principios de ultrassom pulmonar - medicina intensiva
TRANSCRIPT
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CURSO DE ULTRASSOMTORAX / PULMONAR
RIO DE JANEIRO - 2014
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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. PNEUMOTORAX
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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 DIAFRAGMA1. TRANSICAO TORACO-ABDOMINAL
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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 presente/ausente2. Linhas “A”3. Ausência de linhas “B”4. “BARCODE SIGN” / CODIGO DE BARRAS
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