A Novel Method of Detecting Pulmonary Overdistention Using Lung Ultrasound Pilot Study

Mandelbaum, T.; Yu, Xin; Abate, N.; Lenart, A.; Sidhu, U.; Kajanaku, A.; Petrov, M.; Delvecchio, P.; Martin, Kevin; Connell, Martin; Esposito, Silvano; Reutlinger, K.; Signore, Madeline Del; Thompson, Lisa; Ellis, Colin A; Jaye, David L.; Staley, Mark; Profka, Harrilla; Rizi, Rahim R.; Goffi, Alberto; Cereda, Maurizio

doi:10.1164/ajrccm-conference.2020.201.1_meetingabstracts.a1768

Cited by 1 publication

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“…An important limitation of lung ultrasound is its inability to directly asses overdistention. However, there are some promising experimental studies evaluating the potential of lung ultrasound for detecting overdistension such as quantification of lung sliding [ 43 , 44 ] and ultrasound elastography [ 45 ].…”

Section: Assessment Of Lung Aerationmentioning

confidence: 99%

Setting positive end-expiratory pressure: lung and diaphragm ultrasound

Mousa,

Klompmaker,

Tuinman

2023

Current Opinion in Critical Care

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Purpose of review The purpose of this review is to summarize the role of lung ultrasound and diaphragm ultrasound in guiding ventilator settings with an emphasis on positive end-expiratory pressure (PEEP). Recent advances for using ultrasound to assess the effects of PEEP on the lungs and diaphragm are discussed. Recent findings Lung ultrasound can accurately diagnose the cause of acute respiratory failure, including acute respiratory distress syndrome and can identify focal and nonfocal lung morphology in these patients. This is essential in determining optimal ventilator strategy and PEEP level. Assessment of the effect of PEEP on lung recruitment using lung ultrasound is promising, especially in the perioperative setting. Diaphragm ultrasound can monitor the effects of PEEP on the diaphragm, but this needs further validation. In patients with an acute exacerbation of chronic obstructive pulmonary disease, diaphragm ultrasound can be used to predict noninvasive ventilation failure. Lung and diaphragm ultrasound can be used to predict weaning outcome and accurately diagnose the cause of weaning failure. Summary Lung and diaphragm ultrasound are useful for diagnosing the cause of respiratory failure and subsequently setting the ventilator including PEEP. Effects of PEEP on lung and diaphragm can be monitored using ultrasound.

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Section: Assessment Of Lung Aerationmentioning

confidence: 99%