Raheja Ronak, Brahmavar Megha, Joshi Dhruv, Raman Dileep
Internal Medicine, Kempegowda Institute of Medical Sciences, Bengaluru, IND.
Internal Medicine, Cloudphysician Healthcare, Bengaluru, IND.
Cureus. 2019 Jul 25;11(7):e5233. doi: 10.7759/cureus.5233.
This article reviews the use of thoracic ultrasound in the intensive care unit (ICU). The focus of this article is to review the basic terminology and clinical applications of thoracic ultrasound. The diagnostic approach to a breathless patient, the blue protocol, is presented in a simplified flow chart. The diagnostic application of thoracic ultrasound in lung parenchymal and pleural diseases, role in bedside procedures, diaphragmatic assessment, and lung recruitment are described. Recent updates discussed in this review help support its increasingly indispensable role in the emergent and critical care setting.
本文综述了胸腔超声在重症监护病房(ICU)中的应用。本文重点回顾胸腔超声的基本术语和临床应用。以简化流程图的形式展示了针对呼吸困难患者的诊断方法——蓝色方案。描述了胸腔超声在肺实质和胸膜疾病中的诊断应用、在床边操作中的作用、膈肌评估以及肺复张情况。本综述中讨论的最新进展有助于支持其在急诊和危重症护理环境中日益不可或缺的作用。