Template:BLUE Protocol - Revision history

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2026-01-24T17:55:44Z

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	===[[Ultrasound: Lungs\|Bedside Lung Ultrasound in Emergency (BLUE) Protocol]]<ref>http://ccm.anest.ufl.edu/files/2012/08/BLUELung.pdf Relevance of Lung Ultrasound in the Diagnosis of Acute Respiratory Failure - The BLUE Protocol</ref>===		===[[Ultrasound: Lungs\|Bedside Lung Ultrasound in Emergency (BLUE) Protocol]]<ref>http://ccm.anest.ufl.edu/files/2012/08/BLUELung.pdf Relevance of Lung Ultrasound in the Diagnosis of Acute Respiratory Failure - The BLUE Protocol</ref>=== <!--T:1-->

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	[[File:Dyspnea Ultrasound.png\|thumb\|Algorithm for the Use of Ultrasound in the Evaluation of Dyspnea]]		[[File:Dyspnea Ultrasound.png\|thumb\|Algorithm for the Use of Ultrasound in the Evaluation of Dyspnea]]
	*Landmark study by a French intensivist that described various profiles of specific pulmonary disease found on US<ref>Lichtenstein DA, Mezière GA. Relevance of lung ultrasound in the diagnosis of acute respiratory failure: the BLUE protocol. Chest. 2008 Jul;134(1):117-25. doi: 10.1378/chest.07-2800. Epub 2008 Apr 10. Erratum in: Chest. 2013 Aug;144(2):721. PMID: 18403664; PMCID: PMC3734893.</ref>		*Landmark study by a French intensivist that described various profiles of specific pulmonary disease found on US<ref>Lichtenstein DA, Mezière GA. Relevance of lung ultrasound in the diagnosis of acute respiratory failure: the BLUE protocol. Chest. 2008 Jul;134(1):117-25. doi: 10.1378/chest.07-2800. Epub 2008 Apr 10. Erratum in: Chest. 2013 Aug;144(2):721. PMID: 18403664; PMCID: PMC3734893.</ref>

Ostermayer at 17:55, 24 January 2026

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2026-01-24T17:55:21Z

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	===[[Ultrasound: Lungs\|Bedside Lung Ultrasound in Emergency (BLUE) Protocol]]<ref>http://ccm.anest.ufl.edu/files/2012/08/BLUELung.pdf Relevance of Lung Ultrasound in the Diagnosis of Acute Respiratory Failure - The BLUE Protocol</ref>===		===[[Ultrasound: Lungs\|Bedside Lung Ultrasound in Emergency (BLUE) Protocol]]<ref>http://ccm.anest.ufl.edu/files/2012/08/BLUELung.pdf Relevance of Lung Ultrasound in the Diagnosis of Acute Respiratory Failure - The BLUE Protocol</ref>===

	[[File:Dyspnea Ultrasound.png\|thumb\|Algorithm for the Use of Ultrasound in the Evaluation of Dyspnea]]		[[File:Dyspnea Ultrasound.png\|thumb\|Algorithm for the Use of Ultrasound in the Evaluation of Dyspnea]]
	*Landmark study by a French intensivist that described various profiles of specific pulmonary disease found on US<ref>Lichtenstein DA, Mezière GA. Relevance of lung ultrasound in the diagnosis of acute respiratory failure: the BLUE protocol. Chest. 2008 Jul;134(1):117-25. doi: 10.1378/chest.07-2800. Epub 2008 Apr 10. Erratum in: Chest. 2013 Aug;144(2):721. PMID: 18403664; PMCID: PMC3734893.</ref>		*Landmark study by a French intensivist that described various profiles of specific pulmonary disease found on US<ref>Lichtenstein DA, Mezière GA. Relevance of lung ultrasound in the diagnosis of acute respiratory failure: the BLUE protocol. Chest. 2008 Jul;134(1):117-25. doi: 10.1378/chest.07-2800. Epub 2008 Apr 10. Erratum in: Chest. 2013 Aug;144(2):721. PMID: 18403664; PMCID: PMC3734893.</ref>
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	*Predominant A lines anteriorly + lung sliding = Asthma/COPD		*Predominant A lines anteriorly + lung sliding = Asthma/COPD
	*Multiple predominant B lines anteriorly + lung sliding = Pulmonary Edema		*Multiple predominant B lines anteriorly + lung sliding = Pulmonary Edema
	*Predominant A lines anteriorly + lung sliding + positive [[DVT]] = PE		*Predominant A lines anteriorly + lung sliding + positive [[Special:MyLanguage/DVT\|DVT]] = PE
	*Absent anterior lung sliding + anterior A lines + positive lung point = Pneumothorax (PTX)		*Absent anterior lung sliding + anterior A lines + positive lung point = Pneumothorax (PTX)
	*PLAPS findings +/- A or B lines +/- abolished lung sliding = Pneumonia		*PLAPS findings +/- A or B lines +/- abolished lung sliding = Pneumonia
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	*A suggested BLUE protocol guides diagnosis of dyspnea; this should be modified as needed based on clinical presentation		*A suggested BLUE protocol guides diagnosis of dyspnea; this should be modified as needed based on clinical presentation
	**Check lung sliding in anterior lung fields ---> check for A and B lines ---> check for PLAPS findings		**Check lung sliding in anterior lung fields ---> check for A and B lines ---> check for PLAPS findings
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Patricklin: /* Bedside Lung Ultrasound in Emergency (BLUE) Protocolhttp://ccm.anest.ufl.edu/files/2012/08/BLUELung.pdf Relevance of Lung Ultrasound in the Diagnosis of Acute Respiratory Failure - The BLUE Protocol */

