Bedside Diagnosis and Follow-up of Patients With Pleural Effusion by a Hand-Carried Ultrasound Device Early After Cardiac Surgery

Piccoli, Mara; Trambaiolo, Paolo; Salustri, Alessandro; Cerquetani, Elena; Posteraro, Alfredo; Pastena, Guglielmo; Amici, Elisabetta; Papetti, Federica; Marincola, E; Carruba, Salvatore La; Gambelli, G

doi:10.1378/chest.128.5.3413

Cited by 28 publications

(24 citation statements)

References 26 publications

(34 reference statements)

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“…Ultrasound is more efficient than a normal physical examination 6 and more useful than CXR in pleural effusion diagnosis. 7 Even minimal pleural effusion (about 5 mL), which is not evident on a CXR, can be detected.…”

Section: Pleural Effusionmentioning

confidence: 99%

Chest Ultrasonography in the ICU

Gardelli¹,

Feletti

Nanni

et al. 2012

Respir Care

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SummaryChest diagnostic imaging is essential when dealing with a critically ill patient. At present, direct visualization of the lung parenchyma is performed with a chest x-ray and computed tomography with the patient in the supine position. The relative ease of bedside ultrasound examination and the availability of user-friendly, inexpensive, portable equipment have made chest ultrasonography an interesting and alternative method in various situations, because it offers accurate information that is of therapeutic and diagnostic relevance. We describe equipment and examination technique, normal findings, and chest ultrasonography signs detected in some pathological situations, such as pneumothorax, consolidations, pleural effusions, ARDS, and pulmonary edema.

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Section: Pleural Effusionmentioning

confidence: 99%

Chest Ultrasonography in the ICU

Gardelli¹,

Feletti

Nanni

et al. 2012

Respir Care

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“…The major advantage of these devices is a fast bedside availability allowing prompt diagnosis and immediate therapeutic measures (9).…”

mentioning

confidence: 99%

Bedside diagnosis of pleural effusion with a latest generation hand-carried ultrasound device in intensive care patients

Schleder¹,

Dornia²,

Poschenrieder³

et al. 2012

Acta Radiol

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Background: Further development established hand-carried ultrasound (HCU) imagers in daily clinical workflow providing several advantages such as fast bedside availability and prompt diagnosis. Purpose: To evaluate the diagnostic yield of a latest generation HCU imager compared to chest radiography (CR) for the detection of pleural effusion (PE) in intensive care patients. Material and Methods: Forty-eight hemithoraces of 24 patients on surgical intensive care units were enrolled in this study. All hemithoraces were evaluated using both HCU and CR. Definite diagnosis of PE was achieved using a high-end ultrasound system as standard of reference. Statistical analysis was performed using 2 Â 2 tables and a McNemar test. A P value of ,0.05 was considered statistically significant. Results: PE was present in 35 of 48 hemithoraces (73%). The HCU examination was carried out technically successfully in all hemithoraces. Sensitivity and specificity of HCU for the diagnosis of PE was 91% and 100%, respectively, whereas sensitivity and specificity of CR was 74% and 31%, respectively. The difference between HCU and CR was statistically significant with respect to specificity but not sensitivity (P ¼ 0.008 and P ¼ 0.11, respectively). Conclusion: Due to its ease of use and its high diagnostic yield HCU systems of the latest generation constitute a helpful technique for the primary assessment of PE.

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“…For all these reasons, TUS is rapidly expanding in our departments [7] , and is fast becoming an essential part of emergency patient assessment and of the ICU's armamentarium [19,67] .…”

Section: Characteristic Items Diagnosismentioning

confidence: 99%

Incremental value of thoracic ultrasound in intensive care units: Indications, uses, and applications

Liccardo

Martone

Trambaiolo

et al. 2016

WJR

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Emergency physicians are required to care for unstable patients with life-threatening conditions, and thus must make decisions that are both quick and precise about unclear clinical situations. There is increasing consensus in favor of using ultrasound as a real-time bedside clinical tool for clinicians in emergency settings alongside the irreplaceable use of historical and physical examinations. B-mode sonography is an old technology that was first proposed for medical applications more than 50 years ago. Its application in the diagnosis of thoracic diseases has always been considered limited, due to the presence of air in the lung and the presence of the bones of the thoracic cage, which prevent the progression of the ultrasound beam. However, the close relationship between air and water in the lungs causes a variety of artifacts on ultrasounds. At the bedside, thoracic ultrasound is based primarily on the analysis of these artifacts, with the aim of improving accuracy and safety in the diagnosis and therapy of the various varieties of pulmonary pathologic diseases which are predominantly "water-rich" or "air-rich". The indications, contraindications, advantages, disadvantages, and techniques of thoracic ultrasound and its related procedures are analyzed in the present review. Core tip: The close relationship between air and water in the lungs causes a variety of artifacts on ultrasounds. At the bedside, thoracic ultrasound is based primarily on the analysis of these artifacts, with the aim of improving accuracy and safety in the diagnosis and therapy of Liccardo B et al . Thoracic ultrasound in ICU the various varieties of pulmonary pathologic diseases which are predominantly "water-rich" or "air-rich". The indications, contraindications, advantages, disadvantages, and techniques of thoracic ultrasound and its related procedures are analyzed in the present review.

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Bedside Diagnosis and Follow-up of Patients With Pleural Effusion by a Hand-Carried Ultrasound Device Early After Cardiac Surgery

Cited by 28 publications

References 26 publications

Chest Ultrasonography in the ICU

Chest Ultrasonography in the ICU

Bedside diagnosis of pleural effusion with a latest generation hand-carried ultrasound device in intensive care patients

Incremental value of thoracic ultrasound in intensive care units: Indications, uses, and applications

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