Introduction to Lung Ultrasound

You still need CXR if you are considering NIV

Whether it is 3 B lines per intercostal space or 3 lines per view is a matter of debate.

Suggest 3 per space if you are chasing flash APO, and 3 per view if you are screening for any CCF.

Note: Remove harmonics. Raise focus to pleural line. Depth down to 12cm if you can. Low dynamic range.

Tangential rib views are for experienced sonologists looking for local problems. As you see from the saved image, there are no landmarks.

The only technical challenge is in imaging the sharpest view of pleura. It is surprising how steeply the chest wall falls away under a seemingly flat chest wall.

The only technical challenge is in imaging the sharpest view of pleura. It is surprising how steeply the chest wall falls away under a seemingly flat chest wall.

The bright white strip is NOT a B line, as it does not obliterate the A lines on the way down.

Top view would be considered positive. Lower view has B lines but is not wet enough for APO.

'Shite lung' = white or shining lung, generally marker of severe disease but not specific for a particular disease.

Signify abnormal underlying lung.