Dr. Fayez Kheir completed his fellowship training at Tulane in Pulmonary and Critical Care Medicine in 2013, subsequently joining the Tulane faculty as an Assistant Professor of Clinical Medicine. He completed a Master of Science in Clinical Research and Medical Education Scholars Program. He is a member of the American College of Chest physicians, American Thoracic Society and American Association for Bronchology and Interventional Pulmonology. His clinical and research interests include thoracic and critical care ultrasound use, medical education, pleural disease, and guideline methodology
Today’s lecture is rooted in Dr. Kheir’s interests in pulmonary and critical care diagnostic modalities, specifically the use of bedside ultrasound in the ICU. This technology is rapidly becoming a standard of care in the ICU, and its application is ever broadening. Dr. Kheir’s lecture will address several of the lung-related conditions for which bedside ultrasound can be used diagnostically, and what it’s use in the future will likely become.
KEY POINTS
Lung ultrasound:
- Is helpful in differential diagnosis of acute respiratory failure
- Can help in guiding the management of ARDS
- Can asses extension and resolution of acute pulmonary edema
- Can diagnose VAP and assess treatment response
- Can help in predicting liberation success during spontaneous breathing trials
- Is helpful in diagnosing pneumothorax in patients on mechanical ventilation
REFERENCES
Bouhemad B, Mongodi S, Via G, Rouquette I. Ultrasound for “lung monitoring” of ventilated patients. Anesthesiology. 2015 Feb; 122(2):437-4
Lichtenstein D, van Hooland S, Elbers P, Malbrain ML. Ten good reasons to practice ultrasound in critical care. Anaesthesiol Intensive Ther. 2014 Nov-Dec; 46(5):323-35
Lichtenstein D. Lung ultrasound in the critically ill. Annals of Intensive Care 2014, 4:1
Sekiguchi H, Schenck LA, Horie R, Suzuki J, Lee EH, McMenomy BP, Chen TE, Lekah A, Mankad SV, Gajic O. Critical care ultrasonography differentiates ARDS, pulmonary edema, and other causes in the early course of acute hypoxemic respiratory failure. Chest. 2015 Oct; 148(4):912-8
Copetti R, Soldati G, Copetti P.Chest sonography: a useful tool to differentiate acute cardiogenic pulmonary edema from acute respiratory distress syndrome. Cardiovasc Ultrasound. 2008 Apr 29; 6:16
Cardenas-Garcia J, Mayo P, Folch E. Ultrasonographic Evaluation of the Pleura. PLEURA
January-December 2015: 1-11