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The Role of B-Line Artifacts on Lung Ultrasound in Critically Ill Patients

  • Ana Pičuljan1
  • Alen Protić1
  • Mehmed Haznadar2
  • Alan Šustić1,3

1Department of Anesthesiology, Reanimatology, Intensive Care and Emergency Medicine, Faculty of Medicine, University of Rijeka, Croatia

2Department of Anesthesiology, Reanimatology and Intensive Care Medicine, Cantonal Hospital Mostar, Bosnia and Herzegovina

3Department of Clinical Medical Science II, Faculty of Health Studies, University of Rijeka, Croatia

DOI: 10.22514/sv.2020.16.0041 Vol.16,Issue 2,October 2020 pp.1-7

Published: 28 October 2020

*Corresponding Author(s): Ana Pičuljan E-mail: ana.piculjan@student.uniri.hr

Abstract

Lung ultrasound (LUS) is becoming a valuable tool in assessing patients in the ER, ICU, and on the hospital wards because it is a simple, fast and harmless technique. One of the most distinct artefacts seen with LUS are B-lines, hyperechoic laser-like lines that form in the presence of thickened interlobular septa due to alveo-interstitial syndrome. Many researches have been conducted recently with a goal of correlating B-lines to specific known parameters such as EVLW, PAOP, lung density, and parameters of cardiac failure, either in quantitative or semiquantitative manner. This paper is a short overview of the present known correlations, shortcomings of conducted investigations and differential diagnosis problems and exceptions of B-line artefacts in everyday clinical practice.

Keywords

Point-of-care-ultrasound (POCUS), Lung ultrasound, B-lines

Cite and Share

Ana Pičuljan,Alen Protić,Mehmed Haznadar,Alan Šustić. The Role of B-Line Artifacts on Lung Ultrasound in Critically Ill Patients. Signa Vitae. 2020. 16(2);1-7.

References

[1] Gargani L, Volpicelli G. How i do it: Lung ultrasound. Cardiovasc Ultrasound. 2014;12:1–10.

[2] Ricci F, Aquilani R, Radico F, et al. Role and importance of ultrasound lung comets in acute cardiac care. Eur Hear journal Acute Cardiovasc care. 2015;4:103–112.

[3] Bianco F, Bucciarelli V, Ricci F, et al. Lung ultrasonography: A practical guide for cardiologists. J Cardiovasc Med. 2017;18:501–509.

[4] Baldi G, Gargani L, Abramo A, et al. Lung water assessment by lung ultrasonography in intensive care: a pilot study. Intensive Care Med. 2013;39:74–84.

[5] Enghard P, Rademacher S, Nee J, et al. Simplified lung ultrasound protocol shows excellent prediction of extravascular lung water in ventilated intensive care patients. Crit Care. 2015;19:36.

[6] Volpicelli G, Mussa A, Garofalo G, et al. Bedside lung ultrasound in the assessment of alveolar-interstitial syndrome. Am J Emerg Med. 2006;24:689–696.

[7] Summerfield DT, Johnson BD. Lung Ultrasound Comet Tails - Technique and Clinical Significance. In: Squeri A, editor. Hot Topics in Echocardio-graphy. IntechOpen; 2013. p. 51–64.

[8] Jambrik Z, Monti S, Coppola V, et al. Usefulness of ultrasound lung comets as a nonradiologic sign of extravascular lung water. Am J Cardiol. 2004;93:1265–1270.

[9] Aziz SG, Patel BB, Ie SR, et al. The lung point sign, not pathognomonic of a pneumothorax. Ultrasound Q. 2016;32:277–279.

[10] Volpicelli G, Skurzak S, Boero E, et al. Lung Ultrasound Predicts Well Extravascular Lung Water but Is of Limited Usefulness in the Prediction of Wedge Pressure. Anesthesiology. 2014;121:320–327.

[11] Raheja R, Brahmavar M, Joshi D, et al. Application of Lung Ultrasound in Critical Care Setting: a Review. Cureus. 2019;11:e5233.

[12] Cox EGM, Wiersema R, Wong A, et al. Six versus eight and twenty-eight scan sites for B-line assessment: differences in examination time and findings. Intensive Care Med. 2020;46:1063–1064.

[13] Šustić M, Šustić A. Unrecognized B line mimicked pneumothorax on M mode ultrasound. Signa Vitae. 2018;14:92.

[14] Wang YK, Gargani L, Barskova T, et al. Usefulness of lung ultrasound B-lines in connective tissue disease-associated interstitial lung disease: A literature review. Arthritis Res Ther. 2017;19:1–9.

[15] Miglioranza MH, Gargani L, Sant’Anna RT, et al. Lung Ultrasound for the Evaluation of Pulmonary Congestion in Outpatients. JACC Cardiovasc Imaging. 2013;6:1141–1151.

[16] Ferré A, Guillot M, Lichtenstein D, et al. Lung ultrasound allows the diagnosis of weaning-induced pulmonary oedema. Intensive Care Med. 2019;45:601–608.

[17] Sperandeo M, Trovato GM, Catalano D. Quantifying B-Lines on Lung Sonography: Insufficient Evidence as an Objective, Constructive, and Educational Tool. J Ultrasound Med. 2014;33:362.

[18] Haaksma ME, Smit JM, Heldeweg MLA, et al. Lung ultrasound and B-lines: B careful! Intensive Care Med. 2020;46:544–545.

[19] Pičuljan A, Šustić M, Brumini G, et al. Reliability of B-line quantification by different-level observers and a software algorithm using point-of-care lung ultrasound. J Clin Monit Comput. 2019. doi: 10.1007/s10877-019-00440-7.

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