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REVIEW  COMPETENCE IN INTERVENTIONAL PULMONOLOGY Freefree

Panminerva Medica 2019 September;61(3):344-66

DOI: 10.23736/S0031-0808.18.03577-2

Copyright © 2018 EDIZIONI MINERVA MEDICA

language: English

Competence in thoracic ultrasound

Tudor P. TOMA 1 , Marco TRIGIANI 2, Alessandro ZANFORLIN 3, Riccardo INCHINGOLO 4, Mauro ZANOBETTI 5, Lucia SAMMICHELI 6, Emanuele G. CONTE 7, Giuseppe BUGGIO 8, Liliana VILLARI 9, Lorenzo CORBETTA 10, Giampietro MARCHETTI 11

1 University Hospital Lewisham, Greenwich NHS Trust, London, UK; 2 Division of Interventional Pulmonology, Department of Cardiothoracic and Vascular Disease, Careggi University Hospital, Florence, Italy; 3 Department of Internal Medicine, Bolzano Central Hospital, Bolzano, Italy; 4 Department of Respiratory Medicine, A. Gemelli University Hospital, Sacred Heart Catholic University, Rome, Italy; 5 Department of Emergency Medicine, Careggi University Hospital, Florence, Italy; 6 Sub-intensive Unit, Department of Emergency Medicine, Careggi University Hospital, Florence, Italy; 7 Department of Respiratory Medicine, C. e G. Mazzoni Hospital, Ascoli Piceno, Italy; 8 Service of Pneumology, San Bassiano Hospital, Bassano del Grappa, Vicenza, Italy; 9 Division of Pneumology, AUSL Toscana Nord-Ovest, Apuane Hospital, Massa, Italy; 10 Unit of Interventional Pulmonology, Department of Experimental and Clinical Medicine, Careggi University Hospital, University of Florence, Florence, Italy; 11 Division of Pneumology, Spedali Civili, Brescia, Italy



Ultrasound examination is traditionally considered a safe and repeatable exam, but its use is highly operator-dependent. Because of this, lack of sufficient operator skills could lead to diagnostic errors and damage to patient safety related to unnecessary tests or interventional procedures. The indications for lung ultrasound include: diagnosis, quantification, and follow-up of different conditions for which acute respiratory failure or chest pain are the main clinical presentation. Clinicians should have theoretical and practical knowledge on: physics and technology of ultrasound, indications and methodology of ultrasound examination, normal thoracic anatomy identification by echography, and detection of signs of pleuro-pulmonary pathology. Consequently, according to international recommendations, core basic skills and minimum training recommendations for the practice of medical ultrasound and image acquisition are needed to ensure competence of clinicians using ultrasound.


KEY WORDS: Pulmonary medicine - Ultrasonography - Diagnostic imaging - Thorax - Lung diseases - Competence

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