Whole Body Ultrasound in the Critically Ill (Lung, Heart, and Venous Thrombosis Excluded)

  • Daniel A. Lichtenstein


The present textbook is labelled Lung Ultrasound in the Critically Ill. This respects the trust that the community shows to our few publications. This also limits us to lecture quite only on this restricted topic. We have the feeling that the whole body can benefit from the same approach, mainly by using a single probe with equivalent results.


Optic Nerve Subclavian Vein Esophageal Atresia Lung Ultrasound Acalculous Cholecystitis 
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 34.1

Pneumoperitoneum. Real-time (left) shows an absolute abolition of gut sliding. M-mode (right) shows an equivalent of the stratosphere sign (some accidents can be seen, but not arising from the very peritoneal line (MOV 4641 kb)

Video 34.2

Mesenteric infarction. These completely motionless GI loops can be seen in mesenteric ischemia or infarction (MOV 6995 kb)

Video 34.3

GI tract hemorrhage. Massive amounts of fluid within the GI tract indicate here a GI-tract hemorrhage. Note some free fluid in this postoperative case. The patient had a cardiac arrest, of hemorrhagic cause, detected at Step 3 of the SESAME-protocol, i.e., after 15 s (MOV 3775 kb)


  1. 1.
    Lichtenstein D, Mezière G, Courret JP (2002) Le glissement péritonéal, un signe échographique de pneumopéritoine. Réanimation 11(Suppl 3):165Google Scholar
  2. 2.
    Lichtenstein D, Mirolo C, Mezière G (2001) Abolition of GI tract peristalsis, an ultrasound sign of mesenteric infarction. Réanimation 10(Suppl 1):203Google Scholar
  3. 3.
    Sznajder JI, Zveibil FR, Bitterman H, Weiner P, Bursztein S (1986) Central vein catheterization, failure and complication rates by three percutaneous approaches. Arch Intern Med 146:259–261CrossRefPubMedGoogle Scholar
  4. 4.
    Skolnick ML (1994) The role of sonography in the placement and management of jugular and subclavian central venous catheters. AJR Am J Roentgenol 163:291–295CrossRefPubMedGoogle Scholar
  5. 5.
    Lichtenstein D, Saïfi R, Mezière G, Pipien I (2000) Cathétérisme écho-guidé de la veine sous-clavière en réanimation. Réan Urg 2(Suppl 9):184Google Scholar
  6. 6.
    Thompson DR, Gualtieri E, Deppe S, Sipperly ME (1994) Greater success in subclavian vein cannulation using ultrasound for inexperienced operators. Crit Care Med 22:A189CrossRefGoogle Scholar
  7. 7.
    Merrer J, De Jonghe B, Golliot F, Lefrant JY, Raffy B, Barré E, Rigaud JP, Casciani D, Misset B, Bosquet C, Outin H, Brun-Buisson C, Nitenberg G (2001) Complications of femoral and subclavian venous catheterization in critically ill patients. A randomized controlled trial. JAMA 286:700–707CrossRefPubMedGoogle Scholar
  8. 8.
    Lichtenstein D (1994) Relevance of ultrasound in predicting the ease of central venous line insertions. Eur J Emerg 7:46Google Scholar
  9. 9.
    Mansfield PF, Hohn DC, Fornage BD, Gregurich MA, Ota DM (1994) Complications and failures of subclavian vein catheterization. N Engl J Med 331:1735–1738CrossRefPubMedGoogle Scholar
  10. 10.
    Lichtenstein D, Saïfi R, Augarde R, Prin S, Schmitt JM, Page B, Pipien I, Jardin F (2001) The internal jugular veins are asymmetric. Usefulness of ultrasound before catheterization. Intensive Care Med 27:301–305CrossRefPubMedGoogle Scholar
  11. 11.
