Colares Philippe de Figueiredo Braga, Mafort Thiago Thomaz, Sanches Felipe Marquesini, Monnerat Laura Braga, Menegozzo Carlos Augusto Metidieri, Mariani Alessandro Wasum
. Divisão de Pneumologia, Departamento de Cardiopneumologia, Instituto do Coração - InCor - Hospital das Clinicas Faculdade de Medicina, Universidade de São Paulo, São Paulo (SP) Brasil.
. Hospital de Base de São Jose do Rio Preto, Faculdade de Medicina de São Jose do Rio Preto, São Jose do Rio Preto (SP) Brasil.
J Bras Pneumol. 2024 Sep 27;50(4):e20230395. doi: 10.36416/1806-3756/e20230395. eCollection 2024.
Thoracic ultrasound (TUS) is a tool that has become increasingly essential in the daily practice of thoracic medicine. Driven by the need to assess patients during the COVID-19 pandemic, there has been an increase in the use of point-of-care TUS, which has demonstrated several benefits, either as a complement to clinical decision-making for diagnosis or as a real-time guide for procedures, whether as a predictor or measure of treatment response. Here, we present a review of TUS, based on the most recent scientific evidence, from equipment and techniques to the fundamentals of pulmonary ultrasound, describing normal and pathological findings, as well as focusing on the management of lung disease and guidance for invasive thoracic procedures at the bedside. Finally, we highlight areas of perspective and potential lines of research to maintain interest in this valuable tool, in order to improve the diagnostic process and expand the treatment arsenal.
胸部超声(TUS)已成为胸科医学日常实践中越来越重要的工具。在新冠疫情期间,由于需要对患者进行评估,即时超声(POCUS)在床旁的使用有所增加,它已展现出多种益处,无论是作为诊断临床决策的补充,还是作为操作的实时指导,亦或是作为治疗反应的预测指标或衡量标准。在此,我们基于最新科学证据对胸部超声进行综述,内容涵盖从设备和技术到肺部超声基础,描述正常和病理表现,同时聚焦于肺部疾病的管理以及床旁侵入性胸科操作的指导。最后,我们强调了展望领域和潜在研究方向,以保持对这一宝贵工具的关注,从而改进诊断流程并扩充治疗手段。