Images in Intensive Medicine
Basic sign in lung echography. Liquid and air bronchogram: Differentiation
Signos básicos en ecografía pulmonar. Broncograma líquido y broncograma aéreo: diferenciación
M. Montero Baladía, M. Arroyo Diez
, O. Badallo Areválo
Corresponding author
Medicina Intensiva, Hospital Universitario de Burgos, Burgos, Spain
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Broncograma líquido y broncograma aéreo: diferenciación" "tienePdf" => "es" "tieneTextoCompleto" => "es" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "e19" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Basic sign in lung echography. Liquid and air bronchogram: Differentiation" ] ] "contieneTextoCompleto" => array:1 [ "es" => true ] "contienePdf" => array:1 [ "es" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figura 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 870 "Ancho" => 1200 "Tamanyo" => 85581 ] ] "descripcion" => array:1 [ "es" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Ecografía pulmonar donde se aprecia derrame pleural (DP), hígado (H) y parénquima pulmonar (PP) hipoecogénico, con signo del broncograma líquido (flechas) donde los bronquios muestran ausencia de aire en su interior.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "M. Montero Baladía, M. Arroyo Diez, O. Badallo Areválo" "autores" => array:3 [ 0 => array:2 [ "nombre" => "M." 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(A) Area of consolidation showing hepatized lungs with aerial bronchogram showing hyperechogenic lines parallel to the pleura in the consolidated area (arrow) and fluid bronchogram with hyperechoic zones in the consolidated area (asterisk), lack of A lines and pleural reinforcement with pleural effusion consistent with a pattern of atelectasis. HFOV respiratory parameters: MAP 12, amplitude 40 and frequency 9. (B) Abundant coalescent B lines (asterisk) indicative of opening of atelectasis in the presence of pulmonary edema. Reinforcement of pleural echogenicity and pleural effusion. Increased respiratory parameters to MAP: 15, amplitude 50 and frequency 8. (C) Lung recruitment with normal parenchyma; presence of A lines (arrow) and scarce B lines (asterisk). Increased respiratory parameters to MAP: 18, amplitude 55 and frequency 8.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "B. del Rey Hurtado de Mendoza, J. Sanchez-de-Toledo, J. 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Liquid and air bronchogram: Differentiation" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "e19" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "M. Montero Baladía, M. Arroyo Diez, O. Badallo Areválo" "autores" => array:3 [ 0 => array:2 [ "nombre" => "M." "apellidos" => "Montero Baladía" ] 1 => array:4 [ "nombre" => "M." "apellidos" => "Arroyo Diez" "email" => array:1 [ 0 => "martaarroyo84@hotmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 2 => array:2 [ "nombre" => "O." "apellidos" => "Badallo Areválo" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Medicina Intensiva, Hospital Universitario de Burgos, Burgos, Spain" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Signos básicos en ecografía pulmonar. Broncograma líquido y broncograma aéreo: diferenciación" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 870 "Ancho" => 1200 "Tamanyo" => 85581 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Lung ultrasound showing hypoechogenic pleural effusion (PE), liver (L), and pulmonary parenchyma (PP) with the fluid bronchogram sign (arrows) where the bronchi show lack of air inside.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">We hereby present two cases of lung ultrasound in two patients admitted to the ICU with respiratory failure due to ARDS who remained on mechanical ventilation for more than seven days. <a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a> shows the “fluid bronchogram” sign (arrows) consisting of ramified linear images that correspond to distended bronchi filled with fluid and lack of air over hypoechogenic pulmonary parenchyma and simulate blood vessels but distinguish from them by having a wall (hyperechogenic) and lack of Doppler signal. It suggests pulmonary atelectasis due to central airway obstruction (CAO). <a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a> shows pulmonary parenchyma with hyperechogenic dots representative of air inside the bronchus. It is the “air bronchogram” sign. In the appropriate clinical context, it is indicative of infectious lung condensation (mobile bronchogram) or compression atelectasis (static bronchogram).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Montero Baladía M, Arroyo Diez M, Badallo Areválo O. Signos básicos en ecografía pulmonar. Broncograma líquido y broncograma aéreo: diferenciación. Med Intensiva. 2018;42:e19.</p>" ] ] "multimedia" => array:2 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 870 "Ancho" => 1200 "Tamanyo" => 85581 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Lung ultrasound showing hypoechogenic pleural effusion (PE), liver (L), and pulmonary parenchyma (PP) with the fluid bronchogram sign (arrows) where the bronchi show lack of air inside.</p>" ] ] 1 => array:7 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 1032 "Ancho" => 1500 "Tamanyo" => 109595 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Lung ultrasound showing hypoechogenic pleural effusion (PE), liver (L), and pulmonary parenchyma (PP) with the air bronchogram sign (arrows) where the air-filled bronchi look like dark lines inside one lung consolidation.</p>" ] ] ] ] "idiomaDefecto" => "en" "url" => "/21735727/0000004200000008/v1_201810270616/S2173572718301450/v1_201810270616/en/main.assets" "Apartado" => array:4 [ "identificador" => "64602" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Images in Intensive Medicine" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/21735727/0000004200000008/v1_201810270616/S2173572718301450/v1_201810270616/en/main.pdf?idApp=WMIE&text.app=https://medintensiva.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572718301450?idApp=WMIE" ]
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