Analytic Study of Severe and/or Frequent Situations in the Critically Ill

  • Daniel A. Lichtenstein


Our small, compact ultrasound unit (with the 5-MHz microconvex probe) allows for whole-body exploration. How does it work in practice?


Pulmonary Embolism Cardiac Arrest Pleural Effusion Venous Thrombosis Fluid Therapy 
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.


  1. 1.
    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 136:1014–1020PubMedCrossRefGoogle Scholar
  2. 2.
    Salen P, O’Connor R, Sierzenski P et al (2001) Can cardiac sonography and capnography be used independently and in combination to predict resuscitation outcomes? Acad Emerg Med 8:610–615PubMedCrossRefGoogle Scholar
  3. 3.
    Breitkreutz R, Walcher F, Seeger FH (2007) Focused echocardiographic evaluation in resuscitation management: concept of an advanced life support-conformed algorithm. Crit Care Med 35:S150–S161PubMedCrossRefGoogle Scholar
  4. 4.
    Blaivas M, Fox JC (2001) Outcome in cardiac arrest patients found to have cardiac standstill on the bedside E.R. department echocardiogram. Acad Emerg Med 8:616–621PubMedCrossRefGoogle Scholar
  5. 5.
    Soleil C, Plaisance P (2003) Management of cardiac arrest. Réanimation 12:153–159CrossRefGoogle Scholar
  6. 6.
    Cariou A, Marchal F, Dhainaut JF (2000) Traitement du choc septique: objectifs thérapeutiques. In: Actualités en réanimation et urgences. Elsevier, Paris, pp 213–223Google Scholar
  7. 7.
    Natanson C, Danner RL, Reilly JM, Doerfler ML, Hoffman WD, Akin GL, Hosseini JM, Banks SM, Elin RJ, MacVittie TJ et al (1990) Antibiotics versus cardiovascular support in a canine model of human septic shock. Am J Physiol 259:H1440–H1147PubMedGoogle Scholar
  8. 8.
    Rivers E, Nguyen B, Havstad S et al (2001) Early goal-directed therapy in the treatment of severe sepsis and septic shock. N Engl J Med 345:1368–1377PubMedCrossRefGoogle Scholar
  9. 9.
    Lichtenstein D (2007) Point of care ultrasound: infection control on the ICU. Crit Care Med 35(Suppl):S262–S267CrossRefGoogle Scholar
  10. 10.
    Gibson NS, Sohne M, Gerdes V, Nijkeuter M, Buller HR (2008) The importance of clinical probability assessment in interpreting a normal D-dimer in patients with suspected pulmonary embolism. Chest 134:789–793PubMedCrossRefGoogle Scholar
  11. 11.
    Goodman LR, Curtin JJ, Mewissen MW et al (1995) Detection of pulmonary embolism in patients with unresolved clinical and scintigraphic diagnosis: helical CT versus angiography. AJR Am J Roentgenol 164:1369–1374PubMedCrossRefGoogle Scholar
  12. 12.
    Goldhaber SZ (2002) Echocardiography in the management of pulmonary embolism. Ann Intern Med 136:691–700PubMedCrossRefGoogle Scholar
  13. 13.
    Tapson VF, Davidson CJ, Kisslo KB, Stack RS (1994) Rapid visualization of massive pulmonary emboli utilizing intravascular ultrasound. Chest 105:888–890PubMedCrossRefGoogle Scholar
  14. 14.
    Lichtenstein D, Mezière G (2009) Response to Dr. Reißig (Letter to the Editor). Chest 136:1706–1707CrossRefGoogle Scholar
  15. 15.
    Dalen JE, Alpert JS (1975) Natural history of pulmonary embolism. Prog Cardiovasc Dis 17:259–270PubMedCrossRefGoogle Scholar
  16. 16.
    Stein PD, Henry JW (1995) Prevalence of acute pulmonary embolism among patients in a general hospital and at autopsy. Chest 108:978–981PubMedCrossRefGoogle Scholar
  17. 17.
    Diehl JL (2003) Should we redefine the threshold to initiate thrombolytic therapy in patients with pulmonary embolism? Reanimation 12:3–5CrossRefGoogle Scholar
  18. 18.
    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
  19. 19.
    Chastre J, Cornud F, Bouchama A, Viau F, Benacerraf R, Gibert C (1982) Thrombosis as a complication of pulmonary-artery catheterization via the internal jugular vein. N Engl J Med 306:278–280PubMedCrossRefGoogle Scholar
  20. 20.
    Lichtenstein D, Mezière G (2008) Relevance of lung ultrasound in the diagnosis of acute respiratory failure. The BLUE-protocol. Chest 134:117–125PubMedCrossRefGoogle Scholar
  21. 21.
    Lichtenstein D, Mezière G, Biderman P, Gepner A, Barré O (1997) The comet-tail artifact: an ultrasound sign of alveolar-interstitial syndrome. Am J Respir Crit Care Med 156:1640–1646PubMedCrossRefGoogle Scholar
  22. 22.
    Chastre J (2005) Conference summary: ventilator-associated pneumonia. Respir Care 50:975–983PubMedGoogle Scholar
  23. 23.
    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
  24. 24.
    Chun R, Kirkpatrick AW, Sirois M, Sargasyn AE, Melton S, Hamilton DR, Dulchavsky S (2004) Where’s the tube? Evaluation of hand-held US in confirming ET tube placement. Prehospital Disaster Med 19:366–369PubMedGoogle Scholar
  25. 25.
    Sustic A, Kovac D, Zgaljardic Z, Zupan Z, Krstulovic B (2000) Ultrasound-guided percutaneous dilatational tracheostomy: a safe method to avoid cranial misplacement of the tracheostomy tube. Intensive Care Med 26:1379–1381PubMedCrossRefGoogle Scholar
  26. 26.
    Hatfield A, Bodenham A (1999) Portable ultrasonic scanning of the anterior neck before percutaneous dilatational tracheostomy. Anaesthesia 54(7):660–663PubMedCrossRefGoogle Scholar
  27. 27.
    Ding LW, Wang HC, Wu HD, Chang CJ, Yang PC (2006) Laryngeal ultrasound: a useful method in predicting post-extubation stridor. Eur Respir J 27:384–389PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2010

Authors and Affiliations

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

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