{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T23:19:02Z","timestamp":1787613542993,"version":"build-2736575974"},"reference-count":26,"publisher":"Georg Thieme Verlag KG","issue":"17","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Dtsch Med Wochenschr"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>Was ist neu?<\/jats:title>\n                  <jats:p>Lungenultraschall (LUS) erm\u00f6glicht die Erkennung pathologischer Befunde der Lunge wie beispielsweise Pleura-Erguss, Pneumothorax, Konsolidierungen wie Atelektasen und pneumonischer Infiltrate sowie interstitieller Syndrome im Sinne eines ARDS.<\/jats:p>\n                  <jats:p>Beim Leitsymptom Dyspnoe hilft der LUS, zwischen kardialen, pulmonalen und kombinierten Ursachen zu unterscheiden (BLUE-Protokoll). Scoring-Systeme \u2013 z.B. der LUS-Score (LUSS) oder das an COVID-19 adaptierte CLUE-Protokoll \u2013 quantifizieren den Schweregrad und den Verlauf von Lungenver\u00e4nderungen bei der Pneumonie oder beim ARDS und unterst\u00fctzen Therapie-Entscheidungen. So kann der LUS bei kritisch kranken Patient*innen eingesetzt werden, um die Wirksamkeit von Beatmungsstrategien zu beurteilen und den Verlauf eines Lungenversagens zu \u00fcberwachen.<\/jats:p>\n                  <jats:p>LUS ist zudem ein wichtiges Hilfsmittel bei Thorax-Interventionen wie Punktionen oder Drainagen, da er die Sicherheit und Pr\u00e4zision erh\u00f6ht. Auch im Weaning-Prozess invasiv beatmeter Patient*innen liefert der Ultraschall wertvolle Informationen, etwa \u00fcber die Lungenbel\u00fcftung und das Risiko eines Weaning-Versagens.<\/jats:p>\n                  <jats:p>Der sonografische Zugang zur Lunge beschr\u00e4nkt sich zwar auf die Interkostalr\u00e4ume, allerdings sind ca. 70% der Pleura-Oberfl\u00e4che zug\u00e4nglich. Zentrale Lungenprozesse, insbesondere bei bel\u00fcfteter Lunge ohne Konsolidierungen sind sonografisch nicht darstellbar.<\/jats:p>\n                  <jats:p>Technische Fortschritte und Innovationen erm\u00f6glichen eine nebenwirkungsarme und strahlungsfreie Alternative in der Diagnostik von Lungenerkrankungen.<\/jats:p>","DOI":"10.1055\/a-2680-7819","type":"journal-article","created":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T22:32:26Z","timestamp":1787610746000},"page":"948-953","source":"Crossref","is-referenced-by-count":0,"title":["Lungenultraschall in der Intensivmedizin"],"prefix":"10.1055","volume":"151","author":[{"given":"Hans Joachim","family":"Stemmler","sequence":"additional","affiliation":[{"name":"LMU M\u00fcnchen, GERMANY","place":["M\u00fcnchen"],"department":["Medizinische Klinik und Poliklinik III"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"von Bergwelt-Baildon","sequence":"additional","affiliation":[{"name":"LMU M\u00fcnchen, GERMANY","place":["M\u00fcnchen"],"department":["Medizinische Klinik und Poliklinik III"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephanie-Susanne","family":"Stecher","sequence":"additional","affiliation":[{"name":"LMU M\u00fcnchen, GERMANY","place":["M\u00fcnchen"],"department":["Medizinische Klinik und Poliklinik III"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2026,8,24]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"108","DOI":"10.1055\/a-0664-5700","article-title":"Lung Ultrasound for Anesthesia, Intensive Care and Emergency Medicine","volume":"54","author":"W Armbruster","year":"2019","journal-title":"Anasthesiol Intensivmed Notfallmed Schmerzther"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"354","DOI":"10.1177\/0885066617752308","article-title":"Accuracy of Ultrasonographic Measurements of Inferior Vena Cava to Determine Fluid 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