Pulmonology Book

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Volpicelli Dyspnea Evaluation with Ultrasound Protocol

Aka: Volpicelli Dyspnea Evaluation with Ultrasound Protocol
  1. Landmarks
    1. Chest divided into 8 zones (4 per hemithorax)
    2. Horizontal lines
      1. Dividing line (center line)
        1. Below Nipple line
    3. Vertical lines
      1. Antero-Medial border
        1. Parasternal line
      2. Center line
        1. Anterior axillary line
      3. Posterior border
        1. Posterior axillary line
  2. Technique
    1. Scan each of 8 zones at the intercostal spaces for B-Lines
  3. Interpretation: Pulmonary edema
    1. Positive zone
      1. Three or more B-Lines identified in a zone (B+ lines)
    2. Positive Hemithorax
      1. Two of four zones positive in a hemithorax
    3. Positive scan
      1. Both hemithoraxes positive
  4. References
    1. Volpicelli (2012) Intensive Care Med 38:577–91 [PubMed]

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