Publication
Vertical displacement of pleura: a new method for bronchospasm evaluation?
| dc.contributor.author | Martins, Sara Raquel | |
| dc.contributor.author | Nogué, Ramon | |
| dc.date.accessioned | 2022-07-14T14:48:04Z | |
| dc.date.available | 2022-07-14T14:48:04Z | |
| dc.date.issued | 2020 | |
| dc.description.abstract | Background: Lung ultrasonography has been increasingly recognized has a valuable diagnostic tool. In adult patients with asthma/chronic obstructive pulmonary disease and wheezing, LUS usually presents as an A/nude profile (normal profile, with sliding and A-lines, and without any abnormal findings) or at most reveals a decrease/absence of lung sliding. Therefore, until now simple point-of-care ultrasonography appeared to be unable to assess the severity of airflow limitation. Case presentation: We report the case of a woman presenting to the emergency department with an asthma exacerbation. Bedside ultrasound showed the usual A/normal profile, but also an associated vertical pleural displacement, probably secondary to hyperinflation and accessory muscle recruitment. We evaluated the described movement with M-mode and established a comparison index between end-inspiration and end-expiration, using the skin as reference. This index showed improvement and complete normalization during treatment. Conclusions: Pleural vertical displacement appears to be a sonographic alteration associated to bronchospasm and accessory muscle recruitment. It is easily identifiable and measurable on LUS, thus possibly representing a new method to evaluate bronchospasm and monitoring treatment response. Further research is needed to confirm or refute this finding. | pt_PT |
| dc.description.version | info:eu-repo/semantics/publishedVersion | pt_PT |
| dc.identifier.citation | Martins SR, Nogué R. Vertical displacement of pleura: a new method for bronchospasm evaluation?. Ultrasound J. 2020;12(1):42. doi:10.1186/s13089-020-00184-5 | pt_PT |
| dc.identifier.doi | 10.1186/s13089-020-00184-5 | pt_PT |
| dc.identifier.issn | 2524-8987 | |
| dc.identifier.uri | http://hdl.handle.net/10400.16/2728 | |
| dc.language.iso | eng | pt_PT |
| dc.peerreviewed | yes | pt_PT |
| dc.publisher | Springer | pt_PT |
| dc.relation.publisherversion | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7445216/ | pt_PT |
| dc.rights.uri | http://creativecommons.org/licenses/by/4.0/ | pt_PT |
| dc.subject | Asthma/COPD | pt_PT |
| dc.subject | Bronchospasm | pt_PT |
| dc.subject | Diagnostic imaging | pt_PT |
| dc.subject | Emergency medicine | pt_PT |
| dc.subject | Lung ultrasonography | pt_PT |
| dc.subject | Point-of-care ultrasonography | pt_PT |
| dc.title | Vertical displacement of pleura: a new method for bronchospasm evaluation? | pt_PT |
| dc.type | journal article | |
| dspace.entity.type | Publication | |
| oaire.citation.conferencePlace | Italy | pt_PT |
| oaire.citation.issue | 1 | pt_PT |
| oaire.citation.startPage | 42 | pt_PT |
| oaire.citation.title | The Ultrasound Journal | pt_PT |
| oaire.citation.volume | 12 | pt_PT |
| rcaap.rights | openAccess | pt_PT |
| rcaap.type | article | pt_PT |
Files
Original bundle
1 - 1 of 1
Loading...
- Name:
- Martins-2020-Vertical-displacement-of-pleura-a-n.pdf
- Size:
- 799.04 KB
- Format:
- Adobe Portable Document Format
License bundle
1 - 1 of 1
No Thumbnail Available
- Name:
- license.txt
- Size:
- 1.35 KB
- Format:
- Item-specific license agreed upon to submission
- Description: