open access

Vol 14, No 3 (2020)
Case report
Published online: 2020-08-10
Get Citation

Possibilities of ultrasonography in diagnosing causes of dyspnea in palliative care cancer patients

Jolanta Cylwik, Natalia Buda
DOI: 10.5603/PMPI.2020.0024
·
Palliat Med Pract 2020;14(3):205-211.

open access

Vol 14, No 3 (2020)
Case report
Published online: 2020-08-10

Abstract

Dyspnea is an ailment which is relatively frequently reported by cancer patients, and it can be difficult to
determine the cause of the symptom at home hospice. Thanks to the application of mobile ultrasound
scanner, the physician can often determine the cause of dyspnea during a home visit, which makes it
unnecessary to carry out diagnostic procedures at the hospital. The article presents two cases of female
patients in whom the application of at-home ultrasound proved to be useful in determining the cause of
dyspnea. The first patient was diagnosed with pericardial tamponade at home — pericardial cavity puncture
was performed at the hospital — while in the case of the second patient, pneumonia was both diagnosed
and monitored at home with the use of ultrasonography.

Abstract

Dyspnea is an ailment which is relatively frequently reported by cancer patients, and it can be difficult to
determine the cause of the symptom at home hospice. Thanks to the application of mobile ultrasound
scanner, the physician can often determine the cause of dyspnea during a home visit, which makes it
unnecessary to carry out diagnostic procedures at the hospital. The article presents two cases of female
patients in whom the application of at-home ultrasound proved to be useful in determining the cause of
dyspnea. The first patient was diagnosed with pericardial tamponade at home — pericardial cavity puncture
was performed at the hospital — while in the case of the second patient, pneumonia was both diagnosed
and monitored at home with the use of ultrasonography.

Get Citation

Keywords

lung ultrasound, point-of-care ultrasonography, palliative care, dyspnea

About this article
Title

Possibilities of ultrasonography in diagnosing causes of dyspnea in palliative care cancer patients

Journal

Palliative Medicine in Practice

Issue

Vol 14, No 3 (2020)

Article type

Case report

Pages

205-211

Published online

2020-08-10

DOI

10.5603/PMPI.2020.0024

Bibliographic record

Palliat Med Pract 2020;14(3):205-211.

