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

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Whole Body Ultrasonography in the Critically Ill

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Abstract

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

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Notes

  1. 1.

    The usual errors in diagnosis, yielding rapid death in the night of admission and painful self-questions, were frequent before the era of visual medicine, and usually turned around a few possibilities, mainly obstruction (embolism, tamponade), hypovolemia (bleeding, from any source) and more rarely pneumothorax.

References

  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 136:1014–1020

    Article  PubMed  Google Scholar 

  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 8:610–615

    Article  PubMed  CAS  Google Scholar 

  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–S161

    Article  PubMed  Google Scholar 

  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 8:616–621

    Article  PubMed  CAS  Google Scholar 

  5. Soleil C, Plaisance P (2003) Management of cardiac arrest. Réanimation 12:153–159

    Article  Google Scholar 

  6. Cariou A, Marchal F, Dhainaut JF (2000) Traitement du choc septique: objectifs thérapeutiques. In: Actualités en réanimation et urgences. Elsevier, Paris, pp 213–223

    Google Scholar 

  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–H1147

    PubMed  CAS  Google Scholar 

  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 345:1368–1377

    Article  PubMed  CAS  Google Scholar 

  9. Lichtenstein D (2007) Point of care ultrasound: infection control on the ICU. Crit Care Med 35(Suppl):S262–S267

    Article  Google Scholar 

  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 134:789–793

    Article  PubMed  Google Scholar 

  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 164:1369–1374

    Article  PubMed  CAS  Google Scholar 

  12. Goldhaber SZ (2002) Echocardiography in the management of pulmonary embolism. Ann Intern Med 136:691–700

    Article  PubMed  Google Scholar 

  13. Tapson VF, Davidson CJ, Kisslo KB, Stack RS (1994) Rapid visualization of massive pulmonary emboli utilizing intravascular ultrasound. Chest 105:888–890

    Article  PubMed  CAS  Google Scholar 

  14. Lichtenstein D, Mezière G (2009) Response to Dr. Reißig (Letter to the Editor). Chest 136:1706–1707

    Article  Google Scholar 

  15. Dalen JE, Alpert JS (1975) Natural history of pulmonary embolism. Prog Cardiovasc Dis 17:259–270

    Article  PubMed  CAS  Google Scholar 

  16. Stein PD, Henry JW (1995) Prevalence of acute pulmonary embolism among patients in a general hospital and at autopsy. Chest 108:978–981

    Article  PubMed  CAS  Google Scholar 

  17. Diehl JL (2003) Should we redefine the threshold to initiate thrombolytic therapy in patients with pulmonary embolism? Reanimation 12:3–5

    Article  Google Scholar 

  18. Mathis G, Blank W, Reißig A, Lechleitner P, Reuß J, Schuler A, Beckh S (2001) Thoracic ultrasound for diagnosing pulmonary embolism. Chest 128:1531–1538

    Article  Google Scholar 

  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 306:278–280

    Article  PubMed  CAS  Google Scholar 

  20. Lichtenstein D, Mezière G (2008) Relevance of lung ultrasound in the diagnosis of acute respiratory failure. The BLUE-protocol. Chest 134:117–125

    Article  PubMed  Google Scholar 

  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 156:1640–1646

    Article  PubMed  CAS  Google Scholar 

  22. Chastre J (2005) Conference summary: ventilator-associated pneumonia. Respir Care 50:975–983

    PubMed  Google Scholar 

  23. Lichtenstein D, Lascols N, Prin S, Mezière G (2003) The lung pulse: an early ultrasound sign of complete atelectasis. Intensive Care Med 29:2187–2192

    Article  PubMed  Google Scholar 

  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 19:366–369

    PubMed  Google Scholar 

  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 26:1379–1381

    Article  PubMed  CAS  Google Scholar 

  26. Hatfield A, Bodenham A (1999) Portable ultrasonic scanning of the anterior neck before percutaneous dilatational tracheostomy. Anaesthesia 54(7):660–663

    Article  PubMed  CAS  Google Scholar 

  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 27:384–389

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Service de Réanimation Médicale, 92100, Boulogne (Paris-Ouest), France

    Pr. Daniel A. Lichtenstein

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  1. Pr. Daniel A. Lichtenstein
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Correspondence to Daniel A. Lichtenstein .

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Lichtenstein, D.A. (2010). Analytic Study of Severe and/or Frequent Situations in the Critically Ill. In: Whole Body Ultrasonography in the Critically Ill. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-05328-3_29

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  • DOI: https://doi.org/10.1007/978-3-642-05328-3_29

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-05327-6

  • Online ISBN: 978-3-642-05328-3

  • eBook Packages: MedicineMedicine (R0)

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