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The role of chest ultrasonography in the management of respiratory diseases: document I.

Zanforlin A, Giannuzzi R, Nardini S, Testa A, Soldati G, Copetti R, Marchetti G, Valente S, Inchingolo R, Smargiassi A - Multidiscip Respir Med (2013)

Bottom Line: It can be used to complete and widen the general objective examination also in emergency situations, at the patient's bedside.The aim of this document is to promote better knowledge and more widespread use of thoracic ultrasound among respiratory physicians in Italy.This document I is focused on basic knowledge of chest ultrasonography technique, physical basis, aims and characteristics, fields of application.

View Article: PubMed Central - HTML - PubMed

Affiliation: Pulmonary Medicine Department, UniversitàCattolica del SacroCuore, University Hospital "A, Gemelli", Roma, Italy. smargiassi.a@gmail.com.

ABSTRACT
Chest ultrasonography can be a useful diagnostic tool for respiratory physicians. It can be used to complete and widen the general objective examination also in emergency situations, at the patient's bedside. The aim of this document is to promote better knowledge and more widespread use of thoracic ultrasound among respiratory physicians in Italy. This document I is focused on basic knowledge of chest ultrasonography technique, physical basis, aims and characteristics, fields of application. Document I shows how chest ultrasonography can be useful to detect and monitor pleural diseases, pleural effusions and pneumothorax and how it can assess diaphragmatic kinetics and pathologies.

No MeSH data available.


Related in: MedlinePlus

Diaphragm in B- and M-mode in spontaneous breathing (A) and in forced respiration (B).
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Figure 7: Diaphragm in B- and M-mode in spontaneous breathing (A) and in forced respiration (B).

Mentions: The approach we use is the anterior subcostal one using a convex probe. In B-mode the diaphragmatic interface appears as a hyperechogenic line surrounding the liver; at this point one tilts the probe to obtain the maximum convexity, using the gallbladder, where present, as a reference point. Inserting M-mode, one can visualize the movement of structures positioned along a line in the ultrasound beam. The diaphragmatic interface will appear in M-mode as a hyperechogenic line that assumes in time a sinusoidal form with the peak corresponding to maximum inspiration and the trough corresponding to expiration. On this M-mode trace one can perform measurements: the height of the curve corresponds to the diaphragmatic excursion which in spontaneous breathing is approximately 1.8 cm and in forced breathing reaches 7.8 cm [25] (Figures 7 and 8).


The role of chest ultrasonography in the management of respiratory diseases: document I.

Zanforlin A, Giannuzzi R, Nardini S, Testa A, Soldati G, Copetti R, Marchetti G, Valente S, Inchingolo R, Smargiassi A - Multidiscip Respir Med (2013)

Diaphragm in B- and M-mode in spontaneous breathing (A) and in forced respiration (B).
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3750689&req=5

Figure 7: Diaphragm in B- and M-mode in spontaneous breathing (A) and in forced respiration (B).
Mentions: The approach we use is the anterior subcostal one using a convex probe. In B-mode the diaphragmatic interface appears as a hyperechogenic line surrounding the liver; at this point one tilts the probe to obtain the maximum convexity, using the gallbladder, where present, as a reference point. Inserting M-mode, one can visualize the movement of structures positioned along a line in the ultrasound beam. The diaphragmatic interface will appear in M-mode as a hyperechogenic line that assumes in time a sinusoidal form with the peak corresponding to maximum inspiration and the trough corresponding to expiration. On this M-mode trace one can perform measurements: the height of the curve corresponds to the diaphragmatic excursion which in spontaneous breathing is approximately 1.8 cm and in forced breathing reaches 7.8 cm [25] (Figures 7 and 8).

Bottom Line: It can be used to complete and widen the general objective examination also in emergency situations, at the patient's bedside.The aim of this document is to promote better knowledge and more widespread use of thoracic ultrasound among respiratory physicians in Italy.This document I is focused on basic knowledge of chest ultrasonography technique, physical basis, aims and characteristics, fields of application.

View Article: PubMed Central - HTML - PubMed

Affiliation: Pulmonary Medicine Department, UniversitàCattolica del SacroCuore, University Hospital "A, Gemelli", Roma, Italy. smargiassi.a@gmail.com.

ABSTRACT
Chest ultrasonography can be a useful diagnostic tool for respiratory physicians. It can be used to complete and widen the general objective examination also in emergency situations, at the patient's bedside. The aim of this document is to promote better knowledge and more widespread use of thoracic ultrasound among respiratory physicians in Italy. This document I is focused on basic knowledge of chest ultrasonography technique, physical basis, aims and characteristics, fields of application. Document I shows how chest ultrasonography can be useful to detect and monitor pleural diseases, pleural effusions and pneumothorax and how it can assess diaphragmatic kinetics and pathologies.

No MeSH data available.


Related in: MedlinePlus