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Lungenultraschall

Neue Kernkompetenz in der Notfall- und Akutmedizin

Lung ultrasound

New core competence in emergency medicine

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Zusammenfassung

Hintergrund

Beim Leitsymptom „Akute Atemnot“ kann der Point-of Care-Ultraschall in bestimmten klinischen Situationen vom Notfall- und Akutmediziner eigenständig durchgeführt werden. Die Methode birgt ein hohes Potenzial, um bei Patienten mit akuter Atemnot in Präklinik und Klinik die korrekte Diagnose zu stellen.

Ergebnisse

Mit Hilfe der Lungensonographie kann schnell zwischen Herzinsuffizienz, Pleuraergüssen, Pneumothorax oder einer Lungenarterienembolie bzw. einer Pneumonie unterschieden werden. Die Diagnostik der Lungensonographie erlaubt darüber hinaus mehrfache Verlaufskontrollen bei der Überwachung, ohne den Patienten Röntgenstrahlen auszusetzen.

Schlussfolgerung

Die Lungensonographie wird als patientennahes „Point-of-Care“-Verfahren eingesetzt und unterstützt nachhaltig beim Treffen therapeutischer Entscheidungen.

Abstract

Background

Concerning the chief complaint of acute dyspnoea, point-of-care ultrasound can be directly performed by emergency physicians. Thus, ultrasound has the potential of becoming a valuable tool to correctly diagnose patients with acute dyspnoea in the preclinical and clinical situation.

Results

Lung ultrasound is a rapid diagnostic method to distinguish between heart failure, pleural effusion, pneumothorax, pulmonary embolism and pneumonia. Furthermore, clinical diagnostics with lung ultrasound allows multiple follow-ups during patient management without exposing the patient to X-ray radiation.

Conclusion

In summary, lung ultrasound is a valuable and valid point-of-care diagnostic test, supporting follow-up and decision-making during treatment of affected patients.

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Authors and Affiliations

  1. Universitätsklinik für Notfall- und Internistische Intensivmedizin, Paracelsus Medizinische Privatuniversität, Klinikum, Prof. -Ernst-Nathan-Str. 1, 90419, Nürnberg, Deutschland

    E. Glöckner & M. Christ

  2. Frankfurter Institut für Notfallmedizin und Simulationstraining, Universitätsklinikum, Marienburgstr. 6–8, Frankfurt am Main, Deutschland

    R. Breitkreutz

  3. Netzwerk Ultraschall in der Notfall- und Intensivmedizin, Frankfurt am Main, Deutschland

    R. Breitkreutz

Authors
  1. E. Glöckner
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  2. M. Christ
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  3. R. Breitkreutz
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Corresponding author

Correspondence to E. Glöckner.

Ethics declarations

Interessenkonflikt

E. Glöckner, M. Christ und R. Breitkreutz geben an, dass kein Interessenkonflikt besteht.

Dieser Beitrag beinhaltet keine Studien an Menschen oder Tieren.

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Redaktion

M. Christ, Nürnberg

C. Waydhas, Essen

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Glöckner, E., Christ, M. & Breitkreutz, R. Lungenultraschall. Notfall Rettungsmed 18, 455–464 (2015). https://doi.org/10.1007/s10049-015-0032-x

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  • DOI: https://doi.org/10.1007/s10049-015-0032-x

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