Lung ultrasound in acute respiratory failure an introduction to the BLUE-protocol. Export

@article{citeulike:5989163, abstract = {Critical ultrasound, apparently a recent field, is in fact the outcome of a slow process, initiated since 1946. The lung was traditionally not considered as part of ultrasound, yet we considered its inclusion as a priority in our definition of critical ultrasound. Acute respiratory failure is one of the most distressing situations for the patient. An ultrasound approach of this disorder - the BLUE-protocol allows rapid diagnosis. Its main features will be described. Each kind of respiratory failure provides a particular ultrasound profile. In this difficult setting, initial mistakes are frequent. The BLUE-protocol proposes a step-by-step approach for making accurate diagnosis. By combining three signs with binary answer (anterior lung sliding, anterior lung-rockets), with venous analysis when required, seven profiles are generated, yielding a 90.5\% accuracy. This rate is highly enhanced when simple clinical and laboratory data are considered. The BLUE-protocol can be achieved in three minutes, because the use of an intelligent machine, a universal probe, and standardized points allow major time-saving. Lung ultrasound in the critically ill was long available. In a domain where everything must be fast and accurate, the BLUE-protocol can play a major role in the diagnosis of an acute respiratory failure, usually answering immediately to questions where only sophisticated techniques were hitherto used.}, author = {Lichtenstein, D.}, citeulike-article-id = {5989163}, citeulike-linkout-0 = {http://view.ncbi.nlm.nih.gov/pubmed/19412150}, citeulike-linkout-1 = {http://www.hubmed.org/display.cgi?uids=19412150}, issn = {1827-1596}, journal = {Minerva anestesiologica}, keywords = {chest, ultrasound}, month = {May}, number = {5}, pages = {313--317}, posted-at = {2009-10-22 20:07:36}, priority = {2}, title = {Lung ultrasound in acute respiratory failure an introduction to the BLUE-protocol.}, url = {http://view.ncbi.nlm.nih.gov/pubmed/19412150}, volume = {75}, year = {2009} }

TY - JOUR ID - citeulike:5989163 L3 - citeulike-article-id:5989163 N2 - Critical ultrasound, apparently a recent field, is in fact the outcome of a slow process, initiated since 1946. The lung was traditionally not considered as part of ultrasound, yet we considered its inclusion as a priority in our definition of critical ultrasound. Acute respiratory failure is one of the most distressing situations for the patient. An ultrasound approach of this disorder - the BLUE-protocol allows rapid diagnosis. Its main features will be described. Each kind of respiratory failure provides a particular ultrasound profile. In this difficult setting, initial mistakes are frequent. The BLUE-protocol proposes a step-by-step approach for making accurate diagnosis. By combining three signs with binary answer (anterior lung sliding, anterior lung-rockets), with venous analysis when required, seven profiles are generated, yielding a 90.5% accuracy. This rate is highly enhanced when simple clinical and laboratory data are considered. The BLUE-protocol can be achieved in three minutes, because the use of an intelligent machine, a universal probe, and standardized points allow major time-saving. Lung ultrasound in the critically ill was long available. In a domain where everything must be fast and accurate, the BLUE-protocol can play a major role in the diagnosis of an acute respiratory failure, usually answering immediately to questions where only sophisticated techniques were hitherto used. IS - 5 JF - Minerva anestesiologica SN - 1827-1596 EP - 317 TI - Lung ultrasound in acute respiratory failure an introduction to the BLUE-protocol. VL - 75 SP - 313 KW - chest KW - ultrasound AU - Lichtenstein, D PY - 2009/05// UR - http://view.ncbi.nlm.nih.gov/pubmed/19412150 ER -