Zieleskiewicz L, Arbelot C, Hammad E, Brun C, Textoris J, Martin C, Leone M
Service d'anesthésie et de réanimation, Aix-Marseille université, hôpital Nord, Assistance publique-Hôpitaux de Marseille, chemin des Bourrely, 13015 Marseille cedex 20, France.
Ann Fr Anesth Reanim. 2012 Oct;31(10):793-801. doi: 10.1016/j.annfar.2012.07.011. Epub 2012 Aug 24.
To describe the use of lung ultrasound in clinical practice and the new opportunities offered by this technology in intensive care unit (ICU) patients.
Review of signs identified by lung ultrasound and systematic analysis of data published within the last 5 years on its use in ICU. The literature has been extracted from the database Pubmed™. Specific keywords were used to select relevant publications. Clinical studies published in French and English languages were assessed.
Lung ultrasound serves to diagnose, quantify, drain and monitor pleural effusions. In patients with acute respiratory failure, lung ultrasound participates to the diagnosis, the implementation of treatments and their follow-up. It helps to manage patients with pneumonia and acute lung injury. Finally, the investigation of the interstitial edema brings information about hemodynamics that can serve to manage our patients.
Lung ultrasound is an easy, non-invasive, and non-irradiant technology. It brings lot of useful information at the patient's bedside.
描述肺部超声在临床实践中的应用以及该技术为重症监护病房(ICU)患者带来的新机遇。
回顾肺部超声所识别的征象,并对过去5年内在ICU中使用肺部超声的数据进行系统分析。文献从数据库Pubmed™中提取。使用特定关键词选择相关出版物。对以法语和英语发表的临床研究进行评估。
肺部超声可用于诊断、量化、引流和监测胸腔积液。在急性呼吸衰竭患者中,肺部超声有助于诊断、治疗的实施及其随访。它有助于管理肺炎和急性肺损伤患者。最后,对间质性水肿的检查可提供有关血流动力学的信息,有助于对患者进行管理。
肺部超声是一种简便、无创且无辐射的技术。它能在患者床边提供许多有用信息。