Current practice of lung ultrasonography (LUS) in the diagnosis of pneumothorax: a survey of physician sonographers in Germany

Berlet, Thomas; Fehr, Tobias; Merz, Tobias M.

doi:10.1186/s13089-014-0016-y

Cited by 12 publications

(6 citation statements)

References 10 publications

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“…But as pneumothorax is a known complication in 3-5% of cases after TBB [2], TUS is reliably useful to distinguish patients without a risk of post-procedural complications, helps simplifying the postprocedural monitoring and avoids unnecessary X-ray-exposition. This is clinically important as pneumothorax exclusion as a main indication is still not widespread in Germany [14].…”

Section: Discussionmentioning

confidence: 99%

Thoracic Ultrasound for Immediate Exclusion of Pneumothorax after Interventional Bronchoscopy

Eisenmann

Winantea

Karpf-Wissel

et al. 2020

JCM

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Background. Pneumothorax is a common side effect in interventional pulmonology. The ideal moment for detection with chest X-ray or ultrasound has not yet been defined. Earlier studies demonstrated the utility of performing these tests with a certain delay, which always results in a potentially dangerous gap. Methods. We prospectively enrolled patients with pulmonary interventions at increased risk of pneumothorax. Thoracic ultrasound was performed immediately after the intervention and at the moment of chest X-ray with a delay up to two hours. Results: Overall, we detected four pneumothoraxes in 115 procedures. Sensitivity, specificity, positive predictive value, negative predictive value and accuracy were 75%, 100%, 100%, 99%, 99% for ultrasound and 75%, 90%, 21%, 99% und 89% for chest X-ray respectively. All pneumothoraces requiring chest tube were sufficiently detected by both methods. Conclusion. Thoracic ultrasound when performed immediately can more accurately exclude pneumothorax after interventional bronchoscopy when compared to chest X-ray. Further ultrasound examinations are unnecessary.

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Section: Discussionmentioning

confidence: 99%

Thoracic Ultrasound for Immediate Exclusion of Pneumothorax after Interventional Bronchoscopy

Eisenmann

Winantea

Karpf-Wissel

et al. 2020

JCM

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“…latter would have required us asking open questions. Those types of questions are difficult to analyse and interpret [12]. Our study may also be criticized for what might be considered a low response rate (26%) suggesting a degree of self-selection of participants.…”

Section: (9)mentioning

confidence: 85%

Current practice of lung ultrasonography (LUS) in the diagnosis of pneumothorax: a survey of physician sonographers in Germany

Berlet¹,

Fehr²,

Merz³

2014

Critical Ultrasound Journal

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BackgroundThe purpose of this study was to survey the current practice of the use of lung ultrasonography (LUS) in the diagnosis of pneumothorax.MethodsPhysician sonographers, accredited for diagnostic ultrasonography in surgery, anaesthesia and medicine were studied. Questions addressed the frequency of exposure to patients with suspected pneumothorax, frequency of LUS use, preferences regarding technical aspects of LUS examination, assessment of diagnostic accuracy of LUS and involvement in teaching.ResultsOf the respondents, 55.1% used LUS ‘always’ or ‘frequently’ for suspected pneumothorax. Also, 35.5% of physicians rated LUS as ‘always reliable’ in ruling out pneumothorax, and 21.3% of respondents rated LUS as ‘always reliable’ in ruling in pneumothorax. The mode of performing LUS for pneumothorax was highly variable.Statistically significant differences were found regarding the likelihood of LUS usage, the combined use of M-Mode and B-mode scanning and the confidence to exclude pneumothorax based on LUS findings for physicians with frequent exposure to pneumothorax cases.ConclusionsPhysicians' use of LUS in the diagnosis of pneumothorax is modest. Confidence in diagnostic accuracy is not comprehensive. Further research is required to establish the most efficient way of performing LUS in this scenario to achieve the highest possible diagnostic accuracy and reliable documentation of examination results.

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“…In infants with a pneumothorax, lung ultrasound can help determine the need for needle thoracostomy and chest tube drainage. 14,72,115 In 2019, a systematic review and meta-analysis showed that the overall specificity of lung ultrasound in diagnosing pneumothorax in neonates was 96.7% (95% confidence interval 88.3-99.6%). 14 Lung sliding is an important sign; its presence practically rules out pneumothorax.…”

Section: Evaluation For Pneumothoraxmentioning

confidence: 99%

Lung Ultrasound in Neonates: An Emerging Tool for Monitoring Critically Ill Infants

Maheshwari¹,

Suryawanshi²,

Paul³

et al. 2023

Newborn

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Context: Neonatal lung ultrasound is emerging as a useful clinical tool for the assessment of lung anatomy and management of various lung pathologies. In this review, we summarize normal lung ultrasound (LUS) findings and specific features of various lung morbidities. Evidence acquisition: A comprehensive literature search was conducted across multiple sources with relevant keywords with an additional filter of the age-group between 0 and 28 days. Findings: Apart from the description of normal newborn lungs, clinical and radiological features of a variety of lung pathologies were evaluated and incorporated in the review. Bedside LUS has evolved to be an important point-of-care imaging modality that can help in day-to-day clinical decision-making. It can be used in differentiating respiratory distress syndrome from transient tachypnea on the newborns, in the detection of pneumothorax, and in diagnosing pneumonia, pulmonary hemorrhage, and pleural effusion. Evidence supports the use of LUS scores to decide on the need for early rescue surfactant therapy with high sensitivity and specificity. Lung ultrasound scores obtained during the first 2 weeks after birth can help predict the likelihood of chronic lung disease/bronchopulmonary dysplasia. Once validated, it could be valuable for guiding early intervention and evaluation of new treatments. Conclusion: Neonatal lung ultrasound is emerging as a vital monitoring tool in critically ill infants with lung disease. It will be valuable in the early diagnosis, management, and prognosis of these patients.

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Current practice of lung ultrasonography (LUS) in the diagnosis of pneumothorax: a survey of physician sonographers in Germany

Cited by 12 publications

References 10 publications

Thoracic Ultrasound for Immediate Exclusion of Pneumothorax after Interventional Bronchoscopy

Thoracic Ultrasound for Immediate Exclusion of Pneumothorax after Interventional Bronchoscopy

Current practice of lung ultrasonography (LUS) in the diagnosis of pneumothorax: a survey of physician sonographers in Germany

Lung Ultrasound in Neonates: An Emerging Tool for Monitoring Critically Ill Infants

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