Real-time ultrasound-guided thoracentesis in the intensive care unit: prevalence of mechanical complications

Lima, David Rene Rodríguez; Yepes, Andrés; Jiménez, Claudia Inés Birchenall; Díaz, Mario Andrés Mercado; Rojas, Darío Isaías Pinilla

doi:10.1186/s13089-020-00172-9

Cited by 11 publications

(13 citation statements)

References 31 publications

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“…Even if pleural effusions are not frequent in COVID-19 patients, bedside thoracentesis can be tolerably performed with an echo-guided technique, to promote lung recruitment and ameliorate oxygenation and to reduce the incidence of peri-procedural complications ( Mercaldi et al 2013 ; Rodriguez-Lima et al 2020 ).…”

Section: Lus May Guide Therapeutic Decisions and Procedures In Intensmentioning

confidence: 99%

Lung Ultrasound May Support Diagnosis and Monitoring of COVID-19 Pneumonia

Allinovi

Parise

Giacalone

et al. 2020

Ultrasound in Medicine & Biology

117

125

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Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) disease (COVID-19) is characterized by severe pneumonia and/or acute respiratory distress syndrome in about 20% of infected patients. Computed tomography (CT) is the routine imaging technique for diagnosis and monitoring of COVID-19 pneumonia. Chest CT has high sensitivity for diagnosis of COVID-19, but is not universally available, requires an infected or unstable patient to be moved to the radiology unit with potential exposure of several people, necessitates proper sanification of the CT room after use and is underutilized in children and pregnant women because of concerns over radiation exposure. The increasing frequency of confirmed COVID-19 cases is striking, and new sensitive diagnostic tools are needed to guide clinical practice. Lung ultrasound (LUS) is an emerging non-invasive bedside technique that is used to diagnose interstitial lung syndrome through evaluation and quantitation of the number of B-lines, pleural irregularities and nodules or consolidations. In patients with COVID-19 pneumonia, LUS reveals a typical pattern of diffuse interstitial lung syndrome, characterized by multiple or confluent bilateral B-lines with spared areas, thickening of the pleural line with pleural line irregularity and peripheral consolidations. LUS has been found to be a promising tool for the diagnosis of COVID-19 pneumonia, and LUS findings correlate fairly with those of chest CT scan. Compared with CT, LUS has several other advantages, such as lack of exposure to radiation, bedside repeatability during follow-up, low cost and easier application in low-resource settings. Consequently, LUS may decrease utilization of conventional diagnostic imaging resources (CT scan and chest X-ray). LUS may help in early diagnosis, therapeutic decisions and follow-up monitoring of COVID-19 pneumonia, particularly in the critical care setting and in pregnant women, children and patients in areas with high rates of community transmission.

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Section: Lus May Guide Therapeutic Decisions and Procedures In Intensmentioning

confidence: 99%

Lung Ultrasound May Support Diagnosis and Monitoring of COVID-19 Pneumonia

Allinovi

Parise

Giacalone

et al. 2020

Ultrasound in Medicine & Biology

117

125

View full text Add to dashboard Cite

show abstract

“…However, other authors include PC in the management in other pathologies, such as pleural effusions, Rodriguez Lima et al [13] with a prospective study including patients critically ill, with associated pleural effusions, showing a 1.2% complications rate, lesser than the reported in the literature, with comparable rates of success.…”

Section: Discussionmentioning

confidence: 96%

Management of pneumothorax with 8.3-French Pigtail Catheter: description of the ultrasound-guided technique and case series

Ramírez-Giraldo

Rey²,

Lima

2023

Ultrasound J

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Spontaneous and traumatic pneumothorax are most often treated with chest tube (CT) thoracostomy. However, it appears that small-bore drainage systems have similar success rates with lower complications, pain, and discomfort for the patient. We present the description of the ultrasound-guided technique for pneumothorax drainage with an 8.3-French pigtail catheter (PC) in a case series of 10 patients.

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“…A prospective study by Rodriguez Lima et al 6 analyzed the use of real-time ultrasound guidance for thoracentesis and found that this procedure improved oxygenation and yielded fewer complications after the procedure (1.2%) compared with landmark technique aspiration of PF (10% to 18%). Another study by Helgeson et al 7 demonstrated that thoracenteses and chest tubes that used real-time ultrasound guidance, when compared with standard of care ultrasound-marked procedures in which the location of the procedure was found with ultrasound imaging but not used during the procedure, had a significantly lower rate of iatrogenic pneumothoraces.…”

Section: Discussionmentioning

confidence: 99%