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Editorial |

The Ultrasound Corner Series: A Reverberating Success

Seth Koenig, MD, FCCP; Viera Lakticova, MD
Author and Funding Information

Northwell Long Island Jewish Medical Center, New Hyde Park, NY

CORRESPONDENCE TO: Seth Koenig, MD, FCCP, 410 Lakeville Rd, Ste 107, New Hyde Park, NY 11040


Copyright 2016, American College of Chest Physicians. All Rights Reserved.


Chest. 2016;150(3):483-484. doi:10.1016/j.chest.2016.06.010
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Point-of-care critical care ultrasound is finally receiving the attention it deserves. Let's define it just once again so there is no ambiguity to its usefulness for the critically ill. Critical care ultrasound performed at the bedside allows the intensivist to categorize the etiology of all forms of cardiopulmonary failure and/or multiorgan failure, allowing immediate interpretation of the results without the time or clinical dissociation inherent in consultative radiology or echocardiography. This interpretation is then integrated into the clinical picture, along with the history and surface physical examination, and may allow a more complete treatment plan that could reduce the need for ionizing radiation and transport of the patient. CHEST, and all other major international critical care societies, have endorsed critical care ultrasound, and it is hard to find an issue of this Journal without at least 1 article on its usefulness., The utility and ease of point-of-care ultrasound (POCUS) use has spread among other subspecialties, confirmation of which is seen in a recent endorsement of POCUS, including echocardiography, by the president of the American Society for Echocardiography. What a long way we have come. For years, the ultrasound machine, if a critical care unit had one, would sit idle in the corner, hibernating, with its occasional use to guide central line placement or help in distinguishing into which intercostal space the fellow would put the thoracentesis needle. Well, the ultrasound revolution has begun, but like all revolutions, success cannot be based on ideology alone.

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