tailieunhanh - Báo cáo khoa học: "Clinical review: Bedside lung ultrasound in critical care practice"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Clinical review: Bedside lung ultrasound in critical care practice. | Available online http content 11 1 205 Review Clinical review Bedside lung ultrasound in critical care practice Belaid Bouhemad1 Mao Zhang2 Qin Lu1 and Jean-Jacques Rouby1 1 Surgical Intensive Care Unit Pierre Viars Department of Anesthesiology and Critical Care Assistance Publique Hôpitaux de Paris University Pierre et Marie Curie Paris 6 France 2Department of Emergency Medicine Second Affiliated Hospital of Hangzhou Zhejiang University China Corresponding author Belaid Bouhemad Published 16 February 2007 This article is online at http content 11 1 205 2007 BioMed Central Ltd Critical Care 2007 11 205 doi cc5668 Abstract Lung ultrasound can be routinely performed at the bedside by intensive care unit physicians and may provide accurate information on lung status with diagnostic and therapeutic relevance. This article reviews the performance of bedside lung ultrasound for diagnosing pleural effusion pneumothorax alveolar-interstitial syndrome lung consolidation pulmonary abscess and lung recruitment derecruitment in critically ill patients with acute lung injury. Introduction Management of critically ill patients requires imaging techniques which are essential for optimizing diagnostic and therapeutic procedures. The diagnosis and drainage of localized pneumothorax and empyema the assessment of lung recruitment following positive end-expiratory pressure and or recruitment maneuver the assessment of lung overinflation and the evaluation of aeration loss and its distribution all require direct visualization of the lungs. To date chest imaging has relied on bedside chest radiography and lung computed tomography CT . General and cardiac ultrasound can be easily performed at the bedside by physicians working in the intensive care unit ICU and may provide accurate information with diagnostic and therapeutic relevance. It has become an attractive diagnostic tool in a growing number of situations including