Lung ultrasound lines

RE: Lung ultrasound lines

Anthony Dennison — Fri, 08 Nov 2019 09:21:06 GMT

I can vouch for Roger's knowledge and skill on lung ultrasound - diagnosed 2 or 3 pneumonia cases by scanning alone at our practice, and found at least one lung mass by my memory.

RE: Lung ultrasound lines

Chris Milligan — Mon, 04 Nov 2019 22:06:24 GMT

really useful article cheers Roger

RE: Lung ultrasound lines

Roger Wilkinson — Mon, 04 Nov 2019 17:56:42 GMT

well, it's a balance between getting complete coverage and sending home a nude dog! I have occasionally been caught out by cases with a solitary lung lesion very dorsal...and clipping to within a few cm of the dorsal midline is the only way to minimise that possibiity.

In the most part, when doing a routine abdo + thorax exam I just continue clipped area cranially to the elbow and dorsally to the costochondral junctions (and rely on a bit of skin movement to get a bit further dorsal again when actually scanning).

You can align the probe either for a transverse plane or longitudinal plane. I usually use a linear probe and go transverse with the probe aligned along each intercostal space in turn. Takes about 15 seconds for each side of the chest.

30 seconds of lung scanning is the best ratio of clinically-relevant-findings:time spent for an awful lot of cases. Neoplasia, dyspnoea, pyrexia.....etc etc

RE: Lung ultrasound lines

AlanH — Mon, 04 Nov 2019 17:45:47 GMT

Hi,

Interesting stuff Roger, thanks for posting , something I haven't really done up to now but will certainly try to do more often, are there specific sites that you would routinely examine the lung ?

Best wishes

Alan