Lung Ultrasound Quick Reference Guide

Lung Ultrasound Quick Reference Card siemens-healthineers.com/ultrasound Procedure Zones Evaluate each quadrant in a The 8-zone method is preferred to evaluate critically ill sagittal or oblique plane. patients with limited mobility. Additionally, 4 posterior zones may be evaluated in mobile patients if desired. 1 2 3 4 SE se The 6-zone abbreviated BLUE protocol (Bedside Lung Ultrasound Evaluation) allows for rapid 5 6 evaluation for acute respiratory failure.1 1 4 2 5 3 6 7 8 1 Lichtenstein, D.A. Lung ultrasound in the critically ill. Ann. Intensive Care 4, 1 (2014). https://doi.org/10.1186/2110-5820-4-1 SIEMENS Healthineers HOOD0516200308 15 April 2020 Transducers Curved Array Linear Array Phased Array • Preferred transducer for pleural • Preferred transducer to evaluate • Multi-purpose evaluation superficial lung surfaces and • Excellent penetration • Optimal image quality and pleural lining penetration Imaging landmarks /artifacts Bat Sign A-Lines B-Lines AP 96,65 M1 0.8 TIS 1.2 SIEMENS P 96,6% MI 1.4 TIS O.S P 96,6% MI 1.4 TIS 0.7 SIEMENS Healthineers B Posterior F 5.4-11.5 F H3.8 F H3.8 D 6.0 D 10.0 D 13.0 acoustic rib G 35 G 50 G 56 FR 79 FR 49 FR 49 shadowing DR 100 DR 120 DR 120 iClear 1 Z 0.90 Z 0.90 Echo Boost Echo Boost Intercostal space Pleural line • Rib shadows on either side of • Reverberation artifacts display as • Comet-tail artifacts display as vertical bright pleural line horizontal lines evenly spaced lines extending from the pleural throughout the image line to the far field of the image • May obscure A-lines Disease progression Normal Early pneumonia Moderate pneumonia Severe pneumonia • Normal lung • Early pneumonia • Moderate pneumonia • Severe pneumonia may demonstrates evenly demonstrates 2–3 demonstrates 4 or more demonstrate consolidation/ spaced A-lines B-lines B-lines hepatization which displays • Irregular pleural borders a tissue-like echotexture Source: Dirk-André Clevert, MD, Professor of Radiology, Section Chief of the Interdisciplinary Ultrasound Center at the Department of Clinical Radiology, University of Munich Hospitals, Grosshadern Campus, Germany Siemens Healthineers Headquarters Legal Manufacturer Siemens Healthcare GmbH Siemens Medical Solutions USA, Inc. Henkestr. 127 Ultrasound 91052 Erlangen, Germany 22010 S.E. 51st Street Phone: +49 9131 84-0 Issaquah, WA 98029 siemens-healthineers.com USA Phone: 1-888-826-9702 siemens-healthineers.com/ultrasound Published by Siemens Medical Solutions USA, Inc. · Order No. A91US-645-1C-4A00 · Printed in Germany · 9020 0420 · ©Siemens Medical Solutions USA, Inc., 2020 HOOD0516200308 15 April 2020