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Lung Ultrasound MasterClass

Although lung ultrasound has been used for quite some time, especially in the emergency setting (almost every clinician has already seen a pleural effusion in ultrasound, and ultrasound has also been used in diagnosing a pneumothorax), we hardly ever used it for diagnosing diseases of the lung itself. COVID-19 changed this approach: with highly contagious patients lying intubated on the ICU, CT often was not an option - bedside ultrasound is way more safe, portable, and just as reliable in the right hands.

We start this course with the anatomical and physiologic backgrounds of the chest and lungs, and compare chest radiographs, CT images and ultrasound loops. Although we mostly look at artifacts, you will be amazed at how many diseases you can find and how easily you can follow up your patients with just an ultrasound probe.

There are several lung pathologies we discuss in this MasterClass - we already mentioned pneumothorax and pleural effusion, but did you know you can see pneumonia and pulmonary edema in ultrasound? Diffuse parenchymal lung diseases play an important role as well, and you will also learn about consolidations. A whole chapter deals with the co-dependence between the heart and the lungs, both in otherwise healthy patients and in the special context of COVID-19.

The last chapter is something a little different: here you will learn about invasive procedures, such as thoracentesis and thoracic biopsies, from two pulmonologists who have performed hundreds if not thousands of them in their patients. They discuss how to see and guide your needle with ultrasound, how that impacts patient safety and procedural success, and how you can train this on a self-built phantom at home.

After graduating from this Lung ultrasound MasterClass, you will have no problem when you can't move your patient to radiology and bedside chest radiography is not available because you know - the answer to your questions is just a transducer away.


Imaging the Lung

1:42:14 Chapter 1

In the first chapter of our lung ultrasound masterclass, we talk about imaging fundamentals and artifacts as well as physiology and anatomy. Since the disease will occupy us for some time, we also include a lot of COVID-19 related findings and cases.

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Pleural Effusion

01:03:50 Chapter 2

This chapter is all about fluid around the lungs: imaging pleural effusions is easy, as you will see, and we can even use ultrasound to distinguish between complicated and uncomplicated ones - without having to take a needle through the patient's skin.

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Pulmonary Pathology

01:26:21 Chapter 3

In this chapter we have a close look at all the illnesses of the lung we can see with ultrasound: from pneumothorax to pulmonary fibrosis, from pulmonary embolism to pneumonia - there is so much to be seen!

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The Heart and the Lungs

01:36:21 Chapter 4

Several findings in lung ultrasound actually come from problems of the heart, like heart failure or diastolic dysfunction. This chapter deals with echocardiography and how to correlate your findings there with the clinical picture and the sonography of the lung.

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Ultrasound-Guided Procedures

01:22:03 Chapter 5

This chapter is all about needles and tubes: after learning how to diagnose pleural effusions and other diseases, you will now learn how to use ultrasound to identify the best spot for an intervention, and how ultrasound-guided procedures such as thoracentesis are done.

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