Lung Ultrasound for the Diagnosis and Management of Acute Respiratory Failure

Marjan Islam, Matthew Levitus, Lewis Eisen, Ariel L. Shiloh, Daniel Fein

Research output: Contribution to journalReview article

Abstract

For critically ill patients with acute respiratory failure (ARF), lung ultrasound (LUS) has emerged as an indispensable tool to facilitate diagnosis and rapid therapeutic management. In ARF, there is now evidence to support the use of LUS to diagnose pneumothorax, acute respiratory distress syndrome, cardiogenic pulmonary edema, pneumonia, and acute pulmonary embolism. In addition, the utility of LUS has expanded in recent years to aid in the ongoing management of critically ill patients with ARF, providing guidance in volume status and fluid administration, titration of positive end-expiratory pressure, and ventilator liberation. The aims of this review are to examine the basic foundational concepts regarding the performance and interpretation of LUS, and to appraise the current literature supporting the use of this technique in the diagnosis and continued management of patients with ARF.

Original languageEnglish (US)
JournalLung
Volume198
Issue number1
DOIs
Publication statusPublished - Feb 1 2020

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Keywords

  • Acute respiratory distress syndrome
  • Acute respiratory failure
  • Diaphragmatic dysfunction
  • Lung ultrasound
  • Pneumonia
  • Pneumothorax
  • Point-of-care ultrasound
  • Pulmonary embolism

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine

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