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Written by a pioneer in critical care ultrasound, this book discusses the basic technique and “signatures” of lung ultrasound and explains its main clinical applications. The tools and clinical uses of the BLUE protocol, which allows diagnosis of most cases of acute respiratory failure, are first described in detail. Careful attention is then devoted to protocols derived from the BLUE protocol – the FALLS protocol for diagnosis and management of acute circulatory failure, the Pink protocol for use in ARDS, and the SESAME protocol for use in cardiac arrest – and to the LUCI-FLR program, a means of answering clinical questions while reducing radiation exposure. Finally, the book discusses all the possible settings in which lung ultrasound can be used, discipline by discipline and condition by condition. Lung Ultrasound in the Critically Ill comprehensively explains how ultrasound can become the stethoscope of modern medicine. It is a superb complement to the author’s previous book, Whole Body Ultrasonography in the Critically Ill.
Basic Knobology Useful for the BLUE-Protocol (Lung and Venous Assessment) and Derived Protocols
Pages 3-9
Which Equipment for the BLUE-Protocol? (And for Whole-Body Critical Ultrasound). 1 – The Unit
Pages 11-22
Which Equipment for the BLUE-Protocol 2. The Probe
Pages 23-35
How We Conduct a BLUE-Protocol (And Any Critical Ultrasound): Practical Aspects
Pages 37-43
The Seven Principles of Lung Ultrasound
Pages 45-49
The BLUE-Points: Three Points Allowing Standardization of a BLUE-Protocol
Pages 51-58
An Introduction to the Signatures of Lung Ultrasound
Pages 59-60
Pages 61-64
The A-Profile (Normal Lung Surface): 1) The A-Line
Pages 65-66
The A-Profile (Normal Lung Surface): 2) Lung Sliding
Pages 67-78
Interstitial Syndrome and the BLUE-Protocol: The B-Line
Pages 79-86
Lung Rockets: The Ultrasound Sign of Interstitial Syndrome
Pages 87-94
Interstitial Syndrome in the Critically Ill: The B-Profile and the B’-Profile
Pages 95-96
Pneumothorax and the A’-Profile
Pages 97-108
LUCI and the Concept of the “PLAPS”
Pages 109-110
Pages 111-116
PLAPS and Lung Consolidation (Usually Alveolar Syndrome) and the C-profile
Pages 117-122
Pages 123-142
Simple Emergency Cardiac Sonography: A New Application Integrating Lung Ultrasound
Pages 143-153
Front Matter
Pages 155-155
The Ultrasound Approach of an Acute Respiratory Failure: The BLUE-Protocol
Pages 157-166
The Excluded Patients of the BLUE-Protocol: Who Are They? Did Their Exclusion Limit Its Value?
Pages 167-169
Frequently Asked Questions Regarding the BLUE-Protocol
Pages 171-175
The BLUE-Protocol and the Diagnosis of Pneumonia
Pages 177-179
BLUE-Protocol and Acute Hemodynamic Pulmonary Edema
Pages 181-186
BLUE-Protocol and Bronchial Diseases: Acute Exacerbation of COPD (AECOPD) and Severe Asthma
Pages 187-188
BLUE-Protocol and Pulmonary Embolism
Pages 189-194
BLUE-Protocol and Pneumothorax
Pages 195-199
Front Matter
Pages 201-201
Pages 203-216
Pages 217-225
Pages 227-259
Lung Ultrasound as the First Step of Management of a Cardiac Arrest: The SESAME-Protocol
Pages 261-274
Front Matter
Pages 275-275
Lung Ultrasound in the Critically Ill Neonate
Pages 277-285
Lung Ultrasound Outside the Intensive Care Unit
Pages 287-294
Whole Body Ultrasound in the Critically Ill (Lung, Heart, and Venous Thrombosis Excluded)
Pages 295-307
Pages 309-326
Noncritical Ultrasound, Within the ICU and Other Hot Settings
Pages 327-332
Pages 333-348
A Way to Learn the BLUE-Protocol
Pages 349-353
Pages 355-357
Suggestion for Classifying Air Artifacts
Pages 359-364
Pages 365-370
Pages 371-376
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