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

Sikora, Kamila; Perera, Phillips; Mailhot, Thomas; Mandavia, Diku

doi:10.5402/2012/676524

Cited by 21 publications

(12 citation statements)

References 47 publications

(63 reference statements)

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“…29 The evidence is also supportive of using LUS to guide thoracentesis, suggesting a lower complication rate, especially regarding the occurrence of pneumothorax. 30,31…”

Section: Pleural Effusionmentioning

confidence: 99%

The sound of air: point-of-care lung ultrasound in perioperative medicine

Goffi

Kruisselbrink

Volpicelli

2018

Can J Anesth/J Can Anesth

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Because of the unique physical properties of the lungs, only a careful and systematic analysis of both artifacts and anatomical images allows accurate interpretation of sonographic findings. Future studies exploring the use of software for automatic interpretation, quantitative methods for the assessment of interstitial syndrome, and continuous monitoring devices may further simplify and expand the use of this technique at the bedside in acute medicine and the perioperative setting.

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“…29 The evidence is also supportive of using LUS to guide thoracentesis, suggesting a lower complication rate, especially regarding the occurrence of pneumothorax. 30,31…”

Section: Pleural Effusionmentioning

confidence: 99%

The sound of air: point-of-care lung ultrasound in perioperative medicine

Goffi

Kruisselbrink

Volpicelli

2018

Can J Anesth/J Can Anesth

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“…Also Sikora et al [16] stated that transthoracic US serves as a more accurate imaging tool than chest radiography for the diagnosis of pleural effusions and allows discrimination of pleural effusions from other lung pathology that may appear similar on a chest radiograph. Furthermore, US can allow diagnosis of complicated pleural effusions, such as empyemas that may be associated with a higher risk for a drainage procedure.…”

Section: Discussionmentioning

confidence: 98%

The use of multi-detector computed tomography and ultrasonography for evaluation of pleural lesions

Bediwy

Badawy

Salama

et al. 2015

Egyptian Journal of Chest Diseases and Tuberculosis

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Background and objective: Multidetector CT (MDCT) and ultrasonography (US) are of increasing importance for assessment of many pulmonary disorders. Our aim was to evaluate their role in diagnosis of pleural diseases.Methods: Patients from Tanta University Hospital who were suspected to have pleural lesions (symptoms, signs and/or suggestive chest X-ray) during one year period were enrolled in the study. US and MDCT were done for all of them, then data were reported and analyzed.Results: Seventy-one patients were included, sixty of them had evident pleural lesions. Chest pain was the commonest presenting symptom. Malignancy represented 36.7% of pleural lesions, a percentage similar to lesions due to infection etiology. Free pleural effusions were the most common pleural lesions followed by pleural thickening. US was diagnostic in 72% of pleural lesions detectable by MDCT. Multiplanar reconstruction (MPR) images had an additional value than axial images in 39% of pleural lesions, mostly in cases of pleural thickening, free pleural effusion, pleural masses, encysted pleural effusions and pleural plaques. On the other hand, the MPR images had the same value as axial images in empyema and pneumothorax cases.Conclusion: MDCT is an important noninvasive imaging tool in accurate detection and characterization of pleural lesions with complementary MPR images that solve many diagnostic problems. Ultrasonography is a safer alternative but with less diagnostic value.

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“…Kamila Sikora et al 24 in a review article on ultrasound for the detection of pleural effusions and guidance of the thoracocentesis procedure found ultrasonography as a more accurate imaging tool than chest radiography for the diagnosis of pleural effusion. This corroborates our study.…”

Section: Discussionmentioning

confidence: 99%