Education  |   September 2017
I-AIM (Indication, Acquisition, Interpretation, Medical Decision-making) Framework for Point of Care Lung Ultrasound
Author Notes
  • From the Department of Anesthesia, University Health Network, Toronto, Ontario, Canada (R.K., V.C.); Department of Anesthesia, University of Toronto, Toronto, Ontario, Canada (R.K., V.C., S.A.); Department of Emergency Medicine, “E. Agnelli” General Hospital, Pinerolo, Turin, Italy (G.A.C.); Department of Critical Care Medicine, Trauma and Neurosurgical Intensive Care Unit and Medical Surgical Intensive Care Unit, St. Michael’s Hospital, Toronto, Ontario, Canada (S.A.); Department of Anesthesia, St. Michael’s Hospital – University of Toronto, Toronto, Ontario, Canada (S.A.); Interdepartmental Division of Critical Care Medicine, University of Toronto, Toronto, Ontario, Canada (S.A., A.G.); Department of Medicine, Division of Respirology (Critical Care), University Health Network, Toronto, Ontario, Canada (A.G.); and Department of Medicine, University of Toronto, Toronto, Ontario, Canada (A.G.)
  • This article is featured in “This Month in Anesthesiology,” page 1A.
    This article is featured in “This Month in Anesthesiology,” page 1A.×
  • Supplemental Digital Content is available for this article. Direct URL citations appear in the printed text and are available in both the HTML and PDF versions of this article. Links to the digital files are provided in the HTML text of this article on the Journal’s Web site (www.anesthesiology.org).
    Supplemental Digital Content is available for this article. Direct URL citations appear in the printed text and are available in both the HTML and PDF versions of this article. Links to the digital files are provided in the HTML text of this article on the Journal’s Web site (www.anesthesiology.org).×
  • Figure 2 was enhanced by Annemarie B. Johnson, C.M.I., Medical Illustrator, Vivo Visuals, Winston-Salem, North Carolina.
    Figure 2 was enhanced by Annemarie B. Johnson, C.M.I., Medical Illustrator, Vivo Visuals, Winston-Salem, North Carolina.×
  • Submitted for publication December 5, 2016. Accepted for publication May 16, 2017.
    Submitted for publication December 5, 2016. Accepted for publication May 16, 2017.×
  • Address correspondence to Dr. Goffi: Toronto Western Hospital, 399 Bathurst Street, 2nd Floor McLaughlin Rm 411-H, Toronto, Ontario, Canada, M5T 2S8. alberto.goffi@uhn.ca. Information on purchasing reprints may be found at www.anesthesiology.org or on the masthead page at the beginning of this issue. Anesthesiology’s articles are made freely accessible to all readers, for personal use only, 6 months from the cover date of the issue.
Article Information
Education / Clinical Concepts and Commentary / Radiological and Other Imaging / Respiratory System
Education   |   September 2017
I-AIM (Indication, Acquisition, Interpretation, Medical Decision-making) Framework for Point of Care Lung Ultrasound
Anesthesiology 9 2017, Vol.127, 568-582. doi:10.1097/ALN.0000000000001779
Anesthesiology 9 2017, Vol.127, 568-582. doi:10.1097/ALN.0000000000001779
You are on call for anesthesia. The neurosurgeon on call has booked an emergency decompression of a subdural hematoma for an elderly man who fell at home during a syncopal episode. A chest radiograph on admission showed fractures of the sixth to eighth ribs with no evidence of a pneumothorax. Cardiac workup and blood work were noncontributory. On assessment, the man is desaturating on room air despite no previous respiratory history. He is uncooperative and will require general anesthesia and mechanical ventilation.
You are working in the intensive care unit (ICU). A patient with heart failure related to severe systolic dysfunction has steadily increasing work of breathing and oxygen requirements despite noninvasive mechanical ventilation. On physical exam, there is decreased air entry on the right side. A right-sided central line is in place.
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