Noncritical Ultrasound, Within the ICU and Other Hot Settings

  • Daniel A. Lichtenstein


This textbook deals mostly with critical ultrasound. The real ultrasonic revolution will regard the whole population in countless settings, in several decades or hopingly sooner, used by all up to the family doctor. Noninvasive ultrasound should be liberally performed each time there is a question regarding a macroscopic item.


Pulmonary Embolism Venous Thrombosis Testicular Torsion Conventional Mechanical Ventilation Massive Pulmonary Embolism 
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Supplementary material

Video 36.1

One can see clearly the cupola, thanks to the pleural effusion above. Note that the deep part seems absent; this is just a tangency artifact (nothing to do with a rupture). (MOV 4457 kb)

Video 36.2

This clip shows three interesting points. It is done in a healthy subject who breathes slowly for didactic reasons. (1) We do not see any diaphragm. We see only lung (left) and liver (right). (2) However, we know exactly where is the diaphragm: in between. (3) And we have the most important information: this diaphragm works perfectly, no palsy. See its elevated amplitude. This example shows that we should learn in priority other targets than the diaphragm by itself. (MOV 13107 kb)


  1. 1.
    Saleh M, Vieillard-Baron A (2012) On the role of left ventricular diastolic function in the critically ill patient (Editorial). Intensive Care Med 38:189–191CrossRefPubMedGoogle Scholar
  2. 2.
    Papanikolaou J, Makris D, Saranteas T et al (2011) New insights into weaning from mechanical ventilation: LV diastolic dysfunction is a key player. Intensive Care Med 37:1976–1985CrossRefPubMedGoogle Scholar
  3. 3.
    Ding LW, Wang HC, Wu HD, Chang CJ, Yang PC (2006) Laryngeal ultrasound: a useful method in predicting post-extubation stridor. Eur Respir J 27:384–389, De Taiwan, du SumrocCrossRefPubMedGoogle Scholar
  4. 4.
    Lerolle N, Guérot E, Dimassi S, Zegdi R, Faisy C, Fagon JY, Diehl JL (2009) Ultrasonographic diagnosis criterion for severe diaphragmatic dysfunction after cardiac surgery. Chest 135:401–407CrossRefPubMedGoogle Scholar
  5. 5.
    Matamis D, Soilemezi E, Tsagourias M, Akoumianaki E, Dimassi S, Boroli F, Richard JC, Brochard L (2013) Sonographic evaluation of the diaphragm in critically ill patients. Technique and clinical applications. Intensive Care Med 39(5):801–810CrossRefPubMedGoogle Scholar
  6. 6.
    Dalen JE, Alpert JS (1975) Natural history of pulmonary embolism. Prog Cardiovasc Dis 17:259–270CrossRefPubMedGoogle Scholar
  7. 7.
    Stein PD, Athanasoulis C, Alavi A, Greenspan RH, Hales CA, Saltzman HA, Vreim CE, Terrin ML, Weg JG (1992) Complications and validity of pulmonary angiography in acute pulmonary embolism. Circulation 85:462–468CrossRefPubMedGoogle Scholar
  8. 8.
    Diehl JL (2003) Should we redefine the threshold to initiate thrombolytic therapy in patients with pulmonary embolism? Reanimation 12:3–5CrossRefGoogle Scholar
  9. 9.
    Brenner DJ, Hall EJ (2007) Computed tomography – an increasing source of radiation exposure. N Engl J Med 357(22):2277–2284CrossRefPubMedGoogle Scholar
  10. 10.
    Berrington de Gonzales A, Darby S (2004) Risk of cancer from diagnostic X-rays: estimates for the UK and 14 other countries. Lancet 363(9406):345–351CrossRefGoogle Scholar
  11. 11.
    Lauer MS (2009) Elements of danger – the case of medical imaging. N Engl J Med 361:841–843CrossRefPubMedGoogle Scholar
  12. 12.
    Mathis G, Blank W, Reißig A, Lechleitner P, Reuß J, Schuler A, Beckh S (2001) Thoracic ultrasound for diagnosing pulmonary embolism. Chest 128:1531–1538CrossRefGoogle Scholar
  13. 13.
    Volpicelli G, Cardinale L, Mussa A, Caramello V (2009) Diagnosis of cardiogenic pulmonary edema by sonography limited to the anterior lung. Chest 135:883CrossRefPubMedGoogle Scholar
  14. 14.
    Lindelius A (2009) The role of surgeon-performed ultrasound in the management of the acute abdomen. Thesis for doctoral degree (PhD), Karolinska Institutet, StockholmGoogle Scholar
  15. 15.
    Puylaert JBCM (1986) Acute appendicitis: ultrasound evaluation using graded compression. Radiology 158:355–360CrossRefPubMedGoogle Scholar
  16. 16.
    Marshburn TH, Legome E, Sargsyan A, Li SM, Noble VA, Dulchavsky SA, Sims C, Robinson D (2004) Goal-directed ultrasound in the detection of long-bone fractures. J Trauma 57:329–332CrossRefPubMedGoogle Scholar
  17. 17.
    Chan V (2008) Ultrasound imaging for regional anesthesia, a practical guide, 2nd edn. Ultrasound Booklet, TorontoGoogle Scholar
  18. 18.
    Eisenberg E, Gaertner E et al (2014) Echographie en anesthésie régionale. Arnette, MontrougeGoogle 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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