Advertisement

PLAPS and Pleural Effusion

  • Daniel A. Lichtenstein
Chapter
  • 3k Downloads

Abstract

In the usual work of a physician, knowing how to detect a pleural effusion is a conclusion. The interest of the BLUE-protocol is to specify what to do with this information (redundant here, informative there) and how to link it to a cause.

Keywords

Pleural Effusion Pericardial Effusion Pleural Fluid Sinusoid Sign Visceral Pleura 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Supplementary material

Video 16.1

Minute pleural effusion and the “butterfl y syndrome.” This video clip shows a pleural effusion, minute but indisputable: the quad sign and sinusoid sign are clearly displayed. Those who were reading the note in Chap. 11 regarding the sub-B-lines will not be confused. When the question is “Where is the pleural line?” many novices show the lung line, as if they were attracted, hypnotized by this brilliant and dynamic line. On the contrary, the real pleural line is this discreet line located at its standardized location, half a centimeter in this adult below the rib line, and, mostly, standstill. Reminder, the pleural line is the parietal pleura, always (MOV 2502 kb)

References

  1. 1.
    Dénier A (1946) Les ultrasons, leur application au diagnostic. Presse Med 22:307–308Google Scholar
  2. 2.
    Joyner CR, Herman RJ, Reid JM (1967) Reflected ultrasound in the detection and localization of pleural effusion. JAMA 200:399–402CrossRefPubMedGoogle Scholar
  3. 3.
    Lichtenstein D, Hulot JS, Rabiller A, Tostivint T, Mezière G (1999) Feasibility and safety of ultrasound-aided thoracentesis in mechanically ventilated patients. Intensive Care Med 25:955–958CrossRefPubMedGoogle Scholar
  4. 4.
    Lichtenstein D, Goldstein I, Mourgeon E, Cluzel P, Grenier P, Rouby JJ (2004) Comparative diagnostic performances of auscultation, chest radiography and lung ultrasonography in acute respiratory distress syndrome. Anesthesiology 100:9–15CrossRefPubMedGoogle Scholar
  5. 5.
    Mathis G, Blank W, Reißig A, Lechleitner P, Reuß J, Schuler A, Beckh S (2005) Thoracic ultrasound for diagnosing pulmonary embolism. A prospective multicenter study of 352 patients. Chest 128:1531–1538CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing Switzerland 2016

Authors and Affiliations

  • Daniel A. Lichtenstein
    • 1
  1. 1.Hôpital Ambroise Paré Service de Réanimation MédicaleBoulogne (Paris-West University)France

Personalised recommendations