Asymptomatic hydropneumothorax after therapeutic thoracentesis for malignant pleural effusions.

Boland, Giles W.; Gazelle, G. Scott; Girard, M; Müeller, Peter R.

doi:10.2214/ajr.170.4.9530040

Cited by 50 publications

(34 citation statements)

References 6 publications

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“…In contrast, the pneumothorax rate associated with ultrasound-guided thoracenteses was lower, ranging from 0 to 9.1%. The rates of subsequent chest tube insertion for pneumothoraces ranged from 2.2-7% in those procedures without ultrasound guidance and 0-3.7% in procedures performed with ultrasound guidance [6,13,22,[25][26][27][28][29][30][31][32][33][34][35][36][37][38][39][40][41][42][43][44].…”

Section: Overall Incidence Of Pneumothorax and Impact Of Ultrasoundmentioning

confidence: 99%

“…One study specifically investigated the association of post-thoracentesis pneumothoraces and lung findings on chest computed tomography scan. They found that the pneumothoraces that did not heal spontaneously were more likely to be associated with the presence of underlying parenchymal lung disease [27]. Other researchers used manometry during the thoracentesis procedure in patients with underlying lung disease to show that less compliant lungs, termed "unexpandable lungs," were increasingly associated with pneumothoraces.…”

Section: Association With Interstitial Lung Disease and Chronicmentioning

confidence: 99%

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Ultrasound for the Detection of Pleural Effusions and Guidance of the Thoracentesis Procedure

Sikora

Perera

Mailhot

et al. 2012

ISRN Emergency Medicine

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Objective. To review the use of ultrasound for the detection of pleural effusions and guidance of the thoracentesis procedure. Methods. Two clinical cases will be presented in which ultrasound proved beneficial in guiding the diagnosis and management of patients with pleural effusions and respiratory distress. The ultrasound techniques for the evaluation of pleural effusions and performance of the thoracentesis procedure are discussed. A review of the most current literature follows to present the known diagnostic and safety benefits of ultrasound guidance for thoracentesis. Conclusions. Ultrasound improves the diagnostic accuracy for the detection of pleural effusions over standard chest radiographs. Ultrasound can also diagnose a complicated pleural effusion that may be at higher risk for an adverse outcome during a thoracentesis. Optimally, thoracentesis should be performed under direct ultrasound guidance to decrease the complication rate and improve patient safety.

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Section: Overall Incidence Of Pneumothorax and Impact Of Ultrasoundmentioning

confidence: 99%

Section: Association With Interstitial Lung Disease and Chronicmentioning

confidence: 99%

Ultrasound for the Detection of Pleural Effusions and Guidance of the Thoracentesis Procedure

Sikora

Perera

Mailhot

et al. 2012

ISRN Emergency Medicine

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“…2,3 The seal between the visceral and parietal pleura remains intact at the sites of the aerated lobes, causing the pneumothorax ex vacuo to surround only the collapsed lobe, distinguishing it from both tension and spontaneous pneumothoraces.…”

Section: Case Reportmentioning

confidence: 99%

“…1 Boland et al 2 and Ponrartana et al 3 demonstrate that chest tubes are not beneficial for asymptomatic patients with malignant lung parenchymal disease and pneumothorax ex vacuo. Malignant infiltration of the lung tissue leads to poor lung compliance and unresponsiveness to chest tubes.…”

Section: Case Reportmentioning

confidence: 99%

“…Malignant infiltration of the lung tissue leads to poor lung compliance and unresponsiveness to chest tubes. 2 One hypothesis is that malignant cells create a fibrinous peel limiting re-expansion of the lung, while another suggests that chronic atelectasis, interrupted blood flow, and pulmonary edema decrease production of pulmonary surfactant prohibiting lung re-expansion after pleural fluid drainage. 3 Observation is appropriate and sufficient in asymptomatic patients.…”

Section: Case Reportmentioning

confidence: 99%

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Pneumothorax ex vacuo in a Patient with Malignant Pleural Effusion After PleurX Catheter Placement

Bhardwaj

Ragupathi²

2015

TMF

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Pneumothorax Following Thoracentesis

Feller‐Kopman²,

et al. 2010

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Iatrogenic pneumothorax is a common complication of thoracentesis and frequently requires chest tube insertion. Real-time ultrasonography use is a modifiable factor that reduces the pneumothorax rate. Performance of thoracentesis for therapeutic purposes and in patients undergoing mechanical ventilation confers a higher likelihood of pneumothorax. Experienced operators may have lower pneumothorax rates. Patient safety may be improved by changes in clinical practice in accord with these findings.

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Asymptomatic hydropneumothorax after therapeutic thoracentesis for malignant pleural effusions.

Cited by 50 publications

References 6 publications

Ultrasound for the Detection of Pleural Effusions and Guidance of the Thoracentesis Procedure

Ultrasound for the Detection of Pleural Effusions and Guidance of the Thoracentesis Procedure

Pneumothorax ex vacuo in a Patient with Malignant Pleural Effusion After PleurX Catheter Placement

Pneumothorax Following Thoracentesis

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