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  • Pneumothorax exclusion

    Pneumothorax exclusion in critical care ultrasound refers to the rapid and accurate process of ruling out a pneumothorax (collapsed lung). This is achieved by observing specific ultrasound signs, primarily the presence of lung sliding at the pleural line and the absence of B-lines, which confirm that the visceral and parietal pleura are in contact. This…
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  • Proning assessment

    In Critical Care, proning assessment refers to the systematic evaluation of a patient's suitability and response to the prone position, a technique used to improve oxygenation in severe acute respiratory distress syndrome (ARDS). This involves a thorough clinical and often ultrasound-guided examination before and during proning to monitor lung recruitment, fluid status, and potential complications.…
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  • Hemothorax exclusion

    Hemothorax exclusion, in critical care ultrasound, refers to the systematic process of ruling out a hemothorax – the presence of blood in the pleural space – through sonographic assessment. This rapid, non-invasive evaluation is crucial for patients with trauma or acute respiratory distress, helping clinicians differentiate between various causes of pleural effusions and guide immediate…
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  • Shock differentiation

    Shock differentiation in critical care ultrasound is the rapid, point-of-care assessment to identify the underlying cause of hemodynamic instability. This crucial process categorizes shock into distributive, cardiogenic, hypovolemic, and obstructive types, guiding immediate, targeted interventions for critically ill patients. Utilizing bedside ultrasound, clinicians quickly evaluate cardiac function, fluid status, and the presence of effusions or…
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  • Obstructive shock

    Obstructive shock in critical care is a life-threatening condition where blood flow is severely impeded due to an extracardiac obstruction, despite adequate intravascular volume. Common causes include pulmonary embolism, cardiac tamponade, tension pneumothorax, and severe aortic stenosis. Rapid identification through medical ultrasound is crucial for guiding immediate interventions, such as pericardiocentesis or needle decompression, to…
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  • Cardiogenic shock

    Cardiogenic shock in critical care is a life-threatening condition where the heart suddenly cannot pump enough blood to meet the body's needs. This leads to severe hypotension and organ hypoperfusion, often caused by extensive myocardial damage like a heart attack. Rapid recognition and intervention are vital to prevent multi-organ failure and death. Ultrasound, particularly echocardiography,…
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  • Lung rockets

    Lung rockets, also known as B-lines, are a critical ultrasound finding in critical care, indicative of interstitial edema or fluid in the lungs. These vertical, hyperechoic artifacts originate from the pleural line and extend to the bottom of the screen, moving synchronously with lung sliding. Their presence suggests conditions like pulmonary edema, acute respiratory distress…
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  • Hypovolemic shock

    In critical care, hypovolemic shock is a life-threatening condition resulting from severe fluid or blood loss, leading to inadequate tissue perfusion and oxygen delivery. Common causes include hemorrhage, severe dehydration, or burns. Early recognition and aggressive fluid resuscitation are crucial for patient survival. Medical ultrasound plays a vital role in rapidly identifying the source of…
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  • Distributive shock

    In Critical Care, distributive shock is a severe medical condition characterized by widespread vasodilation, leading to a drastic reduction in systemic vascular resistance. This profound vasodilation results in inadequate tissue perfusion, despite often normal or even elevated cardiac output, as blood pools peripherally rather than returning effectively to the heart. Common causes include sepsis (septic…
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