Download - Principios de ultrassom (US) pulmonar
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DAVI EWERTON CRISTOVAOCLINICAL FELLOWSHIP CRITICAL CARE – University of TorontoMEDICINA INTENSIVA – HC/FMUSPCLINICA MEDICA – Univ Federal do Amazonas
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ULTRASSOMTORAX / PULMONAR
(QUAL A UTILIDADE A BEIRA DO LEITO?)
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5-10 MHz
1-5 MHz
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CURSO DE ULTRASSOM INTENSIVOTORAX/PULMONAR
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Kocijancic et al ., J Clin Ultrasound 31: 69-74, 2003
Pacientes estáveis
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Pacientes críticos
Via et al ., Int Care Med «26: 999-1007, 2010
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ULTRASSOM TORAX / PULMONAR
ARTEFATOS
1. Deslizamento pleural2. LINHAS A3. LINHAS B4. LINHAS Z5. CONSOLIDAÇAO6. DERRAME PLEURAL7. PNEUMOTORAX8. Deslizamento DIAFRAGMATICO
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CURSO DE ULTRASSOM INTENSIVOTORAX/PULMONAR
ARTEFATOS
PADRAO NORMAL1. Deslizamento pleural presente2. LINHAS A3. LINHAS Z4. “SEASHORE SIGN” / PADRAO PRAIA
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CURSO DE ULTRASSOM INTENSIVOTORAX/PULMONAR
ARTEFATOS
PADRAO CONSOLIDAÇAO
COMPARAÇAO COM A TOMOGRAFIA
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CASO CLINICO
55, sexo femininoTabagista 35anos.maçoUsuária CrackGebre, tosse, dor torácicaLeuco 18.500 bast 6%
CURSO DE ULTRASSOM INTENSIVOTORAX/PULMONAR
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CURSO DE ULTRASSOM INTENSIVOTORAX/PULMONAR
ARTEFATOS
PADRAO DERRAME PLEURAL1. “WAVING HAND” / BONECO DE POSTO
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CURSO DE ULTRASSOM INTENSIVOTORAX/PULMONAR
ARTEFATOS
PADRAO CONSOLIDAÇAO
PRESENÇA BRONCOGRAMA AEREO
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CURSO DE ULTRASSOM INTENSIVOTORAX/PULMONAR
ARTEFATOS
PADRAO INTERSTICIAL1. Linhas “B” regulares e irregulares2. Deslizamento pleural e volume corrente
(Vt)
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CURSO DE ULTRASSOM INTENSIVOTORAX/PULMONAR
ARTEFATOS
PADRAO PNEUMOTORAX1. Deslizamento pleural AUSENTE2. APENAS Linhas “A”3. AUSENCIA de linhas “B”4. “BARCODE SIGN” / CODIGO DE BARRAS
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CURSO DE ULTRASSOM INTENSIVOTORAX/PULMONAR
ARTEFATOS
PADRAO DIAFRAGMACTICO1. Mobilidade2. Encurtamento do diafragma3. Avaliaçao Bilateral
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- Disfunção: mobilidade, encurtamento
- Assincronia ventilatória
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Masculino (cm) Feminino (cm)
Repouso 1,8 + 0,3 1,6 + 0,3
Inspiração maxima 7,0 + 0,6 5,7 + 1,0
“Sniffing” 2,9 + 0,6 2,6 + 0,5
“Slope” 1,3 + 0,4 cm
DESLOCAMENTO / MOBILIDADE
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Repouso 1.8 – 3 mmPiMAX / Repouso = 2.6 x
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