    Denys BG, Uretsky BF (1991) Anatomical variations of internal jugular vein location: impact on central venous access. Crit Care Med 19:1516–1519CrossRefPubMedGoogle Scholar
  12. 12.
    Karakitsos D, Labropoulos N, De Groot E, Patrianakos AP, Kouraklis G, Poularas J, Samonis G, Tsoutsos DA, Konstadoulakis MM, Karabinis A (2006) Real-time ultrasound-guided catheterisation of the internal jugular vein: a prospective comparison with the landmark technique in critical care patients. Crit Care 10(6):R162CrossRefPubMedPubMedCentralGoogle Scholar
  13. 13.
    Lichtenstein D, Bendersky N, Mezière G, Goldstein I (2002) Diagnostic de l’hypertension intra-crânienne par la mesure échographique du nerf optique. Réanimation 11(Suppl 3):170sGoogle Scholar
  14. 14.
    Blaivas M, Theodoro D, Sierzenski PR (2003) Elevated intracranial pressure detected by bedside emergency ultrasonography of the optic nerve sheat. Acad Emerg Med 10:376–381CrossRefPubMedGoogle Scholar
  15. 15.
    Lichtenstein D, Lascols N, Prin S, Mezière G (2003) The lung pulse: an early ultrasound sign of complete atelectasis. Intensive Care Med 29:2187–2192CrossRefPubMedGoogle Scholar
  16. 16.
    Lichtenstein D (2007) Point of care ultrasound: infection control on the ICU. Crit Care Med 35(Suppl):S262–S267CrossRefPubMedGoogle Scholar
  17. 17.
    Rozycki GS, Ochsner MG, Feliciano DV, Thomas B, Boulanger BR, Davis FE, Falcone RE, Schmidt JA (1998) Early detection of hemoperitoneum by ultrasound examination of the right upper quadrant: a multicenter study. J Trauma 45(5):878–883CrossRefPubMedGoogle Scholar
  18. 18.
    Lichtenstein D (1992) L’échographie générale en réanimation, 1st edn. Springer, France, p 27Google Scholar
  19. 19.
    Lichtenstein D, Axler O (1993) Intensive use of general ultrasound in the intensive care unit, a prospective study of 150 consecutive patients. Intensive Care Med 19:353–355CrossRefPubMedGoogle Scholar
  20. 20.
    Ter Minassian A, Bonnet F, Guerrini P, Ricolfi F, Delaunay F, Beydon L, Catoire P (1992) Carotid artery injury: value of Doppler screening in head injury patients. Ann Fr Anesth Reanim 11:598–600CrossRefGoogle Scholar
  21. 21.
    Hanslik A et al (2008) Incidence and diagnosis of thrombosis in children with short-term central venous lines of the upper venous system. Pediatrics 122:1284–1291CrossRefPubMedGoogle Scholar
  22. 22.
    Lichtenstein D, Mezière G, Lagoueyte JF, Biderman P, Goldstein I, Gepner A (2009) A-lines and B-lines: lung ultrasound as a bedside tool for predicting pulmonary artery occlusion pressure in the critically ill. Chest 136:1014–1020CrossRefPubMedGoogle Scholar
  23. 23.
    Kairam N, Kaiafis C et al (2009) Diagnosis of pediatric intussusception by an emergency physician-performed bedside ultrasound: a case report. Pediatr Emerg Care 25(3):177–180CrossRefPubMedGoogle Scholar
  24. 24.
    Dénier A (1961) Les ultra-sons appliqués à la médecine. L’Expansion Scientifique Française, la Tour du Pin, pp 70–133Google Scholar
  25. 25.
    Alexandrov AV, Mikulik R, Ribo M, Sharma VK, Lao AY, Tsivgoulis G, Sugg RM, Barreto A, Sierzenski P, Malkoff MD, Grotta JC (2008) A pilot randomized clinical safety study of sonothrombolysis augmentation with ultrasound-activated perflutren-lipid microspheres for acute ischemic stroke. Stroke 39:1464–1469CrossRefPubMedPubMedCentralGoogle 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

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