Chest ultrasonography versus supine chest radiography for diagnosis of pneumothorax in trauma patients in the emergency department

Chan, Kenneth K.; Joo, Daniel A; McRae, Andrew; Takwoingi, Yemisi; Premji, Zahra; Lang, Eddy; Wakai, Abel

doi:10.1002/14651858.cd013031

Cited by 38 publications

(53 citation statements)

References 27 publications

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“…For patients presenting with dyspnea, POCUS examinations of the heart and lungs have been shown to be more accurate than traditional physical examination techniques in detecting the most common etiologies of this concern. 2,3 Further, multiple prospective cohort studies have found lung ultrasound to be more accurate than chest x-ray, currently the first-line imaging modality for work up of dyspnea and detection of pleural effusion, 14 pulmonary edema, 15 pneumonia, 4 and pneumothorax 5 -some of the most common causes of dyspnea.…”

Section: Increased Diagnostic Accuracy At the Bedsidementioning

confidence: 99%

“…[1][2][3] Emerging evidence shows that the accuracy of certain POCUS applications rivals and sometimes surpasses that of conventional imaging tests. [4][5][6] Growing literature supports the notion that POCUS can expedite diagnosis as well as reduce the number of imaging tests, patient exposure to ionizing radiation, and overall costs. [7][8][9][10] Recently, several low-cost handheld ultrasound devices that generate high-resolution images have entered the market and are being purchased directly by clinicians.…”

mentioning

confidence: 99%

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Point-of-Care Ultrasound and Modernization of the Bedside Assessment

Maw

Huebschmann

Mould‐Millman

et al. 2020

Journal of Graduate Medical Education

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Section: Increased Diagnostic Accuracy At the Bedsidementioning

confidence: 99%

mentioning

confidence: 99%

Point-of-Care Ultrasound and Modernization of the Bedside Assessment

Maw

Huebschmann

Mould‐Millman

et al. 2020

Journal of Graduate Medical Education

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“…Chan et al, in a recent Cochrane Database systematic review examining LUS versus CXR for the diagnosis of PTX in trauma patients, reported a sensitivity of 0.91 (95% CI, 0.85-0.94) and specificity of 0.99 (95% CI, 0.97-1.00) for LUS, compared to a sensitivity of 0.47 (95% CI, 0.31-0.63) for CXR. 43 This review suggested the superior diagnostic accuracy of LUS versus CXR for PTX diagnosis.…”

Section: Lus Versus Other Imaging Modalitiesmentioning

confidence: 98%

Point-of-Care Ultrasound (POCUS) for the Cardiothoracic Anesthesiologist

Kalagara

Coker

Gerstein

et al. 2022

Journal of Cardiothoracic and Vascular Anesthesia

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Point-of-Care Ultrasound (POCUS) is a valuable bedside diagnostic tool for a variety of expeditious clinical assessments or as guidance for a multitude of acute care procedures. Varying aspects of nearly all organ systems can be evaluated using POCUS and, with the increasing availability of affordable ultrasound systems over the past decade, many now refer to POCUS as the 21 st-century stethoscope. With the current available and growing evidence for the clinical value of POCUS, its utility across the perioperative arena adds enormous benefit to clinical decisionmaking. Cardiothoracic anesthesiologists routinely have used portable ultrasound systems for nearly as long as the technology has been available, making POCUS applications a natural extension of existing cardiothoracic anesthesia practice. This narrative review presents a broad discussion of the utility of POCUS for the cardiothoracic anesthesiologist in varying perioperative contexts, including the preoperative clinic, the operating room (OR), intensive care unit (ICU), and others. Furthermore, POCUS-related education, competence, and certification are addressed.

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“…25 In all these points, supine CXR comes in second place. 25 In all these points, supine CXR comes in second place.…”

mentioning

confidence: 99%

“…Other advantages of chest US are the bedside nature of the test, lack of need for additional equipment or personnel not already in the trauma bay, repeatability, immediacy of diagnosis and lack of radiation. 25 In all these points, supine CXR comes in second place.…”

mentioning

confidence: 99%

Should we ditch the supine chest X ray in early trauma assessment?

Lokuge

2019

Australas J Ultrason Med

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The supine chest X ray is a standard part of early trauma assessment protocols. It is used to rapidly identify potentially life threatening chest injuries. However, latest research shows that chest ultrasound has superior accuracy when compared to supine chest X ray for diagnosing most chest injuries. Is it time we allowed ultrasound to supersede supine chest X ray as the initial investigative modality of choice for the patient with thoracic trauma?

show abstract

Chest ultrasonography versus supine chest radiography for diagnosis of pneumothorax in trauma patients in the emergency department

Cited by 38 publications

References 27 publications

Point-of-Care Ultrasound and Modernization of the Bedside Assessment

Point-of-Care Ultrasound and Modernization of the Bedside Assessment

Point-of-Care Ultrasound (POCUS) for the Cardiothoracic Anesthesiologist

Should we ditch the supine chest X ray in early trauma assessment?

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