Letters to the Editor

Why the magnitude of lung sliding matters: moving beyond a binary interpretation in lung ultrasound

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Received: 1 January 2026
Published: 16 February 2026
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Authors

Dear Editor,

Lung sliding has traditionally been assessed in a binary manner—present or absent—primarily to exclude pneumothorax in point-of-care lung ultrasound. However, emerging evidence suggests that this qualitative approach may overlook clinically meaningful information contained in the magnitude of pleural motion itself. Recent studies increasingly indicate that the amount of lung sliding, rather than its mere presence, reflects underlying lung mechanics and regional ventilation patterns.[...]

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1. Briganti DN, Choi CE, Nguyen J, Lanks CW. Determinants of point-of-care ultrasound lung sliding amplitude in mechanically ventilated patients. Ultrasound J 2023;15:25. DOI: https://doi.org/10.1186/s13089-023-00326-5

2. Şirin İ, Erdem AB, Uysal ŞB, Gedikaslan Ş. The effect of tidal volumes of mechanically ventilated patients on lung sliding amplitude in point-of-care lung ultrasound. J Clin Ultrasound JCU 2025;53:989-96. DOI: https://doi.org/10.1002/jcu.23968

3. Girard M, Roy Cardinal MH, Chassé M, et al. Regional pleural strain measurements during mechanical ventilation using ultrasound elastography: A randomized, crossover, proof of concept physiologic study. Front Med 2022;9:935482. DOI: https://doi.org/10.3389/fmed.2022.935482

How to Cite



Why the magnitude of lung sliding matters: moving beyond a binary interpretation in lung ultrasound. (2026). Emergency Care Journal, 22(1). https://doi.org/10.4081/ecj.2026.14802