Over the past two decades it has been increasingly recognized that whole-body ultrasound is an invaluable tool in the critically ill. In addition to offering rapid whole-body assessment, it has the advantage of being a bedside approach that is available at all times and can be repeated at will. Accordingly, it permits the immediate institution of appropriate therapeutic management. Whole-Body Ultrasound in the Critically Ill is the sequel to the author's previous books on the subject, which were first published in French in 1992 and 2002 and in English in 2004. This new volume reflects the latest state of knowledge by including a variety of improvements, revised definitions, and updated algorithms. Findings in respect of individual organs are clearly presented, and a particular feature is the in-depth coverage of the lungs, traditionally regarded as an area unsuitable for ultrasound. Throughout, the emphasis is on the practical therapeutic impact of the technique. Its value in a variety of settings, including unexplained shock, management of hemodynamic instability, acute respiratory failure (the BLUE protocol), and the critically ill neonate, is carefully explained. Interventional ultrasound and less widely recognized applications, such as mesenteric infarction, pneumoperitoneum, and intracranial hypertension, are also described. Pitfalls of the technique receive due attention. Today, whole-body ultrasound touches upon every area of critical care. This book, from the chief pioneer in the field, shows that the technique enables critical care physicians to detect therapeutically relevant signs easily and quickly. It will serve as an invaluable guide to the practice of a form of visual medicine.

1;Preface;6 2;Contents;10 3;Part I Introductive Chapters;20 3.1;Basic Notions of Critical Ultrasound;21 3.2;The Ultrasound Equipment;29 3.3;Specific Notions of Critical Ultrasound in the Critically Ill;37 4;Part II Organ by Organ Analysis;43 4.1;Introduction to Abdominal Ultrasound: Normal Patterns;44 4.2;Peritoneum;49 4.3;Gastrointestinal Tract;58 4.4;Liver;68 4.5;Gallbladder;73 4.6;Urinary Tract;83 4.7;Various Targets in the Abdomen ( Spleen, Adrenals, Pancreas, Lymph Nodes);91 4.8;Aorta;96 4.9;Principles of Examination of the Deep Veins in the Critically Ill;102 4.10;Principles of Examination of the Deep Veins in the Critically Ill;112 4.11;Introduction to Lung Ultrasound;129 4.12;Pleural Effusion;140 4.13;Lung: Alveolar Syndrome;150 4.14;Lung and Interstitial Syndrome;161 4.15;Pneumothorax;172 4.16;Basic Applications of Lung Ultrasound in the Critically Ill: 1 - A Bedside Alternative to CT and Other Irradiating Techniques;189 4.17;Basic Applications of Lung Ultrasound in the Critically Ill: 2 - The Ultrasound Approach of an Acute Respiratory Failure: The BLUE Protocol;197 4.18;Applications of Lung Ultrasound in the Critically Ill: 3 - Lung Ultrasound in the Neonate;211 4.19;Simple Emergency Cardiac Sonography;219 4.20;Simple Critical Ultrasound Considering Hemodynamic Therapy: Our Limited Investigation;230 4.21;Head and Neck;250 4.22;Soft Tissues and Miscellaneous Areas;260 5;Part III Clinical Applications of Ultrasound;266 5.1;Interventional Ultrasound;267 5.2;Ultrasound in the Surgical Intensive -Care Unit: Some Peculiarities;274 5.3;Critical Ultrasound Outside the Intensive Care Unit;276 5.4;Analytic Study of Severe and/or Frequent Situations in the Critically Ill;284 5.5;Free Considerations;297 5.6;A Way to Learn Critical Ultrasound;312 5.7;Critical Ultrasound, Not Just a New Technique: Also a Philosophy;316 6;Index;323