Chest Sonography
Chest sonography is an established procedure in the stepwise imaging diagnosis of pulmonary and pleural disease. It is the method of choice to distinguish between solid and liquid lesions and allows the investigator to make an unequivocal diagnosis withou
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Gebhard Mathis Editor
Chest Sonography Third Edition
Editor Prof. Dr. Gebhard Mathis Internistische Praxis Bahnhofstrasse 16/2 6830 Rankweil Austria [email protected]
ISBN 978-3-642-21246-8 e-ISBN 978-3-642-21247-5 DOI 10.1007/978-3-642-21247-5 Springer Heidelberg Dordrecht London New York Library of Congress Control Number: 2011933936 © Springer-Verlag Berlin Heidelberg 2011 This work is subject to copyright. All rights are reserved, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilm or in any other way, and storage in data banks. Duplication of this publication or parts thereof is permitted only under the provisions of the German Copyright Law of September 9, 1965, in its current version, and permission for use must always be obtained from Springer. Violations are liable to prosecution under the German Copyright Law. The use of general descriptive names, registered names, trademarks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. Product liability: The publishers cannot guarantee the accuracy of any information about dosage and application contained in this book. In every individual case the user must check such information by consulting the relevant literature. Cover design: eStudioCalamar, Figueres/Berlin Printed on acid-free paper Springer is part of Springer Science+Business Media (www.springer.com)
Preface
The scope of application of chest sonography has been significantly widened in the last few years. Portable ultrasound systems are being used to an increasing extent in preclinical sonography, at the site of trauma, in the ambulance of the emergency physician or in ambulance helicopters. In the emergency room, at the intensive care unit and in clinical routine, chest sonography has proved its worth as a strategic instrument to be used directly after the clinical investigation. It helps the investigator to decide – very rapidly – whether a traumatized patient is suffering such severe internal hemorrhage that he or she needs to be transported to the operating room immediately or whether there still is time for further investigations like CT. Several diagnoses such as pneumothorax, pneumonia or pulmonary embolism can be established immediately. The present new issue has been extended to include two subjects. Emergency sonography in the chest is getting more important every year. The evidence of interstitial syndrome has shown a significant correlation with extravascular lung water in cases of pulmonary edema and noncardiogenic pulmonary edema. An international consensus conference last year worked out the value of lung ultrasound in several conditions, e.g., pneumothorax, interstitial syndrome and lung consolidation. Newborns, infants and children do not show a different picture than adults at lung ultra
