Chest ultrasonography for the emergency diagnosis of traumatic pneumothorax and haemothorax: A systematic review and meta-analysis

Staub, Leonardo Jönck; Biscaro, Roberta Rodolfo Mazzali; Kaszubowski, Erikson; Silva, Rosemeri Maurici da

doi:10.1016/j.injury.2018.01.033

Cited by 105 publications

(80 citation statements)

References 29 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Over a span of 20 years the EM POCUS community, through significant scholarly contribution to clinical ultrasound, has demonstrated excellent agreement with imaging specialists in well performed studies spanning areas from vascular surgery, trauma surgery, obstetrics, and radiology to name a few. [1][2][3] In stark contrast to the author's conclusions, these studies addressed skepticism within emergency medicine and other fields by demonstrating that emergency physicians make accurate diagnoses and clinical decisions without a need to corroborate their findings using additional imaging tests.…”

mentioning

confidence: 87%

Regarding the article entitled “Do emergency physicians rely on point‐of‐care ultrasound for clinical decision making without additional confirmatory testing?”

Liu

Theodoro

Fields

et al. 2019

J of Clinical Ultrasound

View full text Add to dashboard Cite

mentioning

confidence: 87%

Regarding the article entitled “Do emergency physicians rely on point‐of‐care ultrasound for clinical decision making without additional confirmatory testing?”

Liu

Theodoro

Fields

et al. 2019

J of Clinical Ultrasound

View full text Add to dashboard Cite

“…Finally, ultrasound is superior to chest X-ray for the detection of pneumothorax in supine patients. Two meta-analyses found sensitivities of 68.1-91.8 % with a tendency towards higher values [14,20] compared to sensitivities of 29.4-55 % for chest X-ray [20].…”

Section: Sensitivity Of E-fast (See ▶ Table 1)mentioning

confidence: 97%

“…Ultrasound has superior sensitivities compared to chest X-ray (41-94 % and 33-68 %, respectively), and shows a tendency towards the higher values [13,14]. It is also superior to thoracic radiographs with regard to the detection of rib fractures, sternal fractures and lung contusions [15][16][17].…”

Section: Sensitivity Of E-fast (See ▶ Table 1)mentioning

confidence: 99%

New Perspectives for Modern Trauma Management – Lessons Learned from 25 Years FAST and 15 Years E-FAST

Österwalder¹,

Mathis²,

Hoffmann

2019

Ultraschall in Med

View full text Add to dashboard Cite

E-FAST (Extended-Focused Assessment with Sonography for Trauma) is now a widely utilized and internationally recognized standard exam in trauma care. It is highly accepted by emergency physicians and trauma surgeons alike. Thanks to the popularity of PoCUS (point-of-care ultrasound), it has continued to evolve over the last years and can now improve trauma diagnosis at all stages of the primary ABCDE. This review article summarizes key observations made over recent years and also highlights the extension of FAST into E-FAST in the context of PoCUS and CT developments for modern trauma management. Time has come to learn the lessons from 25 years of FAST and 15 years of E-FAST. We should redefine and position ultrasound in the primary ATLS survey (Advanced Trauma Life Support) on two levels: 1. Basic ATLS with new clinical questions, six additional abdominal image sections and one or more follow-up examinations depending on the clinical situation, and 2. Advanced ATLS with ultrasound applications for the entire trauma ABCDE.

show abstract

“…Da die Pleurasonografie mit hoher Treffsicherheit einen Pneumo-oder Hämatothorax diagnostizieren bzw. ausschließen kann, wird diese Methode zunehmend angewandt, um Röntgenaufnahmen zu vermeiden [16]. Besteht der sonografische und/oder röntgenologische Verdacht, sollte eine Computertomografie (CT) mit Kontrastmittel angeschlossen werden.…”

Section: Diagnostikunclassified

Die pleurale Residualhöhle nach Lungenresektion

Lesser

2019

Zentralbl Chir

View full text Add to dashboard Cite

ZusammenfassungBei ca. 10% der Patienten kommt es nach anatomischer Lungenresektion zu einer pleuralen Residualhöhle. Die häufigsten Ursachen sind die Lungenparenchymerkrankung mit verminderter Compliance und die Luftfistel. Tritt bis zum Ende der 4. Woche keine Komplikation auf, ist mit einem unkomplizierten Verlauf (Resorption der Luft) zu rechnen. Bei einer Infektion der Höhle und einer bronchopleuralen Fistel besteht die Gefahr der inneren Aspiration mit Ausbildung einer lebensbedrohlichen Pneumonie. In diesen Fällen ist ein operatives Vorgehen indiziert. Die Wahl des operativen Verfahrens ist eine individuelle Entscheidung, wobei der Allgemeinzustand, Nebenerkrankungen, die Mobilität und Motivation des Patienten, die respiratorische Funktion, die Qualität des Lungengewebes, das Grundleiden sowie dessen Prognose und lokale wie auch systemische Auswirkungen der chronischen Höhleninfektion berücksichtigt werden müssen. Für die operative Therapie einer pleuralen Residualhöhle stehen folgende Verfahren zur Verfügung: Pleuradrainage, Pneumoperitoneum, Pleurazelt, Dekortikation der Lunge, Muskeltransposition, Thorakoplastik, Thorakostoma, Kombinationsverfahren. Die Drainage- oder Dekortikationsverfahren setzen eine ausdehnungsfähige Restlunge voraus. Eine besondere Herausforderung stellt das Postpneumonektomieempyem dar. Zur Vermeidung einer pleuralen Residualhöhle können bereits beim Ersteingriff prophylaktische Maßnahmen (Pleurazelt, Pneumoperitoneum, N.-phrenicus-Blockade) erfolgen.

show abstract

Chest ultrasonography for the emergency diagnosis of traumatic pneumothorax and haemothorax: A systematic review and meta-analysis

Cited by 105 publications

References 29 publications

Regarding the article entitled “Do emergency physicians rely on point‐of‐care ultrasound for clinical decision making without additional confirmatory testing?”

Regarding the article entitled “Do emergency physicians rely on point‐of‐care ultrasound for clinical decision making without additional confirmatory testing?”

New Perspectives for Modern Trauma Management – Lessons Learned from 25 Years FAST and 15 Years E-FAST

Die pleurale Residualhöhle nach Lungenresektion

Contact Info

Product

Resources

About