D.T. Ashton-Cleary British Journal of Anaesthesia

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Presentation transcript:

Is thoracic ultrasound a viable alternative to conventional imaging in the critical care setting? D.T. Ashton-Cleary British Journal of Anaesthesia Volume 111, Issue 2, Pages 152-160 (August 2013) DOI: 10.1093/bja/aet076 Copyright © 2013 The Author(s) Terms and Conditions

Fig 1 Pleural effusion with consolidated lung beneath. The lung is visible as soft tissue, similar to that of liver demonstrating ‘hepatization’. Bright, punctiform areas within this denote air bronchograms. British Journal of Anaesthesia 2013 111, 152-160DOI: (10.1093/bja/aet076) Copyright © 2013 The Author(s) Terms and Conditions

Fig 2 B-line or ultrasound lung comet projecting down from the pleura and a small area of sub-pleural consolidation (C). British Journal of Anaesthesia 2013 111, 152-160DOI: (10.1093/bja/aet076) Copyright © 2013 The Author(s) Terms and Conditions

Fig 3 Normal lung. Ribs give rise to dark, hypo-echoic rib-shadows projecting down the image. British Journal of Anaesthesia 2013 111, 152-160DOI: (10.1093/bja/aet076) Copyright © 2013 The Author(s) Terms and Conditions

Fig 4 Stratosphere sign. M-mode image of pneumothorax. A continuous line from left to right represents an unchanging signal (unmoving tissue) over time. This occurs below the pleural line in pneumothorax as the air gap ablates any motion signal occurring in tissue below. Named for the resemblance to jet liner vapour trails. British Journal of Anaesthesia 2013 111, 152-160DOI: (10.1093/bja/aet076) Copyright © 2013 The Author(s) Terms and Conditions

Fig 5 Seashore sign. M-mode image of normally inflated lung. Minimal motion of chest wall tissues gives rise to parallel lines above (waves of the sea). A granular pattern below the pleural line (sand on the shore) results from constantly changing signal from moving lung. British Journal of Anaesthesia 2013 111, 152-160DOI: (10.1093/bja/aet076) Copyright © 2013 The Author(s) Terms and Conditions