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2025, Number 4

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Rev Mex Anest 2025; 48 (4)

Lung ultrasound: the end of the stethoscope?

Roca-Viéitez Ó, Carballeira-Anca I, Subirán-Rodríguez P, Díaz-Mosquera L, Porto-Fuentes Ó

Language: Spanish
References: 19
Page: 242-247
PDF size: 1079.00 Kb.


ABSTRACT

Clinical ultrasound is a tool increasingly used by multiple medical specialties (intensive care, family, cardiology, pulmonology...). The concept of clinical ultrasound includes echocardiography, gastric and abdominal ultrasound, vascular access ultrasound, and lung ultrasound. Lung ultrasound is a simple technique that allows the diagnosis and monitoring of multiple pathologies. For some years now, it has been considered a basic competence that every anesthesiologist must have. In this review article our objective is to provide a brief summary of lung ultrasound that encourages us to begin a more detailed study.


REFERENCES

  1. Vives M, Hernández A, González AD, Torres J, Cuesta P, Villen T, et al. Diploma on ultrasound training and competency for Intensive Care and Emergency Medicine: consensus document of the Spanish Society of Anesthesia (SEDAR), Spanish Society of Internal Medicine (SEMI) and Spanish Society of Emergency Medicine (SEMES). Rev Esp Anestesiol Reanim (Engl Ed). 2021;68:143-148.

  2. Ayuela Azcárate JM, Clau-Terré F, Vicho Pereira R, Guerrero de Mier M, Carrillo López A, Ochagavia A, et al. Documento de consenso para la formación en ecografía en Medicina Intensiva. Proceso asistencial, uso de la técnica y adquisición de competencias profesionales. Med Intensiva. 2014;38:33-40.

  3. Lichtenstein D, Axler O. Intensive use of general ultrasound in the intensive care unit. Prospective study of 150 consecutive patients. Intensive Care Med. 1993;19:353-355. doi: 10.1007/BF01694712.

  4. Ródenas Monteagudo MA, Albero Roselló I, Del Mazo Carrasco A, Carmona García P, Zarragoikoetxea Jauregui I. Update on the use of ultrasound in the diagnosis and monitoring of the critical patient. Rev Esp Anestesiol Reanim (Engl Ed). 2022;69:567-577. doi: 10.1016/j.redare.2022.01.003.

  5. de la Quintana Gordon FB, Nacarino Alcorta B. Basic lung ultrasound. Part 1. Normal lung ultrasound and diseases of the chest wall and the pleura. Rev Esp Anestesiol Reanim. 2015;62:322-336. doi: 10.1016/j.redar.2015.02.003.

  6. Lichtenstein DA, Malbrain MLNG. Lung ultrasound in the critically ill (LUCI): A translational discipline. Anaesthesiol Intensive Ther. 2017;49:430-436. doi: 10.5603/AIT.a2017.0063.

  7. Gargani L, Volpicelli G. How I do it: lung ultrasound. Cardiovasc Ultrasound. 2014;12:25.

  8. Lichtenstein DA. BLUE-protocol and FALLS-protocol: two applications of lung ultrasound in the critically ill. Chest. 2015;147:1659-1670. doi: 10.1378/chest.14-1313.

  9. Lichtenstein D, Méziere G, Biderman P, Gepner A, Barré O. The comet-tail artifact. An ultrasound sign of alveolar-interstitial syndrome. Am J Respir Crit Care Med. 1997;156:1640-1646. doi: 10.1164/ajrccm.156.5.96-07096.

  10. Colins JD, Burwell D, Furmanski S, Lorber P, Steckel RJ. Minimal detectable pleural effusions. A roentgen pathology model. Radiology. 1972;105:51-53. doi: 10.1148/105.1.51.

  11. Segura-Grau E. Evaluación de nuevas indicaciones de la ecografía en Anestesiología: estudio de la variabilidad del nervio ciático [Tesis doctoral]. Madrid: Universidad Autónoma de Madrid; 2022.

  12. Balik M, Plasil P, Waldauf P, Pazout J, Fric M, Otahal M, et al. Ultrasound estimation of volume of pleural fluid in mechanically ventilated patients. Intensive Care Med. 2006;32(2):318. doi: 10.1007/s00134-005-0024-2.

  13. Eibenberger KL, Dock WI, Ammann ME, Dorffner R, Hormann MF, Grabenwoger F. Quantification of pleural effusions: sonography versus radiography. Radiology. 1994;191:681-684. doi: 10.1148/radiology.191.3.8184046.

  14. Chung MJ, Goo JM, Im JG, Cho JM, Cho SB, Kim SJ. Value of high-resolution ultrasound in detecting a pneumothorax. Eur Radiol. 2005;15:930-935. doi: 10.1007/s00330-004-2518-7.

  15. Soldati G, Demi M. The use of lung ultrasound images for the differential diagnosis of pulmonary and cardiac interstitial pathology. J Ultrasound. 2017;20:91-96. doi: 10.1007/s40477-017-0244-7.

  16. de la Quintana Gordon FB, Nacarino Alcorta B, Farjardo M. Ecografía pulmonar básica. Parte 2. Patología parenquimatosa. Rev Esp Anestesiol Reanim. 2015;62:337-349.

  17. Picano E, Frassi F, Agricola E, Gligorova S, Gargani L, Mottola G. Ultrasound lung comets: a clinically useful sign of extravascular lung water. J Am Soc Echocardiogr. 2006;19:356-363. doi: 10.1016/j.echo.2005.05.019.

  18. Agricola E, Bove T, Oppizzi M, Marino G, Zangrillo A, Margonato A, et al. "Ultrasound comet-tail images": a marker of pulmonary edema: a comparative study with wedge pressure and extravascular lung water. Chest. 2005;127:1690-1695. doi: 10.1378/chest.127.5.1690.

  19. Lichtenstein DA, Lascols N, Meziere G, Gepner A. Ultrasound diagnosis of alveolar consolidation in the critically ill. Intensive Care Med. 2004;30:276-281. doi: 10.1007/s00134-003-2075-6.




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