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Lung Ultrasound Case 8

Home Lung Ultrasound Case 8

Lung Ultrasound – Case 8 – Lung US in the Morbidly Obese Patient- Kylie Baker

History

Intubated ICU patient weighing 230kg. Difficult correlation of CXR and Clinical findings.

Review the CXR and lung ultrasound images to develop your diagnosis.

CXR

Ultrasound

ICN Lung Ultrasound Case 8 from ICNUploads

Answer

CXR in morbid obesity is often hard to interpret. LUS (with cardiac probe) demonstrated sliding pleura in all areas, one single B line, and clear bases. We were even able to scan posteriorly (not shown).Our ICU team agreed with our interpretation in correlation with the clinical picture rather than the various CXR reports.

Further Resources

ICN – Lung Ultrasound Guides

Article – Lung Ultrasound in the Critically Ill

Article – The BLUE Team Protocol

Page – Julian Laurence

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