Exploration of the lung a vital organ is clinical but is supplemented in practice by radiography or CT scan. These methods have their drawbacks and this update will review the possibilities of a method that provides an accurate picture of the respiratory status in bed in a critical pulmonary ultrasound. Using a standardized semiology ultrasound offers the possibility to diagnose pleural effusion pneumothorax alveolar consolidation and interstitial syndrome with likelihood ratios close to CT. In addition to the interventional part a basic application is codified in the patient in acute respiratory distress which allows an immediate diagnosis and the possibility of reducing the use of the thoracic scanner.
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