Over the last decade, we have witnessed the widespread use of lung ultrasound (LU) in the assessment of pulmonary congestion. In addition to the well-known technique of auscultation of adventitious lung sounds, LU makes an important contribution by sharpening our vision to the diagnosis of pulmonary interstitial edema by quantification of B-lines. LU has emerged as a relevant and updated method, since it is a safe, low-cost, rapid and available at bedside, being an alternative to imaging methods associated with […]

Abstract Backgound Outpatient assessment of pulmonary congestion in patients with heart failure with reduced ejection fraction (HFREF) can minimize hospitalizations due to decompensation and optimize the use of diuretics. Objective To compare the remote dielectric sensor (REDS), a validated device for detecting pulmonary extravascular fluid, with clinical parameters, transthoracic echocardiogram (TTE) and lung ultrasound (ULSP). Methods We included 38 patients from heart failure clinic (63±12 years; 21 men). All were submitted within 24 hours to clinical evaluation with description of […]

Introduction A clinical history, physical examination, and focused ultrasound can accelerate the appropriate diagnosis and treatment of patients with progressive or acute dyspnea. Extravascular lung water (EVLW) is easily detected with lung ultrasound (LUS). Pivetta et al. reported excellent accuracy detecting EVLW by clinical evaluation and by the presence of “B” lines on LUS heigher than B natriuretic peptide dosage. The usefulness of LUS for intensive care unit patients was described in the 1980s, later than that of other ultrasound […]