Lung: Alveolar Syndrome

Chapter

Abstract

Lung ultrasound was supposed to be of limited interest. We saw in the previous chapter that pleural effusion, although a familiar application, could benefit from enriched signs in order to yield a standardized approach. We now get deeper in the heart of the matter. In diseased lung, virtually any disorder gives a characteristic pattern (alveolar consolidation, atelectasis, interstitial syndrome, abscess, pneumothorax, even pulmonary embolism). We will introduce the lung smoothly by an application referring to a real image: alveolar consolidation.

References

  1. 1.
    Lichtenstein D, Lascols N, Mezière G, Gepner A (2004) Ultrasound diagnosis of alveolar consolidation in the critically ill. Intensive Care Med 30:276–281PubMedCrossRefGoogle Scholar
  2. 2.
    Dénier A (1946) Les ultrasons, leur application au diagnostic. Presse Med 22:307–308Google Scholar
  3. 3.
    Weinberg B, Diakoumakis EE, Kass EG, Seife B, Zvi ZB (1986) The air bronchogram: sonographic demonstration. AJR Am J Roentgenol 147:593–595PubMedCrossRefGoogle Scholar
  4. 4.
    Dorne HL (1986) Differentiation of pulmonary parenchymal consolidation from pleural disease using the sonographic fluid bronchogram. Radiology 158:41–42PubMedGoogle Scholar
  5. 5.
    Targhetta R, Chavagneux R, Bourgeois JM, Dauzat M, Balmes P, Pourcelot L (1992) Sonographic approach to diagnosing pulmonary consolidation. J Ultrasound Med 11: 667–672PubMedGoogle Scholar
  6. 6.
    Lichtenstein D, Mezière G, Seitz J (2002) Le bronchogramme aérien dynamique: un signe échographique de consolidation alvéolaire non rétractile. Réanimation 11(Suppl 3):98Google Scholar
  7. 7.
    Lichtenstein D, Seitz J, Mezière G (2009) The dynamic air bronchogram, an ultrasound sign of alveolar consolidation ruling out atelectasis. Chest 135:1421–1425PubMedCrossRefGoogle Scholar
  8. 8.
    Yang PC, Luh KT, Lee YC, Chang DB, Yu CJ, Wu HD, Lee LN, Kuo SH (1991) Lung abscesses: ultrasound examination and ultrasound-guided transthoracic aspiration. Radiology 180:171–175PubMedGoogle Scholar
  9. 9.
    Lichtenstein D, Peyrouset O (2006) Lung ultrasound superior to CT? The example of a CT-occult necrotizing pneumonia. Intensive Care Med 32:334–335PubMedCrossRefGoogle Scholar
  10. 10.
    Lichtenstein D, Mezière G (2008) Relevance of lung ultrasound in the diagnosis of acute respiratory failure. The BLUE-protocol. Chest 134:117–125PubMedCrossRefGoogle Scholar
  11. 11.
    Mathis G, Dirschmid K (1993) Pulmonary infarction: sonographic appearance with pathologic correlation. Eur J Radiol 17:170–174PubMedCrossRefGoogle Scholar
  12. 12.
    Biancardi M, Mazzarini A, Lattarulo P, Martinotti R (2008) Ruolo dell’ecografia polmonare nella diagnostica delle polmoniti. Atti Congresso Nazionale Simeu, p. 208Google Scholar
  13. 13.
    Lichtenstein D, Lascols N, Prin S, Mezière G (2003) The lung pulse, an early ultrasound sign of complete atelectasis. Intensive Care Med 29:2187–2192PubMedCrossRefGoogle Scholar
  14. 14.
    Yang PC, Luh KT, Chang DB, Yu CJ, Kuo SH, Wu HD (1992) Ultrasonographic evaluation of pulmonary consolidation. Am Rev Respir Dis 146:757–762PubMedCrossRefGoogle Scholar
  15. 15.
    Klompas M (2007) Does this patient have ventilator-associated pneumonia? J Am Med Assoc 297(14):1583–1593Google Scholar
  16. 16.
    Torres A, Jimenez P, Puig de la Bellacasa JP, Celis R, Gonzales J, Gea J (1990) Diagnostic value of nonfluoroscopic percutaneous lung needle aspiration in patients with pneumonia. Chest 98:840–844PubMedCrossRefGoogle Scholar
  17. 17.
    Torres A, Fabregas N, Ewig S, de la Bellacasa JP, Bauer TT, Ramirez J (2000) Sampling methods for ventilator-associated pneumonia: validation using different histologic and microbiological references. Crit Care Med 28: 2799–2804PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2010

Authors and Affiliations

  1. 1.Service de Réanimation MédicaleBoulogne (Paris-Ouest)France

Personalised recommendations