scholarly journals Favourable Experience with M-Mode Sonography in the Diagnosis of Pneumothorax in Two Patients with Thoracic Subcutaneous Emphysema

2014 ◽  
Vol 2014 ◽  
pp. 1-3
Author(s):  
T. Berlet ◽  
R. Etter
Keyword(s):  
Subcutaneous Emphysema ◽  
Tension Pneumothorax ◽  
Case Presentation ◽  
Mechanically Ventilated ◽  
Mechanically Ventilated Patients ◽  
Thoracic Ultrasound ◽  
Life Threatening ◽  
Surgical Emphysema ◽  
Lung Sliding ◽  
Ventilated Patients

Introduction. Thoracic subcutaneous emphysema may be caused by various pathologies. In mechanically ventilated patients, timely diagnostic workup is particularly important, as the presence of subcutaneous surgical emphysema may indicate pneumothorax, representing a risk factor for the development of life threatening tension pneumothorax. Thoracic ultrasound is of proven value for the detection of pneumothorax but has so far been considered of little value in the context of subcutaeneous emphysema, due to poor visibility of anatomic structures.Case Presentation. We present the successful use of diagnostic M-mode sonography in two mechanically ventilated patients who developed thoracic subcutaneous emphysema. In both cases B-mode sonography was inconclusive.Conclusion. M-mode sonography may be more sensitive than B-mode sonography in the detection of lung sliding and could become a useful diagnostic tool when pneumothorax needs to be ruled in or ruled out and visibility of the pleura is limited.

scholarly journals Advantages of lung ultrasound in triage, diagnosis and monitoring COVID-19 patients: review

2021 ◽  
Vol 67 (2) ◽  
pp. 73-76
Author(s):  
Bianca Emilia Ciurba ◽  
Hédi Katalin Sárközi ◽  
István Adorján Szabó ◽  
Nimród László ◽  
Edith Simona Ianosi ◽  
...  
Keyword(s):  
Lung Ultrasound ◽  
Cost Effective ◽  
Portable Devices ◽  
Standard Protocol ◽  
Mechanically Ventilated ◽  
Mechanically Ventilated Patients ◽  
Pleural Line ◽  
B Lines ◽  
Lung Sliding ◽  
Ventilated Patients

Abstract Over the last decades, especially during the COVID-19 pandemic period, lung ultrasound (LUS) gained interest due to multiple advantages: radiation-free, repeatable, cost-effective, portable devices with a bedside approach. These advantages can help clinicians in triage, in positive diagnostic, stratification of disease forms according to severity and prognosis, evaluation of mechanically ventilated patients from Intensive Care Units, as well as monitoring the progress of COVID-19 lesions, thus reducing the health care contamination. LUS should be performed by standard protocol examination. The characteristic lesions from COVID-19 pneumonia are the abolished lung sliding, presence of multiple and coalescent B-lines, disruption and thickening of pleural line with subpleural consolidations. LUS is a useful method for post-COVID-19 lesions evaluation, highlight the remaining fibrotic lesions in some patients with moderate or severe forms of pneumonia.

scholarly journals QUANTIFICATION OF ULTRASOUND LUNG SLIDING IN MECHANICALLY VENTILATED PATIENTS: A PILOT STUDY

CHEST Journal ◽  
2021 ◽  
Vol 160 (4) ◽  
pp. A1071
Author(s):  
Christine Choi ◽  
David Briganti ◽  
Julien Nguyen ◽  
Charles Lanks
Keyword(s):  
Pilot Study ◽  
Mechanically Ventilated ◽  
Mechanically Ventilated Patients ◽  
Lung Sliding ◽  
Ventilated Patients
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