Is the Finding of an Absent “Sinusoid Sign” on Lung Ultrasound Meaningful?

Herman, Derrick; Cooper, Avraham Z.; Esguerra, Vincent

doi:10.1513/annalsats.201904-309le

Cited by 2 publications

(1 citation statement)

References 5 publications

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“…Conversely, identifying NEL prior to definitive intervention would be of benefit as first-line IPC is the optimal choice in these cases. Noninvasive techniques that can forecast its probability include TUS identification of an absent sinusoid sign (a dynamic sonographic M-mode finding indicating motion of atelectatic lung during respiration within pleural fluid) and reduced motion of the atelectatic lung [160][161][162]. Fluid leakage Can occur secondary to rapid fluid accumulation and/or poor wound healing Limit tract size during insertion and avoid cuff placement near exit site to minimise risk Optimise adequate drainage and wound healing (appropriate dressings, dietary intake, etc.…”

Section: Challenges In Managementmentioning

confidence: 99%

Malignant pleural disease

Piggott,

Hayes,

Greene

et al. 2023

Breathe

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Malignant pleural disease represents a growing healthcare burden. Malignant pleural effusion affects approximately 1 million people globally per year, causes disabling breathlessness and indicates a shortened life expectancy. Timely diagnosis is imperative to relieve symptoms and optimise quality of life, and should give consideration to individual patient factors. This review aims to provide an overview of epidemiology, pathogenesis and suggested diagnostic pathways in malignant pleural disease, to outline management options for malignant pleural effusion and malignant pleural mesothelioma, highlighting the need for a holistic approach, and to discuss potential challenges including non-expandable lung and septated effusions.

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Section: Challenges In Managementmentioning

confidence: 99%

Malignant pleural disease

Piggott,

Hayes,

Greene

et al. 2023

Breathe

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AABIP Evidence-informed Guidelines and Expert Panel Report for the Management of Indwelling Pleural Catheters

Miller

Chrissian

Lee

et al. 2020

Journal of Bronchology &Amp; Interventional Pulmonology

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Background: While the efficacy of Indwelling pleural catheters for palliation of malignant pleural effusions is supported by relatively robust evidence, there is less clarity surrounding the postinsertion management. Methods: The Trustworthy Consensus-Based Statement approach was utilized to develop unbiased, scientifically valid guidance for the management of patients with malignant effusions treated with indwelling pleural catheters. A comprehensive electronic database search of PubMed was performed based on a priori crafted PICO questions (Population/Intervention/Comparator/Outcomes paradigm). Manual searches of the literature were performed to identify additional relevant literature. Dual screenings at the title, abstract, and full-text levels were performed. Identified studies were then assessed for quality based on a combination of validated tools. Appropriateness for data pooling and formation of evidence-based recommendations was assessed using predetermined criteria. All panel members participated in development of the final recommendations utilizing the modified Delphi technique. Results: A total of 7 studies were identified for formal quality assessment, all of which were deemed to have a high risk of bias. There was insufficient evidence to allow for data pooling and formation of any evidence-based recommendations. Panel consensus resulted in 11 ungraded consensus-based recommendations. Conclusion: This manuscript was developed to provide clinicians with guidance on the management of patients with indwelling pleural catheters placed for palliation of malignant pleural effusions. Through a systematic and rigorous process, management suggestions were developed based on the best available evidence with augmentation by expert opinion when necessary. In addition, these guidelines highlight important gaps in knowledge which require further study.

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Is the Finding of an Absent “Sinusoid Sign” on Lung Ultrasound Meaningful?

Cited by 2 publications

References 5 publications

Malignant pleural disease

Malignant pleural disease

AABIP Evidence-informed Guidelines and Expert Panel Report for the Management of Indwelling Pleural Catheters

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