Lung Ultrasound – Case 2 – Acute, severe dyspnoea. – Kylie Baker
[az_accordion_section] [accordion title=”History” id=”acc-1″]Patient presented pale, diaphoretic and too breathless to talk or lie down. LMO had ceased high dose diuretic 4 days before due to concerns about AKI. If you have one intervention only, what would you do? – (Note – poor LV function noted on bedside TTE)
Review the lung ultrasound images to develop your diagnosis.[/accordion] [accordion title=”Ultrasound” id=”acc-3″]
[/accordion] [accordion title=”Answer” id=”acc-4″] More than a litre was tapped off the larger right pleural effusion. Not your usual APO treatment but it worked very well. Likely element of APO that caused the acute dyspnoea (see some B lines most areas, and a poor LV), the chronic effusion was an easy way to drain fluid quickly and at the same time allow the collapsed area of lung to expand, improving the dynamics of chest wall movement.[/accordion] [accordion title=”Further Resources” id=”acc-5″]
ICN – Lung Ultrasound Guides
Article – Lung Ultrasound in the Critically Ill
Article – The BLUE Team Protocol
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