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Point-of-Care Ultrasound of the Lungs
Book chapter

Point-of-Care Ultrasound of the Lungs

Archit Sharma and Sudhakar Subramani
A Practical Guide to Point of Care Ultrasound (POCUS), pp.81-101
Springer Nature Singapore
09/11/2022
DOI: 10.1007/978-981-16-7687-1_4

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Abstract

Lung ultrasound (LUS) has become as essential a tool as the stethoscope in the management of patients with respiratory disease. Other than its usual application in guiding thoracentesis, intercostal catheter placement, and medical thoracoscopy, currently, LUS is valued as an extension of clinical examination in the evaluation of chest pathologies involving pleural diseases, parenchymal infections and in the emergent evaluation of a hypoxic patient. A comprehensive understanding of the sound properties of tissue, air and fluid and their interaction, to evaluate both normal tissue, pathologies and artifacts is essential for image interpretation. Similarly, sufficient bedside experience in applying point-of-care ultrasound to extend the clinical assessment of pleural and parenchymal disease is needed, and the current generation of clinicians needs to be trained early in these methods. A growing body of evidence attests to fewer procedure-related complications in addition to cost savings associated with ultrasound use. Various management protocols have been suggested to guide diagnosis and management strategies after incorporating clinical signs along with ultrasound examination. The expanding scope of reliable literature indicates an increase in the possibility of using lung ultrasound at the patient’s bedside, especially with the advent of handheld devices.

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