Ultrasound for the Pulmonary Consultant

Chichra, Astha; Makaryus, Mina; Chaudhri, Parag; Narasimhan, Mangala

doi:10.4137/ccrpm.s33382

Cited by 21 publications

(23 citation statements)

References 51 publications

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“…Even though the ultrasound can be used for countless procedures, including the allocation of chest tube in non-emergency situations, 8 no reports about its use as a tool to evaluate chest tube removal can be found.…”

Section: Discussionmentioning

confidence: 99%

Is Bedside Ultrasound Useful for Chest Tube Removal? Description of an Initial Experience

Dorigatti¹,

Melek²,

Schmid³

et al. 2017

Emerg Med Open J

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Introduction: Point-of-care ultrasound is a propaedeutic modality more often used in a daily basis practice. Since the establishment of sonography bases for lung ultrasound, it has become a valuable extension of physical examination, providing new information about lungs, pleural structures and volume status. Currently, the removal of chest tubes is based on clinical data, associated with chest X-ray control. The objective of this manuscript is to describe two cases that ultrasound was used in order to test whether it could be an alternative control tool on these specific scenarios. Methods: Bedside ultrasound was daily performed on two patients with iatrogenic pneumothorax until they met clinical criteria for chest tube removal. Ultrasound exam was performed before and after chest tube removal. Results: In both cases patients were submitted to chest tube placement due to iatrogenic pneumothorax. One of the patients had a pneumothorax during diagnostic thoracocentesis for pleural effusion and the other patient during the placement of a central venous line. In both the cases, bedside ultrasound presented similar results to the chest X-ray. Bedside ultrasound was able to adequately identify chest tube placement and lung expansion. In none of the present cases was possible to see residual pneumothorax also unidentified by the chest X-ray. Conclusion: Even though there is extensive data showing ultrasound superiority when compared to chest X-ray in the diagnosis of pneumothorax, there is little or no data using this method as image criteria for chest tube removal. This article shows two suggestive cases that lung ultrasound could be a simple, bedside manner, to show adequate lung expansion and serve as useful tool for chest tube removal. A prospective study is necessary to provide evidencebased data on the subject.

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Section: Discussionmentioning

confidence: 99%

Is Bedside Ultrasound Useful for Chest Tube Removal? Description of an Initial Experience

Dorigatti¹,

Melek²,

Schmid³

et al. 2017

Emerg Med Open J

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“…МСКТ органов груд-ной клетки, ЭКГ в динамике, ЭхоКГ в динамике с опре-делением давления по малому кругу кровообращения до нагрузки и после нагрузки, ХМТ-ЭКГ, СМАД, стресс-ЭхоКГ, велоэргометрия, оценка функции внешнего ды-хания, анализ газового состава крови [6,123]. Класс IIa, уровень доказательности -С.…”

Section: медицинский вестник северного кавказаunclassified

“…Общий анализ кро-ви (развернутый), общий анализ мочи, глюкоза крови натощак и тест толерантности к глюкозе, липидный спектр, креатинит и расчет скорости клубочковой фильтрации (СКФ), коагулограмма, тиреотропный гормон, мочевина, мочевая кислота, анализ мочи на альбуминурию [6,122,123]. Класс I, уровень доказа-тельности -В.…”

Section: I958 синдром хронической артериальной ги-потензииunclassified

“…Лечение пациентов с АГ проводится согласно со-временным рекомендациям по лечению АГ Всерос-сийского научного общества кардиологов (2010), а также Европейского общества гипертонии и Европей-ского общества кардиологов (2013) [122,123] [2-6, 12, 15, 78, 137]. Сосудистый синдром в виде разрыва аневризм аор-ты и других сосудов может быть основной причиной смерти в 10 % случаев внезапной смерти молодых людей (15-39 лет) с ДСТ.…”

Section: I958 синдром хронической артериальной ги-потензииunclassified

See 1 more Smart Citation

Guidelines of the Russian scientific medical society of internal medicine on the diagnosis, treatment and rehabilitation of patients with the connective tissue dysplasia (first edition)

Martynov¹,

Nechaeva²

2018

Medical news of the North Caucasus

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Клинические рекомендации Российского научного медицинского общества терапевтов по диагностике, ле-чению и реабилитации пациентов с дисплазиями соединительной ткани (первый пересмотр) утверждены на XII Национальном конгрессе терапевтов 22-24 ноября 2017 года. Ключевые слова: дисплазия соединительной ткани, наследственные нарушения соединительной ткани, клинические рекомендацииClinical guidelines of the Russian Scientific Medical Society of Internal Medicine on the diagnosis, treatment and rehabilitation of patients with the connective tissue dysplasia (first edition) approved by the XII National Congress of Internists on 22-24 November 2017.

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“…Thoracic ultrasonography can assess lesions smaller than 1 cm for the pulmonary parenchyma and less than 100 mL of pleural effusion. Due to no risk of irradiation and accessibility, the ultrasound examination can be performed on a daily basis [8][9][10][11][12][13][14]. Recent recommendations from both the European and American Societies of Hematology suggest the reduction of excessive, repeated, sometimes useless irradiation for hematological patients.…”

Section: Introductionmentioning

confidence: 99%

Transthoracic ultrasonography for the immunocompromised patient. A pilot project that introduces transthoracic ultrasonography for the follow-up of hematological patients in Romania

Frinc

Ilies

Zaharie

et al. 2017

Romanian Journal of Internal Medicine

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In the past decade, there has been significant progress in clinical hematology with the discovery of targeted molecules and thus the achievement of both hematologic and molecular responses. Nevertheless, chemotherapy remains the treatment of choice for many types of hematological malignancies. Aggressive chemotherapy leads to immunosuppression, accompanied by a high rate of infections and an increased rate of treatment-related mortality. Invasive fungal infections as well as more common bacterial and viral infections are frequent in immunocompromised patients as they are difficult to diagnose and treat. Pleuropulmonary infections in immunocompromised patients are diagnosed using clinical examination, imaging and laboratory tests. Many laboratory tests are run for several days before a final result is given and are expensive. Computer tomography is a reliable technique, but it is encumbered by high irradiation and high cost, and can assess lesions larger than 1 cm. Transthoracic ultrasound is a modern method, used in the diagnostic algorithm of pleuropulmonary pathology. It allows the diagnosis of small lesions, can be performed at the patients' bedside, with acceptable costs and no irradiation. A fast, informed and accurate medical decision is essential for a favorable outcome in immunosuppressed patients with an adjacent infection. In the current case series we present the implementation of a new protocol for the follow-up of immunocompromised patients using transthoracic ultrasonography, of great potential use in the clinic.

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Ultrasound for the Pulmonary Consultant

Cited by 21 publications

References 51 publications

Is Bedside Ultrasound Useful for Chest Tube Removal? Description of an Initial Experience

Is Bedside Ultrasound Useful for Chest Tube Removal? Description of an Initial Experience

Guidelines of the Russian scientific medical society of internal medicine on the diagnosis, treatment and rehabilitation of patients with the connective tissue dysplasia (first edition)

Transthoracic ultrasonography for the immunocompromised patient. A pilot project that introduces transthoracic ultrasonography for the follow-up of hematological patients in Romania

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