Relevance of lung ultrasound in the diagnosis of acute respiratory failure: the BLUE protocol.
@article{Lichtenstein2008RelevanceOL, title={Relevance of lung ultrasound in the diagnosis of acute respiratory failure: the BLUE protocol.}, author={Daniel A Lichtenstein and Gilbert A Mezi{\`e}re}, journal={Chest}, year={2008}, volume={134 1}, pages={ 117-25 } }
BACKGROUND
This study assesses the potential of lung ultrasonography to diagnose acute respiratory failure.
[] Key MethodMETHODS
This observational study was conducted in university-affiliated teaching-hospital ICUs. We performed ultrasonography on consecutive patients admitted to the ICU with acute respiratory failure, comparing lung ultrasonography results on initial presentation with the final diagnosis by the ICU team. Uncertain diagnoses and rare causes (frequency<2%) were excluded.
Figures and Tables from this paper
1,385 Citations
Lung Ultrasound in Diagnosis of Acute Respiratory Failure: BLUE Protocol Based Evaluation
- Medicine
- 2017
Lung ultrasound, as proposed in the BLUE protocol, has good accuracy, and seems reproducible and useful in acute respiratory failure.
EVALUATE THE UTILITY OF LUNG ULTRASOUND AS A DIAGNOSTIC TOOL IN PATIENTS WITH ACUTE RESPIRATORY FAILURE.
- MedicinePARIPEX INDIAN JOURNAL OF RESEARCH
- 2021
The results obtained in this study were similar and comparable with the studies done in developed countries and this modality can be used with ease and confidence in the evaluation of acute respiratory failure in the Indian settings by non radiologists ICU physicians.
Bedside Lung Ultrasound in Emergency Protocol as a Diagnostic Tool in Patients of Acute Respiratory Distress Presenting to Emergency Department
- MedicineJournal of emergencies, trauma, and shock
- 2018
The bedside lung ultrasound in emergency (BLUE) protocol in giving a correct diagnosis in patients presenting with acute respiratory distress in emergency department was successful in average 90.316% cases.
Bedside lung ultrasound in emergency (BLUE) protocol: a suggestion to modify.
- MedicineChest
- 2010
It is suggested that the addition of diaphragm function assessment, a simple technique, as a step in the BLUE protocol will enhance its diagnostic accuracy.
Usefulness of cardiothoracic chest ultrasound in the management of acute respiratory failure in critical care practice.
- MedicineChest
- 2013
The use of cardiothoracic ultrasound appears to be an attractive complementary diagnostic tool and seems able to contribute to an early therapeutic decision based on reproducible physiopathologic data.
Chest Ultrasonography in Diagnosing Etiology of Acute Respiratory Failure
- Medicine
- 2020
Bed side lung ultrasound in patent with ARF was performed to find out the diagnostic accuracy of lung ultrasound when compared with diagnosis made by the clinician and it was found that lung ultrasound is useful tool in diagnosing etiology of acute respiratory failure.
Clinical Applicability of Lung Ultrasound Methods in the Emergency Department to Detect Pulmonary Congestion on Computed Tomography.
- MedicineUltraschall in der Medizin
- 2019
Pulmonary congestion in consecutive dyspneic patients ≥ 50 years of age is better diagnosed if lung ultrasound evaluates both B-lines and pleural effusion instead of B- lines alone.
Lung Ultrasound in the Critically Ill
- MedicineKorean journal of critical care medicine
- 2017
In the critical care setting, lung ultrasound is increasingly used, as it allows bedside visualization of the lungs, and it can be used to determine the cause of fever distinguishing pneumonia from atelectasis and to rule out pneumothorax.
Decreased sensitivity of lung ultrasound limited to the anterior chest in emergency department diagnosis of cardiogenic pulmonary edema: a retrospective analysis
- Medicine
- 2010
Limiting the sonographic lung examination to the anterior chest areas only will miss cases of ADHF in the dyspneic ED patients and the BLUE protocol (B-profile) may need to be modified to include examination of the lateral chest as necessary for ED patients with ADHF.
Point of care lung ultrasound of children with acute asthma exacerbations in the pediatric ED
- MedicineThe American journal of emergency medicine
- 2017
References
SHOWING 1-10 OF 69 REFERENCES
A lung ultrasound sign allowing bedside distinction between pulmonary edema and COPD: the comet-tail artifact
- MedicineIntensive Care Medicine
- 1998
Ultrasound detection of the comet-tail artifact arising from the lung-wall interface may help distinguish pulmonary edema from COPD.
Bedside lung ultrasound in the assessment of alveolar-interstitial syndrome.
- MedicineThe American journal of emergency medicine
- 2006
Comparative Diagnostic Performances of Auscultation, Chest Radiography, and Lung Ultrasonography in Acute Respiratory Distress Syndrome
- MedicineAnesthesiology
- 2004
At the bedside, lung ultrasonography is highly sensitive, specific, and reproducible for diagnosing the main lung pathologic entities in patients with ARDS and can be considered an attractive alternative to bedside chest radiography and thoracic computed tomography.
A bedside ultrasound sign ruling out pneumothorax in the critically ill. Lung sliding.
- MedicineChest
- 1995
Ultrasound was a sensitive test for detection of pneumothorax, although false-positive cases were noted, and the principal value of this test was that it could immediately exclude anterior pneumothsorax.
Ultrasound diagnosis of alveolar consolidation in the critically ill
- MedicineIntensive Care Medicine
- 2003
Ultrasound provides a reliable non-invasive, bedside method for accurate detection and location of alveolar consolidation in critically ill patients and shows anterior involvement in all 3 cases of whole lung consolidation.
Chest ultrasonography for the diagnosis and monitoring of high-altitude pulmonary edema.
- MedicineChest
- 2007
The comet-tail technique effectively recognizes and monitors the degree of pulmonary edema in HAPE and reduction in CTS parallels improved oxygenation and clinical status in Hape.
Acute respiratory failure in the elderly: etiology, emergency diagnosis and prognosis
- MedicineCritical care
- 2006
Inappropriate initial treatment in the emergency room was associated with increased mortality in elderly patients with ARF and the accuracy of the initial diagnosis by the emergency physician, and that of the prognosis.
Chest ultrasonography in lung contusion.
- MedicineChest
- 2006
Chest ultrasonography can accurately detect LC in blunt trauma victims, in comparison to CT scan, according to radiography and CT.
Ultrasound diagnosis of occult pneumothorax*
- MedicineCritical care medicine
- 2005
For the diagnosis of occult pneumothorax, ultrasound can decrease the need for computed tomography, and this study concluded that lung ultrasound could be of any help in this situation.
The comet-tail artifact. An ultrasound sign of alveolar-interstitial syndrome.
- MedicineAmerican journal of respiratory and critical care medicine
- 1997
Tomodensitometric correlations showed that the thickened sub-pleural interlobular septa, as well as ground-glass areas, two lesions present in acute pulmonary edema, were associated with the presence of the comet-tail artifact.