Author/Editor		Kocijančič, Igor
Title		Učinkovitost ultrazvočne slikovne preiskave prsnega koša
Translated title		The effectiveness of ultrasound investigation of the chest
Type		članek
Vol. and No.		Letnik 89, št. 1/2
Publication year		2020
Volume		str. 29-38
ISSN		1318-0347 - Zdravniški vestnik : glasilo Slovenskega zdravniškega društva : Slovenian medical journal
Language		slv
Abstract		Chest ultrasonography (CHUS) is a useful imaging tool for thoracic soft tissues, pleural space and adjacent processes in the lung parenchyma. Unlike conventional radiography, CT or MRI, this non-ionizing imaging method is operator created and is very useful in patients in intensive care units (ICU) because of its simplicity and reproducibility. The ICU patient can be examined in supine, lateral or partly lateral position with the convex small-radius ultrasound probes using in - tercostal spaces as an acoustic window. Supine analysis of the anterior chest wall rules out pne - umothorax, while lateral approach detects clinically relevant pleural effusion and parenchymal consolidations. CHUS is the method of choice in detection, characterization and volume estima - tion of free and/or loculated pleural fluid. According to our own study results, pleural effusion is most readily detected and measured during expiration. In our study we found healthy individu - als with variable amounts of physiological pleural fluid, therefore a positive result should not be taken as a sign of occult pleural disease. With CHUS we can explore and characterise lung conso - lidations from the moment they reach the visceral pleura. CHUS can also contribute important data in critically ill patients with pulmonary embolism. CHUS exploration of the diaphragm can reliably evaluate respiratory movements since even a substantial pleural effusion does not affect the amplitude of diaphragmatic excursion.
Keywords		ultrazvok plevralni izliv pnevmotoraks ultrasound pleural effusion pneumothorax