Tag Archives: echofirst

Consolidation on Lung Ultrasound

The 7 principles of Lung Ultrasound in the Critically Ill LUCI and echographic diagnosis of lung consolidation in this LIVES2019 infographic!

1 – a simple equipment is the best

2 – thorax is a mingling of air (gas) and water (fluids)

3 – lung is the most voluminous organ: here some advices on where to apply the probe?

4 – all arises from pleural line

5 – LUCI is the science of artifacts

6 – Lung: is a vital organ

7 – Most life-threatening disorders reach the wall and and have usually extensive surface

Why and how looking for consolidation?? here the Blue protocol with its profiles and some notes on the Pink protocol. How to distinguish between translobar and non translobar consolidation? Do we have an obstructive atelectasis or it’s just compression? take a look…

graphics by Marta Velia Antonini @FOAMecmo

content based on Daniel Lichtenstein masterclass at #LIVES2019

 

Diagnosing pneumothorax and lung effusion on Lung Ultrasound

Here a couple of infographics on bedside lung ultrasound…                                                                  first one refers to diagnosing pneumothorax, with an introduction of basic definitions on lung ultrasound (ie pleural line, pleural sliding, A/B lines, lung pulse):

1  suspecting pneumothorax in the absence of lung sliding

2 signs which confirm or rule out PTX diagnosis

3 how to look for lung point

Second infographics relates to pleural effusion:

1 diagnosing effusion on 2D and M-mode lung ultrasound

2 localize effusion & define its expected nature

3 easily & quickly quantify pleural effusion to understand if it has to be evacuated

4 if drainage is needed, POCUS could assist or guide chest tube insertion, and support continuous monitoring of the effusion, to evaluate drain effectiveness.

At the end, some tips to choose the right probe for LU & some suggested readings, enjoy!

graphics by Marta Velia Antonini @FOAMecmo                                                                                    content based on Belaïd Bouhemad masterclass at #LIVES2019

Basic Echocardiography Masterclass at LIVES2019

Basic Echocardiography Masterclass at LIVES3019

Here an infographic with some tips about running a (basic) point-of-care cardiac ultrasound study in the critical care patient. The 5 main views:

parasternal long axis – PLAX

parasternal short axis – PSAX (mitral valve, papillary muscles, apex & great vessels level)

apical 4 chambers – A4C

apical 2 chambers – A2C

subcostal (4 chambers and vena cava views)

are summarised with advices in probe positioning in order to find the acoustic window, and some notes about the data potentially achievable, regarding LV, RV, pericardial fluid, volume status & others. Enjoy and follow #LIVES2019 hashtag on twitter for full virtual access to the annual ESICM congress.

graphics Marta Velia Antonini @FOAMecmo
echocardiographic scans Jonny Wilkinson @Wilkinsonjonny criticalcarenorthampton.com
content based on A. McLean & Y. Beaulieu class at #LIVES2019