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lunes, 14 de noviembre de 2016

POCUS: Lichtenstein

The Bottom line - November 14, 2016 - By - David Slessor
Ref. Relevance of Lung Ultrasound in the Diagnosis of Acute Respiratory Failure. The BLUE Protocol- Lichtenstein. 
Chest 2008;134;117-125
"Clinical Question
In patients with acute respiratory failure can bedside ultrasound, compared to standard diagnostic methods, provide an accurate diagnosis?
blue protocol table
Authors’ Conclusions
In 90.5% of cases of respiratory failure, an immediate accurate diagnosis was made with respiratory ultrasound.
The Bottom Line
In patients with acute respiratory failure bedside, ultrasound appears to help determine the diagnosis. Validation studies are required to confirm the utility of the BLUE protocol. Due to biases in the study design the performance of the BLUE protocol is likely to be less accurate than the results reported in this trial."