Sudanese chest sonography workshop (Sonography in critical ill patients)
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Sudanese chest sonography workshop (Sonography in critical ill patients)
- 2. Chest Sonography in Critically Ill Patients Gamal Rabie Agmy ,MD ,FCCP Professor of Chest Diseases, Assiut University ERS National Delegate of Egypt
- 4. c At the bedside, chest radiography remains the reference for lung imaging in critically ill patients. However, radiographical images are often of limited quality • Movements of the chest wall • Film cassette posterior to the thorax • X-ray beam originating anteriorly, at a shorter distance than recommended and not tangential to the diaphragmatic cupola . Mistaken assessment of : c • Pleural effusion • Alveolar consolidation • Alveolar-interstitial syndrome Bedside Chest Radiography in the Critically ill 02 09 2012
- 5. Risk of transportation Lung Computed Tomography in the Critically ill http://www.reapitie- 02 09 2012
- 7. Scanning Positions for Chest Sonography in ICU
- 11. Normal Anatomy
- 19. Tissue pattern representative of Alveolar Consolidation Presence of hyperechoic punctiform imagesrepresentative of air bronchograms Pleural effusion Lower lobe
- 22. the "seashore sign" (Fig.3).
- 23. Clinical applications of lung ultrasonography in the intensive care unit 1. Diagnosis of pulmonary consolidation. 2. Diagnosis of atelectasis 3. Diagnosis of alveolar-interstitialsyndrome 4. Differentiating between pulmonary oedema and ARDS 5. Differentiating between pulmonary oedema and COPD 6. Diagnosis of pulmonary embolism 7. Diagnosis of pneumothorax 8. Diagnosis and estimation of volume and nature of pleural effusion. 9. Diagnostic and therapeutic ultrasound-guided thoracentesis.
- 34. Absent lung sliding Exaggerated horizontal artifacts Loss of comet-tail artifacts Broadening of the pleural line to a band The key sonographic signs of Pneumothorax
- 38. the "seashore sign" (Fig.3).
- 48. Schematic representation of the parenchymal, pleural and vascular features associated with pulmonary embolism.(Angelika Reissig, Claus Kroegel. Respiration2003;70:441-452)
- 55. Multiple B-lines - « comet-tails » - interstitial edema (B1) 7 mm apart « B lines » thickened interlobular septa D Lichtenstein et al AJRCCM 156 : 1640-1646 , 1997JJR 25 05http://www.reapitie- http://www.reapitie- 02 09 2012
- 56. D Lichtenstein et al AJRCCM 156 : 1640-1646 , 199730 11 2011 Coalescent B lines - « comet-tails » - alveolar edema 3 mm apart « B lines » ground-glass areas http://www.reapitie- 02 09 2012
- 69. (Chest. 2008; 133:836-837) © 2008 American College of Chest Physicians Ultrasound: The Pulmonologist’s New Best Friend Momen M. Wahidi, MD, FCCP