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Title of Journal: Radiol med

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Abbravation: La radiologia medica

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Springer Milan

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DOI

10.1007/bf02944160

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1826-6983

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Lung ultrasound in diagnosing and monitoring pulmo

Authors: G Volpicelli L A Melniker L Cardinale A Lamorte M F Frascisco
Publish Date: 2012/06/28
Volume: 118, Issue: 2, Pages: 196-205
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Abstract

Chronic heart failure is a complex clinical syndrome often characterised by recurrent episodes of acute decompensation This is acknowledged as a major public health problem leading to a steadily increasing number of hospitalisations in developed countries In decompensated heart failure the redistribution of fluids into the pulmonary vascular bed leads to respiratory failure a common cause of presentation to the emergency department The ability to diagnose quantify and monitor pulmonary congestion is particularly important in managing the disease Lung ultrasound US is a relatively new method that has gained a growing acceptance as a bedside diagnostic tool to assess pulmonary interstitial fluid and alveolar oedema The latest developments in lung US are not because of technological advance but are based on new applications and discovering the meanings of specific sonographic artefacts designated as Blines Realtime sonography of the lung targeted to detection of Blines allows bedside diagnosis of respiratory failure due to impairment of cardiac function as well as quantification and monitoring of pulmonary interstitial fluid Lung US saves time and cost provides immediate information to the clinician and relies on very easytoacquire and highly reproducible dataL’insufficienza cardiaca cronica è una complessa sindrome clinica caratterizzata spesso da episodi ricorrenti di scompenso acuto Tale condizione rappresenta uno dei maggiori problemi di salute pubblica che porta ad un numero sempre crescente di ospedalizzazione nei paesi più sviluppati Nella insufficienza cardiaca scompensata la redistribuzione dei fluidi nel letto vascolare polmonare comporta l’insufficienza respiratoria una causa comune di presentazione nel Dipartimento di Emergenza La capacità di diagnosticare quantificare e monitorare la congestione polmonare è di particolare importanza nel trattamento di questa malattia L’ecografia polmonare è un metodo relativamente nuovo oramai sempre più diffusamente riconosciuto come mezzo diagnostico utile per la valutazione dell’edema interstiziale ed alveolare al letto del paziente Il recente sviluppo dell’ecografia polmonare non è legato allo sviluppo tecnologico ma è basato sulle nuove applicazioni e sulla scoperta del significato di specifici artefatti ecografici chiamati linee B L’ecografia polmonare mirata alla identificazione delle linee B permette la diagnosi al letto del paziente in tempo reale dell’insufficienza respiratoria dovuta a scompenso cardiaco cosÌ come la quantificazione ed il monitoraggio della congestione polmonare La tecnica ecografica polmonare riduce i tempi ed i costi diagnostici e si basa su segni semplici da identificare ed altamente riproducibili che forniscono immediate informazioni nella gestione del paziente


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