2024-04-10T14:01:10Z

Bedside Lung Ultrasound in Emergency (BLUE) Protocolhttp://ccm.anest.ufl.edu/files/2012/08/BLUELung.pdf Relevance of Lung Ultrasound in the Diagnosis of Acute Respiratory Failure - The BLUE Protocol

← Older revision		Revision as of 14:01, 10 April 2024
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	===[[Ultrasound: Lungs\|Bedside Lung Ultrasound in Emergency (BLUE) Protocol]]<ref>http://ccm.anest.ufl.edu/files/2012/08/BLUELung.pdf Relevance of Lung Ultrasound in the Diagnosis of Acute Respiratory Failure - The BLUE Protocol</ref>===		===[[Ultrasound: Lungs\|Bedside Lung Ultrasound in Emergency (BLUE) Protocol]]<ref>http://ccm.anest.ufl.edu/files/2012/08/BLUELung.pdf Relevance of Lung Ultrasound in the Diagnosis of Acute Respiratory Failure - The BLUE Protocol</ref>===
	[[File:Dyspnea Ultrasound.png\|thumb\|Algorithm for the Use of Ultrasound in the Evaluation of Dyspnea]]		[[File:Dyspnea Ultrasound.png\|thumb\|Algorithm for the Use of Ultrasound in the Evaluation of Dyspnea]]
	*Predominant A lines + lung sliding = Asthma/COPD		*Landmark study by a French intensivist that described various profiles of specific pulmonary disease found on US<ref>Lichtenstein DA, Mezière GA. Relevance of lung ultrasound in the diagnosis of acute respiratory failure: the BLUE protocol. Chest. 2008 Jul;134(1):117-25. doi: 10.1378/chest.07-2800. Epub 2008 Apr 10. Erratum in: Chest. 2013 Aug;144(2):721. PMID: 18403664; PMCID: PMC3734893.</ref>
	*Multiple predominant B lines anteriorly ~~with~~ lung sliding = Pulmonary Edema		*Ultrasound approaches include anterior zones and PLAPS (posterior or lateral alveolar and/or pleural syndrome) point, which is located at the posterior axillary line similar to FAST view
	*~~Normal anterior profile~~ + [[DVT]]= PE		*Predominant A lines anteriorly + lung sliding = Asthma/COPD
	*~~Anterior absent~~ lung sliding + A lines + lung point = Pneumothorax (PTX)		*Multiple predominant B lines anteriorly + lung sliding = Pulmonary Edema
	*~~Anterior alveolar consolidations, anterior diffuse~~ B lines ~~with~~ abolished lung sliding, ~~anterior asymmetric interstitial patterns~~, ~~posterior consolidations or~~ effusions with ~~out~~ anterior ~~diffuse~~ B lines ~~= Pneumonia~~		*Predominant A lines anteriorly + lung sliding + positive [[DVT]] = PE
			*Absent anterior lung sliding + anterior A lines + positive lung point = Pneumothorax (PTX)
			*PLAPS findings +/- A or B lines +/- abolished lung sliding = Pneumonia
			**PLAPS describes changes at the PLAPS point, usually related to consolidations and pleural effusions<ref>Lichtenstein DA. Lung ultrasound in the critically ill. Ann Intensive Care. 2014 Jan 9;4(1):1. doi: 10.1186/2110-5820-4-1. PMID: 24401163; PMCID: PMC3895677.</ref>
			**Consolidations may include lung hepatization, shred sign, air bronchograms
			***Note that mirroring (normal) may appear similar to hepatization, but mirroring only shows in specific spots due to specific echogenic windows
			**Pleural effusions are visualized as anechoic/hypoechoic areas with possible spine sign or floating lung sign (sinusoid sign on M-mode)
			*A suggested BLUE protocol guides diagnosis of dyspnea; this should be modified as needed based on clinical presentation
			**Check lung sliding in anterior lung fields ---> check for A and B lines ---> check for PLAPS findings

Rossdonaldson1: Created page with "===Bedside Lung Ultrasound in Emergency (BLUE) Protocolhttp://ccm.anest.ufl.edu/files/2012/08/BLUELung.pdf Relevance of Lung Ultrasound in the Diagn..."

2019-07-20T12:46:40Z

Created page with "===Bedside Lung Ultrasound in Emergency (BLUE) Protocol<ref>http://ccm.anest.ufl.edu/files/2012/08/BLUELung.pdf Relevance of Lung Ultrasound in the Diagn..."

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===[[Ultrasound: Lungs|Bedside Lung Ultrasound in Emergency (BLUE) Protocol]]<ref>http://ccm.anest.ufl.edu/files/2012/08/BLUELung.pdf Relevance of Lung Ultrasound in the Diagnosis of Acute Respiratory Failure - The BLUE Protocol</ref>===
[[File:Dyspnea Ultrasound.png|thumb|Algorithm for the Use of Ultrasound in the Evaluation of Dyspnea]]
*Predominant A lines + lung sliding = Asthma/COPD
*Multiple predominant B lines anteriorly with lung sliding = Pulmonary Edema
*Normal anterior profile + [[DVT]]= PE
*Anterior absent lung sliding + A lines + lung point = Pneumothorax (PTX)
*Anterior alveolar consolidations, anterior diffuse B lines with abolished lung sliding, anterior asymmetric interstitial patterns, posterior consolidations or effusions with out anterior diffuse B lines = Pneumonia