Ultrasound: lungs - Revision history

Danbot: Danbot moved page Ultrasound: Lungs to Ultrasound: lungs over a redirect without leaving a redirect: Naming convention: first word capitalized, subsequent words lowercase

2026-03-22T05:35:07Z

Danbot moved page Ultrasound: Lungs to Ultrasound: lungs over a redirect without leaving a redirect: Naming convention: first word capitalized, subsequent words lowercase

← Older revision	Revision as of 05:35, 22 March 2026
(No difference)

Rossdonaldson1: /* Technique */

2023-12-13T22:08:12Z

Technique

← Older revision		Revision as of 22:08, 13 December 2023
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	==Technique==		==Technique==
			[[File:Lung and diaphragm.jpg\|thumb\|Lobes of the lung with related anatomy.]]
	*Use linear probe		*Use linear probe
	**Can use curvilinear or phased array probe, but will need to decrease depth		**Can use curvilinear or phased array probe, but will need to decrease depth

Rossdonaldson1: /* Specific Indications */

2019-07-20T12:47:38Z

Specific Indications

← Older revision		Revision as of 12:47, 20 July 2019
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	==Specific Indications==		==Specific Indications==
	{{BLUE Protocol}}		{{BLUE Protocol}}

	{{Lung ultrasound pneumothorax}}		{{Lung ultrasound pneumothorax}}

	{{Lung ultrasound pulmonary edema}}		{{Lung ultrasound pulmonary edema}}

Rossdonaldson1: /* Specific Indications */

2019-07-20T12:46:15Z

Specific Indications

← Older revision		Revision as of 12:46, 20 July 2019
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	==Specific Indications==		==Specific Indications==
	~~===~~BLUE ~~(Bedside Lung Ultrasound in Emergency)~~ Protocol~~<ref>http://ccm.anest.ufl.edu/files/2012/08/BLUELung.pdf Relevance of Lung Ultrasound in the Diagnosis of Acute Respiratory Failure - The BLUE Protocol</ref>===~~		{{BLUE Protocol}}
	~~[[File:Dyspnea Ultrasound.png\|thumb\|Algorithm for the Use of Ultrasound in the Evaluation of Dyspnea]]~~
	*Predominant A lines + lung sliding = Asthma/COPD
	*Multiple predominant B lines anteriorly with lung sliding = Pulmonary Edema
	*Normal anterior profile + [[DVT]]= PE
	*Anterior absent lung sliding + A lines + lung point = Pneumothorax (PTX)
	*Anterior alveolar consolidations, anterior diffuse B lines with abolished lung sliding, anterior asymmetric interstitial patterns, posterior consolidations or effusions with out anterior diffuse B lines = Pneumonia

	{{Lung ultrasound pneumothorax}}		{{Lung ultrasound pneumothorax}}

Rossdonaldson1 at 12:45, 20 July 2019

2019-07-20T12:45:11Z

← Older revision		Revision as of 12:45, 20 July 2019
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	*Anterior alveolar consolidations, anterior diffuse B lines with abolished lung sliding, anterior asymmetric interstitial patterns, posterior consolidations or effusions with out anterior diffuse B lines = Pneumonia		*Anterior alveolar consolidations, anterior diffuse B lines with abolished lung sliding, anterior asymmetric interstitial patterns, posterior consolidations or effusions with out anterior diffuse B lines = Pneumonia

	~~===Pneumothorax===~~		{{Lung ultrasound pneumothorax}}
	*No lung sliding seen (not specific for pneumothorax)
	*May also identify "lung point": distinct point where you no longer see lung sliding (pathognomonic)
	*Evaluate other intercostal spaces because pneumothorax may only be seen in least dependent area of thorax
	~~[[File:Lung Point Bowra.gif\|thumbnail\|Lung point<ref>http://www.thepocusatlas.com/pulmonary/</ref>]]~~
	~~<gallery>~~
	~~File:Z-lines and lung sliding.png~~
	~~File:No lung sliding.png~~
	~~File:Lung sliding M mode.png~~
	~~</gallery>~~

	{{Lung ultrasound pulmonary edema}}		{{Lung ultrasound pulmonary edema}}

Rossdonaldson1: /* Lung ultrasound of pulmonary edema */

2019-07-20T12:43:55Z

Lung ultrasound of pulmonary edema

← Older revision		Revision as of 12:43, 20 July 2019
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	</gallery>		</gallery>

	~~===[[Ultrasound: Lungs\|~~Lung ultrasound~~]] of [[~~pulmonary edema~~]]===~~		{{Lung ultrasound pulmonary edema}}
	*A lines and B lines
	**A lines:
	***Appear as horizontal lines
	***Indicate dry interlobular septa.
	***Predominance of A lines has 90% sensitivity, 67% specificity for pulmonary artery wedge pressure <= 13mm Hg
	***A line predominance suggests that intravenous fluids may be safely given without concern for pulmonary edema
	**B lines ("comets"):
	***White lines from the pleura to the bottom of the screen
	***Highly sensitive for pulmonary edema, but can be present at low wedge pressures
	~~[[File:B-lines.png\|250px]]~~

	==Further Reading==		==Further Reading==

Rossdonaldson1: /* Pulmonary edema */

2019-07-20T12:42:55Z

Pulmonary edema

← Older revision		Revision as of 12:42, 20 July 2019
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	</gallery>		</gallery>

	===~~Pulmonary~~ edema===		===[[Ultrasound: Lungs\|Lung ultrasound]] of [[pulmonary edema]]===
	*A lines and B lines		*A lines and B lines
	**A lines:		**A lines:

Rossdonaldson1 at 12:41, 20 July 2019

2019-07-20T12:41:31Z

← Older revision		Revision as of 12:41, 20 July 2019
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	*Can continue to evaluate each intercostal space for sliding if needed		*Can continue to evaluate each intercostal space for sliding if needed

	==Pneumothorax==		==Specific Indications==
			===BLUE (Bedside Lung Ultrasound in Emergency) Protocol<ref>http://ccm.anest.ufl.edu/files/2012/08/BLUELung.pdf Relevance of Lung Ultrasound in the Diagnosis of Acute Respiratory Failure - The BLUE Protocol</ref>===
			[[File:Dyspnea Ultrasound.png\|thumb\|Algorithm for the Use of Ultrasound in the Evaluation of Dyspnea]]
			*Predominant A lines + lung sliding = Asthma/COPD
			*Multiple predominant B lines anteriorly with lung sliding = Pulmonary Edema
			*Normal anterior profile + [[DVT]]= PE
			*Anterior absent lung sliding + A lines + lung point = Pneumothorax (PTX)
			*Anterior alveolar consolidations, anterior diffuse B lines with abolished lung sliding, anterior asymmetric interstitial patterns, posterior consolidations or effusions with out anterior diffuse B lines = Pneumonia

			===Pneumothorax===
	*No lung sliding seen (not specific for pneumothorax)		*No lung sliding seen (not specific for pneumothorax)
	*May also identify "lung point": distinct point where you no longer see lung sliding (pathognomonic)		*May also identify "lung point": distinct point where you no longer see lung sliding (pathognomonic)
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	</gallery>		</gallery>

	==Pulmonary edema==		===Pulmonary edema===
	*A lines and B lines		*A lines and B lines
	**A lines:		**A lines:
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	***Highly sensitive for pulmonary edema, but can be present at low wedge pressures		***Highly sensitive for pulmonary edema, but can be present at low wedge pressures
	[[File:B-lines.png\|250px]]		[[File:B-lines.png\|250px]]

	==BLUE (Bedside Lung Ultrasound in Emergency) Protocol<ref>http://ccm.anest.ufl.edu/files/2012/08/BLUELung.pdf Relevance of Lung Ultrasound in the Diagnosis of Acute Respiratory Failure - The BLUE Protocol</ref>==
	~~[[File:Dyspnea Ultrasound.png\|thumb\|Algorithm for the Use of Ultrasound in the Evaluation of Dyspnea]]~~
	*Predominant A lines + lung sliding = Asthma/COPD
	*Multiple predominant B lines anteriorly with lung sliding = Pulmonary Edema
	*Normal anterior profile + [[DVT]]= PE
	*Anterior absent lung sliding + A lines + lung point = Pneumothorax (PTX)
	*Anterior alveolar consolidations, anterior diffuse B lines with abolished lung sliding, anterior asymmetric interstitial patterns, posterior consolidations or effusions with out anterior diffuse B lines = Pneumonia

	==Further Reading==		==Further Reading==

Tomfadial: /* BLUE (Bedside Lung Ultrasound in Emergency) Protocolhttp://ccm.anest.ufl.edu/files/2012/08/BLUELung.pdf Relevance of Lung Ultrasound in the Diagnosis of Acute Respiratory Failure - The BLUE Protocol */

2018-09-08T17:51:22Z

BLUE (Bedside Lung Ultrasound in Emergency) Protocolhttp://ccm.anest.ufl.edu/files/2012/08/BLUELung.pdf Relevance of Lung Ultrasound in the Diagnosis of Acute Respiratory Failure - The BLUE Protocol

← Older revision		Revision as of 17:51, 8 September 2018
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	==BLUE (Bedside Lung Ultrasound in Emergency) Protocol<ref>http://ccm.anest.ufl.edu/files/2012/08/BLUELung.pdf Relevance of Lung Ultrasound in the Diagnosis of Acute Respiratory Failure - The BLUE Protocol</ref>==		==BLUE (Bedside Lung Ultrasound in Emergency) Protocol<ref>http://ccm.anest.ufl.edu/files/2012/08/BLUELung.pdf Relevance of Lung Ultrasound in the Diagnosis of Acute Respiratory Failure - The BLUE Protocol</ref>==
			[[File:Dyspnea Ultrasound.png\|thumb\|Algorithm for the Use of Ultrasound in the Evaluation of Dyspnea]]
	*Predominant A lines + lung sliding = Asthma/COPD		*Predominant A lines + lung sliding = Asthma/COPD
	*Multiple predominant B lines anteriorly with lung sliding = Pulmonary Edema		*Multiple predominant B lines anteriorly with lung sliding = Pulmonary Edema

Bobzmac at 16:37, 17 February 2018

2018-02-17T16:37:07Z

← Older revision		Revision as of 16:37, 17 February 2018
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	*May also identify "lung point": distinct point where you no longer see lung sliding (pathognomonic)		*May also identify "lung point": distinct point where you no longer see lung sliding (pathognomonic)
	*Evaluate other intercostal spaces because pneumothorax may only be seen in least dependent area of thorax		*Evaluate other intercostal spaces because pneumothorax may only be seen in least dependent area of thorax
			[[File:Lung Point Bowra.gif\|thumbnail\|Lung point<ref>http://www.thepocusatlas.com/pulmonary/</ref>]]
	<gallery>		<gallery>
	File:Z-lines and lung sliding.png		File:Z-lines and lung sliding.png