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Dynamic air bronchogram ultrasound sign in a noninvasive ventilated patient
Telmo Borges Coelho1, José António Mariz2
1 Department of Internal Medicine, Centro Hospitalar Vila Nova de Gaia, Espinho, Portugal
2 Department of Emergency, Hospital de Braga, Braga, Portugal
Correspondence Address:
Telmo Borges Coelho,
Rua Dr. Raul Rego 21 A, 5340-351, Morais, Macedo de Cavaleiros
Portugal
 Source of Support: None, Conflict of Interest: None
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Acute dyspnea is one of the most common complaints in any emergency department. Physical examination and chest radiography have been insufficient to diagnose these patients accurately and quickly. We present a clinical case of a dyspneic patient presenting to the emergency department, who was promptly diagnosed with lobar pneumonia by point-of-care pulmonary ultrasonography. This permitted the rapid onset of adequate treatment. Furthermore, we describe a dynamic air bronchogram sign in a noninvasive ventilated patient. Chest computed tomography scan was performed confirming consolidation of the middle lobe. The advent of handheld point-of-care ultrasonography is revolutionizing practical care enabling physicians with a high-accuracy, low-cost, fast, safe, and repeatable diagnostic tool.
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