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Introduction to Lung Ultrasound
1.
2.
3.
4. You still need CXR if you are
considering NIV
5.
6. Whether it is 3 B lines per intercostal
space or 3 lines per view is a matter of
debate.
Suggest 3 per space if you are chasing
flash APO, and 3 per view if you are
screening for any CCF.
7.
8.
9.
10.
11. Note:
Remove harmonics.
Raise focus to pleural line.
Depth down to 12cm if you can.
Low dynamic range.
12.
13.
14. Tangential rib views are for experienced
sonologists looking for local problems.
As you see from the saved image, there
are no landmarks.
15.
16.
17. The only technical challenge is in
imaging the sharpest view of pleura. It is
surprising how steeply the chest wall
falls away under a seemingly flat chest
wall.
18. The only technical challenge is in
imaging the sharpest view of pleura. It is
surprising how steeply the chest wall
falls away under a seemingly flat chest
wall.
19.
20.
21.
22. The bright white strip is NOT a B line, as it
does not obliterate the A lines on the way
down.
23. Top view would be considered
positive. Lower view has B lines but is
not wet enough for APO.
24. 'Shite lung' = white or shining lung,
generally marker of severe disease but
not specific for a particular disease.
