Prospective Evaluation of Thoracic Ultrasound in the Detection of Pneumothorax

Dulchavsky, Scott A.; Schwarz, Karl; Kirkpatrick, Andrew W.; Billica, Roger; Williams, David R.; Diebel, Lawrence N.; Campbell, Mark; Sargysan, Ashot; Hamilton, Douglas R.

doi:10.1097/00005373-200102000-00003

Cited by 251 publications

(153 citation statements)

References 8 publications

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“…As the sensitivity of a chest X-ray in the emergency room is only 58.3% (12). Thoracic ultrasound examination is valid when CT scan is not necessary, in comparison with chest X-ray it shows equivalent sensitivity and specificity for diagnosis of pneumothorax (13)(14)(15). Ultrasonography in the emergency room is also a reliable method to exclude pleural/pericardial effusion (16,17).…”

Section: Emergency Room Trauma Life Supportmentioning

confidence: 99%

Management of chest trauma

Ludwig¹,

Koryllos²

2017

J. Thorac. Dis.

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Trauma is the leading cause of death worldwide. Approximately 2/3 of the patients have a chest trauma with varying severity from a simple rib fracture to penetrating injury of the heart or tracheobronchial disruption. Blunt chest trauma is most common with 90% incidence, of which less than 10% require surgical intervention of any kind. Mortality is second highest after head injury, which underlines the importance of initial management. Many of these deaths can be prevented by prompt diagnosis and treatment. What is the role of the thoracic surgeon in the management of chest trauma in severely injured patients? When should the thoracic surgeon be involved? Is there a place for minimal invasive surgery in the management of severely injured patients? With two case reports we would like to demonstrate how the very specific knowledge of thoracic surgeons could help in the care of trauma patients.

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Section: Emergency Room Trauma Life Supportmentioning

confidence: 99%

Management of chest trauma

Ludwig¹,

Koryllos²

2017

J. Thorac. Dis.

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“…[1,2] "Genişletilmiş Acil Travma Ultrasonografisi" (GA-TUS) olarak adlandırdığımız "Extended-Focussed Assessment with Sonography for Trauma" (e-FAST) ise son dönemde literatürde yer almaya başlamış, hemotoraks, pnömotoraks ve karıniçi parankimal değerlen-dirmeyi de uygulamaya dahil eden bir kavramdır. [3,4] Ülkemizde travmalı hastada, acil hekimlerince yapılan GATUS ile karıniçi sıvının tanınmasına ilişkin kısıtlı sayıda çalışma mevcuttur. [5,6] Çoklu travmalı hasta grubunda sıklıkla karşılaşı-labilen bir diğer patoloji olan pnömotoraks, tanı ve tedavinin gecikmesi halinde, hayati tehlike yaratabilecek bir durumdur.…”

Section: Sonuçunclassified

“…Bu hastaların tamamında GATUS pozitifken, üçünde SAG'de pnömotoraks saptanabilmiştir. Bu hastalardan 2. derece pnömotorakslara %46 (n=6), 3. derece pnömotorakslara %66,6 (n=4).…”

Section: Bulgularunclassified

Impact of the practice of "Extended Focused Assessment with Sonography for Trauma" (e-FAST) on clinical decision in the emergency department

Uz¹,

Yürüktümen²,

Boydak³

et al. 2013

Ulus Travma Acil Cerrahi Derg

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“…However, it is mostly seen with blunt or penetrating trauma. [3] The rate of PNX prevalence in cases of blunt trauma is 15-50%. [4] Diagnosis is generally confirmed by chest radiography [posteroanterior chest radiography -PACR].…”

mentioning

confidence: 99%

“…[4] Diagnosis is generally confirmed by chest radiography [posteroanterior chest radiography -PACR]. [3] The radiography performed when patient is in standing position is more conducive in detection of PNX. However, in most cases, chest radiography of trauma patients cannot be performed in standing position due to conditions such as the protection of cervical vertebras, hemodynamic instability, immobilization…”

mentioning

confidence: 99%

A Study on the Evaluation of Pneumothorax by Imaging Methods in Patients Presenting to Emergency Department for Blunt Thoracic Trauma

Kaya

Çevik

Acar

et al. 2015

Ulus Travma Acil Cerrahi Derg

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BACKGROUND: Pneumothorax (PNX) is the collection of air between parietal and visceral pleura, and collapsed lung develops as a complication of the trapped air. PNX is likely to develop spontaneously in people with risk factors. However, it is mostly seen with blunt or penetrating trauma. Diagnosis is generally confirmed by chest radiography [posteroanterior chest radiography (PACR)]. Chest ultrasound (US) is also a promising technique for the detection of PNX in trauma patients. There is not much literature on the evaluation of blunt thoracic trauma (BTT) and pneumothorax (PNX) in the emergency department (ED). The aim of this study was to investigate the effectiveness of chest US for the diagnosis of PNX in patients presenting to ED with BTT

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Prospective Evaluation of Thoracic Ultrasound in the Detection of Pneumothorax

Cited by 251 publications

References 8 publications

Management of chest trauma

Management of chest trauma

Impact of the practice of "Extended Focused Assessment with Sonography for Trauma" (e-FAST) on clinical decision in the emergency department

A Study on the Evaluation of Pneumothorax by Imaging Methods in Patients Presenting to Emergency Department for Blunt Thoracic Trauma

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