2024

June 2024 - Lung Learning Lineup

The June 2024 issue of the SonoSim Wave explores pulmonary ultrasound applications and use cases.


🗞️ Ultrasound Application News

A recent study showcases a simplified lung ultrasound (LUS) protocol for detecting pulmonary edema in hemodialysis patients, improving fluid management and patient outcomes. Discover how SonoSim's advanced training equips healthcare providers with the skills for these critical assessments. Read the full blog post for detailed insights.

📚 Case Study: Male Presenting with Severe Shortness of Breath 2 Days S/P Bronchoscopy

Interpret and apply the echo findings demonstrated in this clip...

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Background:
  • 60-year-old-male
  • Presents with shortness of breath several days following a diagnostic bronchoscopy for evaluation of a right lung nodule
  • Patient is in severe respiratory distress
  • BP = 85/55 mmHg, HR = 120 bpm, RR = 24 bpm, SpO₂ = 93% on 100% O₂, T = 37C

This ultrasound clip was obtained using a linear-array ultrasound transducer along a longitudinal axis of the chest. Sonographic findings include chest wall movement that corresponds with respiratory efforts, but no lung sliding is appreciated. Color-flow Doppler is activated and no accentuated Doppler signal along the pleura is noted. Hence, reinforcing the lack of movement between visceral and parietal pleural linings. Color-Flow Doppler is useful for identifying pleural sliding by showing movement; the absence of color suggests no sliding. While not pathognomonic for pneumothorax, the sonographic findings support the clinical diagnosis of tension pneumothorax given the patients clinical presentation. Alternative etiologies for lack of lung sliding including pleural adhesions, air trapping from COPD, pneumatoceles, splinted respiratory efforts should be considered.

 

👩‍⚕️ Scanning & Imaging Tips: Imaging the Lungs

 

When performing pulmonary ultrasound, apply plenty of gel for good contact between the transducer and skin, sliding it craniocaudally down each anterior, anterolateral, and posterolateral hemithorax. Although lung scanning doesn’t follow conventional orthogonal planes, methodically scanning these areas ensures a complete lung assessment. Scanning along parasagittal and transverse-oblique planes will enable visualizing rib interspaces along orthogonal planes and maximizes visualization of underlying anatomy. Note that subcutaneous emphysema can obstruct proper imaging of the pleura and lung artifacts.

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🔎 Scan & Seek - Fun with Physics

Keep watching below to see what the unusual subject we scanned this month was!

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Surprise! The image above shows an ultrasound of a sponge. Notice the pockets with no signal that are generated due to pores containing water within the sponge. Because these pockets contain no reflectors they appear as hypoechoic regions within the sponge (similar to the appearance of cysts within the body).

 🧠 Challenge Case of the Month: Pulmonary

Case History: This 81-year-old male presents with cough, fevers, and pleuritic right-sided chest pain.

See the right costophrenic ultrasound below and evaluate his right chest. 👇

 

🔑 SonoSim Members: Don't forget that you have hundreds of Challenge Cases and that you get regular additions.  Check them out in the SonoSimulator Case Library!

 

💡 SonoSim Tips & Tricks

Module Assignments

Admins, streamline the distribution of your module assignments!

Skip the PDF downloads and send your students direct URL links for assignments. This method saves time and ensures instant, device-friendly access, which enhances the learning experience. Simplify your workflow and keep education SonoSim Access efficient.

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💥 SonoSim Updates

SonoSim Help Center
We’re excited to announce the launch of the SonoSim Help Center, your go-to resource for all things ultrasound training! Now hosted on help.sonosim.com, the Help Center is packed with a wealth of help articles and an intuitive search function, designed to provide quick and comprehensive answers to all your questions. Whether you're troubleshooting, looking for tips, or need detailed information on our products, the Help Center will have you covered.

Coming Soon! Knee Joint Injection & Aspiration Ultrasound-Guided Procedure Training Topic
Learn the basics of performing ultrasound-guided knee joint injections and aspirations. This new topic will be available soon and will cover regional & sonographic knee joint anatomy, procedure techniques & patient positioning, as well as tips, pitfalls & complications. Review case studies from real patients and get practical tips to improve your skills. Stay tuned!

😂 LOLtrasound

So you just scan babies all day_ Michael Scott

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