Emergency Ultrasound of the Chest

Kreuter, Michael; Mathis, Gebhard

doi:10.1159/000357685

Cited by 36 publications

(19 citation statements)

References 35 publications

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“…PoCUS is reported to be quite sensitive for the diagnosis of heart failure, while maintaining a standard emergency department (ED) evaluation tool for the differential diagnosis of COPD/asthma, pleural or pericardial effusions, pneumonia and especially pulmonary embolism. [33] As a sonographic tool, echocardiography helps to identify cardiac causes such as valvular pathologies or impaired left ventricular function. Moreover, large intrathoracic tumours compressing central airways and/or the superior vena cava can be visualised by chest ultrasound.…”

Section: Approach To Patients With Primarily Heart Diseasementioning

confidence: 99%

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Evaluation and Management of the Dyspnoeic Patient- A Challenge to the Anaesthesiologist

Bagchi¹,

Mandal²,

Saha³

et al. 2018

jemds

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BACKGROUNDAnaesthesiologists are not infrequently facing the problematic patient presenting in the pre-anaesthetic clinic with evident dyspnoea, which has not been properly evaluated. Dyspnoea being a presentation of several severe disorders, its evaluation and management remains important even today to modify the risks entailed and to diminish the perioperative complications along with post-operative ventilation. In this perspective, we searched for relevant medical literature in English language using Google Search Engine. A thorough search for articles was done using the following Medical Subject Headings (MeSH) terms such as 'Dyspnoea,' 'Dyspnoea/ aetiology,' 'Dyspnoea/ physiopathology,' 'Dyspnoea/ diagnosis,' 'Dyspnoea/ therapy,' 'Dyspnoea/ psychology,' 'Exercise/ physiology,' 'Respiratory Insufficiency' and 'Sensation.' The full text articles published in last two decades were mainly considered with the exception for some old seminal articles, which dates back to the 50's. Subsequently, the articles are filtered and only the review articles, original investigations, guidelines and editorials were consulted. Framing of this article was envisaged to provide an overview of the varying aetiology of dyspnoea, its work-up and management in the light of recent advances. This may help in the refreshment of knowledge, which can help reducing the perioperative mortality and morbidity of these patients, already living a restricted life-style with a considerable morbidity.

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Section: Approach To Patients With Primarily Heart Diseasementioning

confidence: 99%

“…[34] Sonography of the neck and chest ultrasound should be included in the routine imaging modality for patients with dyspnoea presenting to ED. [33] A brief outline of diagnostic tests may be summarised below (Table 7]. [15,35,36] …”

Section: Approach To Patients With Primarily Heart Diseasementioning

confidence: 99%

Evaluation and Management of the Dyspnoeic Patient- A Challenge to the Anaesthesiologist

Bagchi¹,

Mandal²,

Saha³

et al. 2018

jemds

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“…Emergency medicine and intensive care specialists most often scan patients in the supine position and hold the transducer in a longitudinal plane (i.e., parallel to the spine) with the transducer indicator in a cephalad position (12). Although this technique has advantages (e.g., greater sensitivity for pneumothoraces), the visualization of peripheral tumors and consolidated lung is best achieved by examining in line with the intercostal spaces and is the technique preferred by many respiratory physicians.…”

Section: Conducting a Studymentioning

confidence: 99%

“…In the presence of a pneumothorax, the granularity of the lung with respiration is lost, giving rise to the "bar-code" sign. Diaphragmatic paralysis, pleural adhesions, and emphysema may decrease the sensitivity of US for the detection of a pneumothorax (7,12,27).…”

Section: Pneumothoraxmentioning

confidence: 99%

Transthoracic Ultrasonography for Clinicians

Vorster¹,

Allwood²,

Koegelenberg³

2015

Eurasian J Pulmonol

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Transthoracic ultrasonography (US) has become an essential tool for respiratory, emergency, and critical care physicians. It can be performed with basic equipment and by personnel with minimum training as a modality for the evaluation of a wide range of thoracic pathologies. Its advantages include immediate application at the point of care, low cost, and lack of radiation. The main indications for transthoracic US are the qualitative and quantitative assessment of pleural effusions, pleural thickening, diaphragmatic pathology, as well as chest wall and pleural tumors. Transthoracic US is also useful in visualizing pulmonary pathologies that abut the pleura, such as pneumonic consolidation and interstitial syndromes, including pulmonary edema. Transthoracic US is more sensitive than the traditional chest radiograph in the detection of pneumothoraces, and it is useful in diagnosing skeletal abnormalities such as rib fractures. It is the ideal tool to guide transthoracic procedures, including thoracocentesis and pleural biopsy. Moreover, transthoracic US-guided procedures can be performed by a single clinician with no sedation and minimal monitoring. Transthoracic US-guided fine needle aspiration and/or cutting needle biopsy of extrathoracic lymph nodes and lesions arising from the chest wall, pleura, peripheral lung, and mediastinum are safe to perform and have a high yield in the of hands of experienced clinicians. Transthoracic US can also potentially guide the aspiration and biopsy of diffuse pulmonary infiltrates, consolidations, and lung abscesses. Moreover, transthoracic US may be used in the detection of pulmonary embolism.

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“…This review is the final part of a thematic review series covering the main aspects of US applications in pulmonology [1,2,3]. Technical principles and aspects of US will not be repeated in this text as they have been described extensively in several recent reviews [4,5,6,7,8].…”

Section: Introductionmentioning

confidence: 99%

Percutaneous Ultrasonography as Imaging Modality and Sampling Guide for Pulmonologists

Stigt

Groen

2014

Respiration

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Ultrasound (US) imaging is gradually progressing into common practice in contemporary pulmonology. Its main applications are to determine the presence and amount of pleural effusions and to guide subsequent treatment interventions. Guidelines recommend the use of US for these indications. Training programs are organized and competency levels are formulated. Image guidance with US to obtain specimens for pathologic and/or microbiological analysis is less extensively practiced by pulmonologists but it is an important tool for tumour staging and diagnosing diseases. Lung tumours in contact with the pleural surface, pleural thickenings, mediastinal tumours and chest wall tumours are conceivable indications for pulmonologists to approach with the help of US visualization. Moreover, sampling of chest disease-related extrathoracal lesions may also be regarded as the working field of the pulmonologist. For example, supraclavicular and axillar lymph node metastasis, and also soft tissue and bone metastases, are lesions encountered during dissemination tests. US-guided biopsy provides not only a diagnosis, but also gives information on the stage of disease in sometimes inaccessible primary lesions. US-guided sampling increases diagnostic efficacy and safety and enables very precise performance of fine-needle aspirations as well as tissue core biopsies.

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Emergency Ultrasound of the Chest

Cited by 36 publications

References 35 publications

Evaluation and Management of the Dyspnoeic Patient- A Challenge to the Anaesthesiologist

Evaluation and Management of the Dyspnoeic Patient- A Challenge to the Anaesthesiologist

Transthoracic Ultrasonography for Clinicians

Percutaneous Ultrasonography as Imaging Modality and Sampling Guide for Pulmonologists

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