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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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.
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References

SHOWING 1-10 OF 69 REFERENCES
A lung ultrasound sign allowing bedside distinction between pulmonary edema and COPD: the comet-tail artifact
TLDR
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.
Comparative Diagnostic Performances of Auscultation, Chest Radiography, and Lung Ultrasonography in Acute Respiratory Distress Syndrome
TLDR
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.
TLDR
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
TLDR
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.
TLDR
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
TLDR
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.
TLDR
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*
TLDR
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.
TLDR
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.
...
1
2
3
4
5
...