Thoracic ultrasound

Thoracic ultrasound

1. Thoracic Ultrasound Dr.Tarek Sabri INTENSIVIST Fujairah Hospital UAE October 28 - 2017

2. Ultrasound is not for everyone, but everyone can understand the terminology, recognize a good scan from a poor one, and understand its error rate. DISCLAIMER

3. - FAST - Pulmonary Edema - Pleural Effusion - Pneumothorax

4. 1 2 3 4 Volpicelli et al, Am J Emerg Med 2006; 24: 689-696 Region 2 is usually above the nipple

5. Focused exam – 8 views Sagittal or coronal views RIB SHADOWS confirm position and guide you to pleura.

6. THE BAT VIEW Rib shadow Rib shadow Chest wall Pleural line

7. Pneumothorax

8. Pneumothorax

9. 1 2 3 4 Volpicelli et al, Am J Emerg Med 2006; 24: 689-696 Region 2 is usually above the nipple

10. No sliding – PNTX or Adhesion straight straight

11. No sliding- PNTX or adhesion VERY SENSITIVE, LESS SPECIFIC WALL MOTION ARTIFACT PLEURA straight speckled

12. Additional PNTX signs LUNG PULSE NO PNTX LUNG POINT PNTX OR ADHESION

13. Conclusion Benefit of thoracic US Scanning Zones . Artifacts are keys. Pathology rarely in isolation.

14. THANK YOU Mansoura- EGYPT 48