Lung Ultrasound part 2.  Pulmonary Edema with @ultrasoundmd.  #FOAMED. Check out before it’s too late!

Lung Ultrasound part 2.  Pulmonary Edema with @ultrasoundmd.  #FOAMED. Check out before it's too late!
Finishing up the spring back to the basics series with lung ultrasound.  Let’s keep it basic and talk about pulmonary edema.
How good is ultrasound for this exactly?  How does it compare to the physical exam and X-ray?  Let’s find out!
Also, don’t forget to come learn with us in January in Cabo!  It’s gonna be phenomenal!
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  1. […] post Lung Ultrasound part 2.  Pulmonary Edema with @ultrasoundmd.  #FOAMED. Check out www.cabofest2017… appeared first on Ultrasound […]

  2. […] and Mike discuss pulmonary oedema with Jacob Avila. Get scanning everyone! […]

  3. Ken Schaefle : June 10, 2016 at 5:20 pm

    Guys – love the podcast, thank you so much . Great evidence in these two podcasts but please say a bit more about how to do the lung US exam for pleural effusion/ differentiating COPD and CHF. In looking for B lines, your iBook only shows an anterior scan….but in my limited experience, docs at my institution often do a posterior lung field exam (as pt is often hunched over and tripod-ing). Is posterior not as good as anterior? And could you say something about the zones / sites on the posterior – are any better Windows than others? Is sitting up as good as supine, or do you want the patient laying down (because they don’t want to – should I insist?) Please say some more about how you actually stick the probe on the person, how many fields you need to evaluate to have done a thorough rule in/rule out exam. I need to know this basic housekeeping stuff so that I know I am giving the patient a proper and full eval.
    Thanks a lot. – Ken

  4. To answer Ken above posterior B lines are not meaningful in most of our elderly bedbound pts as they will always have them, in ambulatory pts who were not on their back for over a day it may signify early volume overload- read Daniel Lichtenstein’s book “Lung Ultrasound in the Critically ill” for in depth review.

    Also to the makers of this video- B lines are not good estimates of pressures in the heart of someone with cardiomegaly. I’ve done this experiment myself where I did lung ultrasound on heart failure pts with cardiomems devices in place so we were getting simultaneous PAP readings and there is poor correlation ie A profile seen in pts with mean PA pressures in the 30s because they become so well compensated if on the right meds.

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