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.
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Highly Influential Citations
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Methods Citations
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Lung Ultrasound in Diagnosis of Acute Respiratory Failure: BLUE Protocol Based Evaluation
TLDR
Lung ultrasound, as proposed in the BLUE protocol, has good accuracy, and seems reproducible and useful in acute respiratory failure.
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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.
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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.
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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.
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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.
TLDR
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
  • J. Cho
  • Medicine
    Korean journal of critical care medicine
  • 2017
TLDR
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
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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
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