Keywords

lung ultrasound
point-of-care ultrasonography
palliative care
dyspnea

Authors

Jolanta Cylwik
Natalia Buda

References (28)
  1. Andruszkiewicz P. Zastosowanie usg w resuscytacji krążeniowo–oddechowej i intensywnej terapii. Protokoły FEEL i FATE. Ultrasonografia. 2011; 45: 34–37.
  2. Ciałkowska–Rysz A, Dzierżanowski T. Medycyna paliatywna. Termedia, Poznań 2019: 168–176.
  3. Krajnik M, Malec-Milewska M. Chory na nowotwór – kompendium postępowania w wybranych sytuacjach klinicznych. Medical Education, Warszawa 2016.
  4. Rogoza K, Kosiak W. Usefulness of lung ultrasound in diagnosing causes of exacerbation in patients with chronic dyspnea. Pneumonol Alergol Pol. 2016; 84(1): 38–46.
  5. Volpicelli G, Elbarbary M, Blaivas M, et al. International Liaison Committee on Lung Ultrasound (ILC-LUS) for International Consensus Conference on Lung Ultrasound (ICC-LUS). International evidence-based recommendations for point-of-care lung ultrasound. Intensive Care Med. 2012; 38(4): 577–591.
  6. Lichtenstein DA, Mezière G, Lascols N, et al. Ultrasound diagnosis of occult pneumothorax. Crit Care Med. 2005; 33(6): 1231–1238.
  7. Lichtenstein DA. Lung ultrasound in the critically ill. Ann Intensive Care. 2014; 4(1): 1.
  8. Lichtenstein D, Mezière G. The BLUE-points: three standardized points used in the BLUE-protocol for ultrasound assessment of the lung in acute respiratory failure. Critical Ultrasound Journal. 2011; 3(2): 109–110.
  9. Lichtenstein D. Whole Body Ultrasonography in the Critically Ill. Springer. 2010.
  10. Volpicelli G, Melniker LA, Cardinale L, et al. Lung ultrasound in diagnosing and monitoring pulmonary interstitial fluid. Radiol Med. 2013; 118(2): 196–205.
  11. Lichtenstein DA, Lichtenstein D. Fluid administration limited by lung sonography: the place of lung ultrasound in assessment of acute circulatory failure (the FALLS-protocol). Expert Rev Respir Med. 2012; 6(2): 155–162.
  12. Lichtenstein D, Mézière G, Biderman P, et al. The comet-tail artifact. An ultrasound sign of alveolar-interstitial syndrome. Am J Respir Crit Care Med. 1997; 156(5): 1640–1646.
  13. Frassi F, Gargani L, Tesorio P, et al. Prognostic value of extravascular lung water assessed with ultrasound lung comets by chest sonography in patients with dyspnea and/or chest pain. J Card Fail. 2007; 13(10): 830–835.
  14. Picano E, Frassi F, Agricola E, et al. Ultrasound lung comets: a clinically useful sign of extravascular lung water. J Am Soc Echocardiogr. 2006; 19(3): 356–363.
  15. Buda N, Kosiak W, Radzikowska E, et al. Polish Committee on Lung Ultrasound (PC-LUS) for POLLUS-IM. Polish recommendations for lung ultrasound in internal medicine (POLLUS-IM). J Ultrason. 2018; 18(74): 198–206.
  16. Volpicelli G, Silva F, Radeos M. Real-time lung ultrasound for the diagnosis of alveolar consolidation and interstitial syndrome in the emergency department. Eur J Emerg Med. 2010; 17(2): 63–72.
  17. Chung M, Goo J, Im JG, et al. Value of high-resolution ultrasound in detecting a pneumothorax. European Radiology. 2004; 15(5): 930–935.
  18. Sobczyk D, Andruszkiewicz P, Andres J. Ultrasonografia w stanach zagrożenia życia i intensywnej terapii. Polska Rada Resuscytacji, Kraków 2012.
  19. Nagdev A, Stone MB. Point-of-care ultrasound evaluation of pericardial effusions: does this patient have cardiac tamponade? Resuscitation. 2011; 82(6): 671–673.
  20. Adler Y, Charron P, Imazio M, et al. ESC Scientific Document Group . 2015 ESC Guidelines for the diagnosis and management of pericardial diseases: The Task Force for the Diagnosis and Management of Pericardial Diseases of the European Society of Cardiology (ESC)Endorsed by: The European Association for Cardio-Thoracic Surgery (EACTS). Eur Heart J. 2015; 36(42): 2921–2964.
  21. Unlüer EE, Karagöz A, Akoğlu H, et al. Visual estimation of bedside echocardiographic ejection fraction by emergency physicians. West J Emerg Med. 2014; 15(2): 221–226.
  22. Jones AE, Tayal VS, Sullivan DM, et al. Randomized, controlled trial of immediate versus delayed goal-directed ultrasound to identify the cause of nontraumatic hypotension in emergency department patients. Crit Care Med. 2004; 32(8): 1703–1708.
  23. Pruszczyk P, Szulc M, Horszczaruk G, et al. Right ventricular infarction in a patient with acute pulmonary embolism and normal coronary arteries. Arch Intern Med. 2003; 163(9): 1110–1111.
  24. Kosiak W, Świetoń D, Czarniak P, et al. Pozasercowe ultrasonograficzne objawy niewydolności krążenia. Ultrasonografia. 2008; 32: 53–57.
  25. Noble VE, Nelson B, Sutingco AN. Podręcznik ultrasonografii w medycynie ratunkowej i intensywnej terapii. Medipage, Warszawa 2010.
  26. Lichtenstein DA, Malbrain ML. Lung ultrasound in the critically ill (LUCI): A translational discipline. Anaesthesiol Intensive Ther. 2017; 49(5): 430–436.
  27. Zanobetti M, Poggioni C, Pini R. Can chest ultrasonography replace standard chest radiography for evaluation of acute dyspnea in the ED? Chest. 2011; 139(5): 1140–1147.
  28. Buda N, Kosiak W. Atlas przezklatkowej ultrasonografii płuc. AHU "DB" 2016. . https://lus.expert/.

Important: This website uses cookies. More >>

The cookies allow us to identify your computer and find out details about your last visit. They remembering whether you've visited the site before, so that you remain logged in - or to help us work out how many new website visitors we get each month. Most internet browsers accept cookies automatically, but you can change the settings of your browser to erase cookies or prevent automatic acceptance if you prefer.

Czasopismo Medycyna Paliatywna w Praktyce dostęne jest również w Ikamed - księgarnia medyczna

Wydawcą serwisu jest  "Via Medica sp. z o.o." sp.k., ul. Świętokrzyska 73, 80–180 Gdańsk

tel.:+48 58 320 94 94, faks:+48 58 320 94 60, e-mail:  viamedica@viamedica.pl