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FACP. Colegio de médicos de Tarragona Nº 4305520 / fgcapriles@gmail.com

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martes, 4 de abril de 2017

US for ACPE

EMOttawa
EMOttawa - By Rob Suttie - April 03, 2017
"Point-of-Care Ultrasonography (POCUS) is a valuable tool in the diagnostic armamentarium of the emergency physician. We have been successfully using it to the place lines, diagnose AAAs and assess the cardiac function of our dyspnea patients for awhile now. But what about the lungs? Typically air is thought of as the enemy of ultrasound, but can we successfully use it to diagnose acute respiratory conditions despite this? In this Grand Rounds review, Dr. Elizabeth Lalande goes through the use of POCUS in the diagnosis of Acute Cardiogenic Pulmonary Edema in the undifferentiated, dyspneic patient. 
The objectives are as follows:
1. Definitions in lung ultrasound (US)
2. The role of POCUS in diagnosing acute cardiogenic pulmonary edema
Conclusions:
1. Lung US is a great tool to diagnose ACPE, with excellent test characteristics.
2. An eight zone protocol can be used at the bedside to look for the B-profile in your patients with undifferentiated dyspnea. Remember a B-profile consists of at least 3 B-lines in one intercostal space.
3. Don’t forget to look at the heart as well, to increase your post-test probability of finding the right diagnosis for your patient!"