .comThe Role of Lung Ultrasound on the Daily Assessment of the Critically8III PatientNektaria Xirouchaki and Dimitrios GeorgopouloGọi ngay
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