TAILIEUCHUNG - Ebook Key topics in management of the critically ill: Part 2

(BQ) Part 2 book "Key topics in management of the critically ill" presents the following contents: The role of lung ultrasound on the daily assessment of the critically ill patient, the critically ill burn patient - How do we get it right; transfer of the sickest patient in the hospital - When how and by whom;. | The Role of Lung Ultrasound on the Daily Assessment of the Critically Ill Patient 8 Nektaria Xirouchaki and Dimitrios Georgopoulos Summary of Abbreviations ARDS Adult respiratory distress syndrome LU Lung ultrasound PEEP Positive end-expiratory pressure Introduction The first lung ultrasound LU pattern obtained from a patient with pleural effusion was described by Pell in 1964. Three years later Joyner et al. 1 published the first study which described the accuracy and reliability of LU in the diagnosis of pleural fluid. Thereafter for several years the use of LU was limited only to the detection of pleural effusion. This has drastically changed in the last decade. Nowadays LU has emerged as a powerful non-invasive easily repeatable bedside diagnostic tool and is increasingly used in critically ill patients 2-4 . Studies have shown that in these patients LU has a high diagnostic accuracy in identifying pneumothorax con-solidation atelectasis interstitial syndromes . 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 considered an alternative to thoracic computed tomography CT scan when identifying these N. Xirouchaki D. Georgopoulos Department of Intensive Care Medicine University Hospital of Heraklion Heraklion Greece e-mail nxirouch@ georgop@ Springer International Publishing Switzerland 2016 105 . Vizcaychipi . Corredor eds. Key Topics in Management of the Critically III DOI 978-3-319-22377-3_8 106 N. Xirouchaki and D. Georgopoulos pathological conditions which are commonly encountered in critically ill patients Fig. 2 3 . As a result LU 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 lung aeration which is of particular importance in patients with acute respiratory distress syndrome. .

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