Como reduzir complicações relacionadas à drenagem pleural utilizando uma técnica guiada por ultrassom

Abstract

How to reduce pleural drainage complications using an ultrasoundguided technique. Como reduzir complicações relacionadas à drenagem pleural utilizando uma técnica guiada por ultrassom.Carlos augusto Metidieri Menegozzo, tCBC-sP 1 ; adriano riBeiro Meyer-Pflug, tCBC-sP 1 ; edivaldo Massazo utiyaMa, tCBC-sP 1 . LETTER TO THE EDITORRev Col Bras Cir. 2018;45(4):e1952Menegozzo How to reduce pleural drainage complications using an ultrasound-guided technique. 2 Rev Col Bras Cir. 2018;45(4):e1952 -Universidade de São Paulo (HC-FMUSP) offers the only course that teaches the step-by-step ultrasoundguided pleural drainage, developed by our group 6 , in addition to other important topics of ultrasound in emergency medicine. Thus, we consider that the incorporation of the ultrasound-guided pleural drainage technique may avoid complications currently observed in our medical centers. For this, physicians need to be adequately trained and hospitals must provide the necessary resources to perform the procedure. Similar to other procedures such as thoracentesis and central venous access, in which the echo-guided technique became the gold standard, we believe that the same positive results can be obtained with echo-guided pleural drainage.

Drenos torácicos mal posicionados diagnosticados por exame de imagem

“…O indicado seria ampliar a oferta de métodos de imagem rápidos e de fácil acesso, dentre elas a utilização de ultrassom que pudesse guiar o procedimento de drenagem do tórax e dessa forma localizar exatamente o local a ser drenado sem o comprometimento de estruturas adjacentes. (Menegozzo, 2018).…”

Predictors of pleural complications in trauma patients undergoing tube thoracostomy: A prospective observational study

“…Pleural complications that can result from chest drainage increase the length of hospital stay, costs, the frequency of unscheduled reoperations, and deaths. The application of specific care protocols reduces the frequency of these adverse events 9 , 12 , 13 . However, many resources are not available to all patients in our country.…”