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Point-of-Care Lung Ultrasound in Adults: Image Acquisition.

Publication ,  Journal Article
Pereira, ROL; Convissar, DL; Montgomery, S; Herbert, JT; Reed, CR; Tang, HJ; Bronshteyn, YS
Published in: J Vis Exp
March 3, 2023

Consultative ultrasound performed by radiologists has traditionally not been used for imaging the lungs, as the lungs' air-filled nature normally prevents direct visualization of the lung parenchyma. When showing the lung parenchyma, ultrasound typically generates a number of non-anatomic artifacts. However, over the past several decades, these artifacts have been studied by diagnostic point-of-care ultrasound (POCUS) practitioners, who have identified findings that have value in narrowing the differential diagnoses of cardiopulmonary dysfunction. For instance, in patients presenting with dyspnea, lung POCUS is superior to chest radiography (CXR) for the diagnosis of pneumothorax, pulmonary edema, lung consolidations, and pleural effusions. Despite its known diagnostic value, the utilization of lung POCUS in clinical medicine remains variable, in part because training in this modality across hospitals remains inconsistent. To address this educational gap, this narrative review describes lung POCUS image acquisition in adults, including patient positioning, transducer selection, probe placement, acquisition sequence, and image optimization.

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Published In

J Vis Exp

DOI

EISSN

1940-087X

Publication Date

March 3, 2023

Issue

193

Location

United States

Related Subject Headings

  • Ultrasonography
  • Point-of-Care Testing
  • Point-of-Care Systems
  • Pneumothorax
  • Lung Diseases
  • Lung
  • Humans
  • Adult
  • 3101 Biochemistry and cell biology
  • 1702 Cognitive Sciences
 

Citation

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Pereira, R. O. L., Convissar, D. L., Montgomery, S., Herbert, J. T., Reed, C. R., Tang, H. J., & Bronshteyn, Y. S. (2023). Point-of-Care Lung Ultrasound in Adults: Image Acquisition. J Vis Exp, (193). https://doi.org/10.3791/64722
Pereira, Rodrigo O. L., David L. Convissar, Sean Montgomery, James T. Herbert, Christopher R. Reed, Hoang J. Tang, and Yuriy S. Bronshteyn. “Point-of-Care Lung Ultrasound in Adults: Image Acquisition.J Vis Exp, no. 193 (March 3, 2023). https://doi.org/10.3791/64722.
Pereira ROL, Convissar DL, Montgomery S, Herbert JT, Reed CR, Tang HJ, et al. Point-of-Care Lung Ultrasound in Adults: Image Acquisition. J Vis Exp. 2023 Mar 3;(193).
Pereira, Rodrigo O. L., et al. “Point-of-Care Lung Ultrasound in Adults: Image Acquisition.J Vis Exp, no. 193, Mar. 2023. Pubmed, doi:10.3791/64722.
Pereira ROL, Convissar DL, Montgomery S, Herbert JT, Reed CR, Tang HJ, Bronshteyn YS. Point-of-Care Lung Ultrasound in Adults: Image Acquisition. J Vis Exp. 2023 Mar 3;(193).

Published In

J Vis Exp

DOI

EISSN

1940-087X

Publication Date

March 3, 2023

Issue

193

Location

United States

Related Subject Headings

  • Ultrasonography
  • Point-of-Care Testing
  • Point-of-Care Systems
  • Pneumothorax
  • Lung Diseases
  • Lung
  • Humans
  • Adult
  • 3101 Biochemistry and cell biology
  • 1702 Cognitive Sciences