Pulmonary Point-of-Care Ultrasonography in the Intensive Care Unit

Author:

Gayen Shameek1,Kim Jin Sun2,Desai Parag3

Affiliation:

1. Shameek Gayen is a Fellow, Department of Thoracic Medicine and Surgery, Lewis Katz School of Medicine, Temple University Hospital, 3401 N Broad St, Philadelphia, PA 19140 (shameek.gayen@tuhs.temple.edu).

2. Jin Sun Kim is a Fellow, Department of Thoracic Medicine and Surgery, Lewis Katz School of Medicine, Temple University Hospital, Philadelphia, Pennsylvania.

3. Parag Desai is Professor, Department of Thoracic Medicine and Surgery, Lewis Katz School of Medicine, Temple University Hospital, Philadelphia, Pennsylvania.

Abstract

Pulmonary point-of-care ultrasonography (POCUS) is a quick and essential tool in the diagnosis of various pulmonary pathologies. Pulmonary POCUS can aid in the detection of pneumothorax, pleural effusion, pulmonary edema, and pneumonia, with sensitivity and specificity comparable, if not superior, to those of chest radiograph and chest computed tomography. Knowledge of anatomy and scanning of both lungs in multiple positions is essential for effective pulmonary POCUS. In addition to identifying pertinent anatomic structures such as the diaphragm, liver, spleen, and pleura and identifying specific ultrasonography findings such as A-lines, B-lines, lung sliding, and dynamic air bronchograms, POCUS helps detect pleural and parenchymal abnormalities. Proficiency in pulmonary POCUS is an attainable and essential skill in the care and management of the critically ill patient.

Publisher

AACN Publishing

Subject

Critical Care Nursing,Emergency Medicine,General Medicine

Reference16 articles.

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