Citation Information :
Shyamsundar S, Kooloth R, Vidyasagar DD. Lung Ultrasound in the Intensive Care Unit: A Review. J Acute Care 2024; 3 (3):159-163.
Ultrasound examination of the lung has become a widely used tool in recent years in critical care units. It is an easy-to-use, noninvasive, real-time investigative method that aids in the treatment of patients in the intensive care unit. This review discusses the appropriate probe selection for lung ultrasound, sites for scanning the lung, diagnosing causes of acute breathlessness, fluid management of intensive care unit (ICU) patients, and positive end-expiratory pressure (PEEP) titration in acute respiratory distress syndrome (ARDS) in light of recent evidence. Diaphragmatic functional assessment by lung ultrasound has been used to predict extubation failure in ventilated patients. Ultrasound has proved to be useful in guiding interventional procedures such as pleurocentesis, placement of intercostal drains, and percutaneous tracheostomies.
Lichtenstein DA, Mezière GA. Relevance of lung ultrasound in the diagnosis of acute respiratory failure: the BLUE protocol. Chest 2008;134:117–125. DOI: 10.1378/chest.07-2800
Xirouchaki N, Magkanas E, Vaporidi K, et al. Lung ultrasound in critically ill patients: comparison with bedside chest radiography. Intensive Care Med 2011;37(9):1488–1493. DOI: 10.1007/s00134-011-2317-y
Miller A. Practical approach to lung ultrasound. BJA Education 2016;16(2):39–45. DOI: 10.1093/bjaceaccp/mkv012
Lichtenstein DA. BLUE-protocol and FALLS-protocol: two applications of lung ultrasound in the critically ill. Chest 2015;147(6):1659–1670. DOI: 10.1378/chest.14-1313
Volpicelli G, Mussa A, Garofalo G, et al. Bedside lung ultrasound in the assessment of alveolar-interstitial syndrome. Am J Emerg Med 2006;24(6):689–696. DOI: 10.1016/j.ajem.2006.02.013
Mojoli F, Bouhemad B, Mongodi S, et al. Lung ultrasound for critically Ill patients. Am J Respir Crit Care Med 2019;199(6):701–714.
Havelock T, Teoh R, Laws D, et al. Pleural procedures and thoracic ultrasound: British Thoracic Society Pleural Disease Guideline 2010. Thorax 2010;65(Suppl 2):ii61–ii76. DOI: 10.1136/thx.2010.137026
Bataille B, Riu B, Ferre F, et al. Integrated use of bedside lung ultrasound and echocardiography in acute respiratory failure: a prospective observational study in ICU. Chest 2014;146(6):1586–1593. DOI: 10.1378/chest.14-0681
Lichtenstein DA, Mezière GA, Lagoueyte JF, et al. A-lines and B-lines: lung ultrasound as a bedside tool for predicting pulmonary artery occlusion pressure in the critically ill. Chest 2009;136:1014–1020. DOI: 10.1378/chest.09-0001
Volpicelli G, Skurzak S, Boero E. Lung ultrasound predicts well extravascular lung water but is of limited usefulness in the prediction of wedge pressure. Anesthesiology 2014;121(2):320–327. DOI: 10.1097/ALN.0000000000000300
Platz E, Lattanzi A, Agbo C, et al. Utility of lung ultrasound in predicting pulmonary and cardiac pressures. Eur J Heart Fail 2012;14:1276. DOI: 10.1093/eurjhf/hfs144
Clattenburg EJ, Wroe P, Brown S, et al. Point-of-care ultrasound use in patients with cardiac arrest is associated prolonged cardiopulmonary resuscitation pauses: a prospective cohort study. Resuscitation 2018;122:65–68. DOI: 10.1016/j.resuscitation.2017.11.056
Gobatto ALN, Besen BAMP, Cestari M, et al. Ultrasound-guided percutaneous dilational tracheostomy: a systematic review of randomized controlled trials and meta-analysis. J Intensive Care Med 2020;35(5):445–452. DOI: 10.1177/0885066618755334
Zambon M, Greco M, Bocchino S, et al. Assessment of diaphragmatic dysfunction in the critically ill patient with ultrasound: a systematic review. Intensive Care Med 2017;43:29–38. DOI: 10.1007/s00134-016-4524-z
Llamas-Alvarez A, Tenza-Lozano E, Latour-Pérez J. Diaphragm and lung ultrasound to predict weaning outcome. Chest 2017;152(6):1140–1150. DOI: 10.1016/j.chest.2017.08.028
Parada-Gereda HM, Tibaduiza AL, Rico-Mendoza A, et al. Effectiveness of diaphragmatic ultrasound as a predictor of successful weaning from mechanical ventilation: a systematic review and meta-analysis. Crit Care 2023;27:174. DOI: 10.1186/s13054-023-04430-9
Salem MS, Eltatawy HS, Ahmed A, et al. Lung ultrasound versus FiO2-guided PEEP in ARDS patients. Egypt J Anaesth 2020;36(1):31–37. DOI: 10.1080/11101849.2020.1741253
Tang KQ, Yang SL, Zhang B, et al. Ultrasonic monitoring in the assessment of pulmonary recruitment and the best positive end-expiratory pressure. Medicine (Baltimore) 2017;96(39):e8168. DOI: 10.1097/MD.0000000000008168
Bouhemad B, Brisson H, Le-Guen M, et al. Bedside ultrasound assessment of positive end-expiratory pressure-induced lung recruitment. Am J Respir Crit Care Med 2011;183:341–347. DOI: 10.1164/rccm.201003-0369OC
