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Comment
. 2011;15(3):161.
doi: 10.1186/cc10226. Epub 2011 May 26.

Using lung ultrasound to differentiate patients in acute dyspnea in the prehospital emergency setting

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Comment

Using lung ultrasound to differentiate patients in acute dyspnea in the prehospital emergency setting

Joshua S Rempell et al. Crit Care. 2011.

Abstract

The diagnosis and treatment of dyspnea in the emergency department and in the prehospital setting is a challenge faced by the emergency physician and other prehospital care providers. While the use of lung ultrasound as a diagnostic tool in dyspneic patients has been well researched, there has been limited evaluation of its use in the prehospital setting. In the previous issue of Critical Care, Prosen and colleagues study the accuracy of lung ultrasound compared with both N-terminal pro-brain natriuretic peptide and the clinical examination for differentiating between acute decompensated congestive heart failure and chronic obstructive pulmonary disease exacerbations for patients in the prehospital setting. Their article adds to the growing body of evidence demonstrating the diagnostic efficacy of lung ultrasound in differentiating between these two disease processes in the acutely dyspneic patient.

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References

    1. Prosen G, Klemen P, Strnad M, Grmec S. Combination of lung ultrasound (a comet-tail sign) and N-terminal pro-brain natriuretic peptide in differentiating acute heart failure from chronic obstructive pulmonary disease and asthma as cause of acute dyspnea in prehospital emergency setting. Crit Care. 2011;15:R114. doi: 10.1186/cc10140. - DOI - PMC - PubMed
    1. Lichtenstein D, Mézière G, Biderman P, Gepner A, Barré O. The comet-tail artifact. An ultrasound sign of alveolar-interstitial syndrome. Am J Respir Crit Care Med. 1997;156:1640–1646. - PubMed
    1. Licthenstein DA, Mezeire GA. Relevance of lung ultrasound in the diagnosis of acute respiratory failure: the BLUE protocol. Chest. 2008;134:117–125. doi: 10.1378/chest.07-2800. - DOI - PMC - PubMed
    1. Volpicelli G, Mussa A, Garofalo G, Cardinale L, Casoli G, Perotto F, Fava C, Frascisco M. Bedside lung ultrasound in the assessment of alveolarinterstitial syndrome. Am J Emerg Med. 2006;24:689–696. doi: 10.1016/j.ajem.2006.02.013. - DOI - PubMed
    1. Liteplo AS, Marill KA, Villen T, Miller RM, Murray AF, Croft PE, Capp R, Noble VE. Emergency Thoracic Ultrasound in the Differentiation of the Etiology of Shortness of Breath (ETUDES): sonographic B-lines and N-terminal probrain-type natriuretic peptide in diagnosing congestive heart failure. Acad Emerg Med. 2009;16:201–210. doi: 10.1111/j.1553-2712.2008.00347.x. - DOI - PubMed

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