Diagnostic Value of Chest Ultrasound After Cardiac Surgery: A Comparison With Chest X-ray and Auscultation

Vezzani, Antonella; Manca, Tullio; Brusasco, Claudia; Santori, Gregorio; Valentino, Massimo; Nicolini, Francesco; Molardi, A.; Gherli, Tiziano; Corradi, Francesco

doi:10.1053/j.jvca.2014.04.012

Cited by 43 publications

(27 citation statements)

References 31 publications

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“…Vezzani et al [ 13 ] demonstrated 100% sensitivity and 99% diagnostic accuracy of chest ultrasound in their series. The false positive result was probably due to the presence of a small pleural effusion not identified by chest X-ray.…”

Section: Discussionmentioning

confidence: 99%

“…The sensitivity and accuracy of USG in determining consolidation or atelectasis is reported as 80-100% and 90-100%, respectively [ 8 , 13 ] . Atelectasis was the most common respiratory complication and was determined in 66% of the cases in the study.…”

Section: Discussionmentioning

confidence: 99%

“…Pneumothorax may progress and cause hemodynamic instability, especially in patients receiving positive pressure ventilation [ 4 , 14 ] . In the literature, comparing the efficiency of X-ray and USG in determining pneumothorax was found 98% sensitivity, 99% specificity, 98% positive predictive value (PPV), and 99% negative predictive value (NPV) for USG, whereas the results were 75%, 100%, 100%, and 90% for X-ray, respectively [ 13 ] .…”

Section: Discussionmentioning

confidence: 99%

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The Efficacy of Thoracic Ultrasonography in Postoperative Newborn Patients after Cardiac Surgery

Öztürk¹,

Öztürk²,

Yıldız³

et al. 2017

Braz J Cardiovasc Surg

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ObjectiveIn this study, the efficacy of thoracic ultrasonography during echocardiography was evaluated in newborns.MethodsSixty newborns who had undergone pediatric cardiac surgery were successively evaluated between March 1, 2015, and September 1, 2015. Patients were evaluated for effusion, pulmonary atelectasis, and pneumothorax by ultrasonography, and results were compared with X-ray findings.ResultsSixty percent (n=42) of the cases were male, the median age was 14 days (2-30 days), and the median body weight was 3.3 kg (2.8-4.5 kg). The median RACHS-1 score was 4 (2-6). Atelectasis was demonstrated in 66% (n=40) of the cases. Five of them were determined solely by X-ray, 10 of them only by ultrasonography, and 25 of them by both ultrasonography and X-ray. Pneumothorax was determined in 20% (n=12) of the cases. Excluding one case determined by both methods, all of the 11 cases were diagnosed by X-ray. Pleural effusion was diagnosed in 26% (n=16) of the cases. Four of the cases were demonstrated solely by ultrasonography, three of them solely by X-ray, and nine of the cases by both methods. Pericardial effusion was demonstrated in 10% (n=6) of the cases. Except for one of the cases determined by both methods, five of the cases were diagnosed by ultrasonography. There was a moderate correlation when all pathologies evaluated together (k=0.51).ConclusionThoracic ultrasonography might be a beneficial non-invasive method to evaluate postoperative respiratory problems in newborns who had congenital cardiac surgery.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

The Efficacy of Thoracic Ultrasonography in Postoperative Newborn Patients after Cardiac Surgery

Öztürk¹,

Öztürk²,

Yıldız³

et al. 2017

Braz J Cardiovasc Surg

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“…History of smoking, lung disease, and recent thoracic trauma are all obvious risk factors. Patient may also have a “spontaneous” pneumothorax, possibly induced by perioperative trauma/anaesthesia and stress [20] .…”

Section: Patient Factorsmentioning

confidence: 99%

Pneumothorax following shoulder arthroscopy under combined regional and general anaesthesia—A case report

Leander-Olsson

Borglund-Hemph

Jakobsson

2016

International Journal of Surgery Case Reports

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HighlightsNeedle punctures, upper extremity block, infiltration associated to surgery.Surgery related forces; diathermia in close proximity to the pleural space, any external force that may cause changes in the pleural pressures, e.g. shavers, profound pressure associated breast implant, reconstruction etc.Anaesthesia-associated factors; any “accidental” high peak bronchial pressures e.g. caused by bronch intubation or use of a tube-exchange catheter, especially with continuous oxygen flow, and possibly enforced lung recruitment in a at risk patient.Patient factors; smoking and lung disease, COPD/emphysema, lung cancer, history of pneumothorax, recent thoracic trauma.Lung auscultation is not sufficient for identification of pneumothorax.

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“…Although auscultation is most commonly employed for determining tracheal tube location, the use of auscultation to distinguish between tracheal and bronchial intubation has been shown to be unreliable. [ 2 ] It has been established that point-of-care ultrasound examination is easy, quick, and significantly more accurate than auscultation in discriminating between tracheal and bronchial intubation in adult patients under general anesthesia. [ 3 ] In this case, lung scan provided a quick point-of-care tool for confirmation of endobronchial migration of the tracheal tube.…”

mentioning

confidence: 99%

Point-of-care lung ultrasound can detect endobronchial intubation during laparoscopic cholecystectomy

Dubey

Kumar

2018

Saudi J Anaesth

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Diagnostic Value of Chest Ultrasound After Cardiac Surgery: A Comparison With Chest X-ray and Auscultation

Cited by 43 publications

References 31 publications

The Efficacy of Thoracic Ultrasonography in Postoperative Newborn Patients after Cardiac Surgery

The Efficacy of Thoracic Ultrasonography in Postoperative Newborn Patients after Cardiac Surgery

Pneumothorax following shoulder arthroscopy under combined regional and general anaesthesia—A case report

Point-of-care lung ultrasound can detect endobronchial intubation during laparoscopic cholecystectomy

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