The Diagnosis of Pleural Effusion by Ultrasonic and Radiologic Techniques

Grymiński, J; Krakówka, P; Lypacewicz, G

doi:10.1378/chest.70.1.33

Cited by 176 publications

(84 citation statements)

References 5 publications

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“…Transthoracic sonography is the most sensitive technique, allowing very small volumes of pleural fluids of about 3 to 5 mL to be detected. 7 Pleural effusion may accompany DPLD as well as a variety of other disorders, including heart failure, carcinoma, pneumonia, and pulmonary …”

Section: Discussionmentioning

confidence: 99%

“…Thickened subpleural interlobular septa, as well as ground-glass areas, as present in acute pulmonary edema, have been associated with the presence of comet tail artifacts. 6,7 In patients with diffuse alveolar-interstitial syndrome, multiple comet tail artifacts were found all over the lung surface, with a sensitivity of 93.4%. In the present study, almost all the patients with DPLD showed more than 6 comet tail artifacts per scan.…”

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confidence: 99%

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Transthoracic Sonography of Diffuse Parenchymal Lung Disease

Reißig

Kroegel

2003

Journal of Ultrasound in Medicine

201

111

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Objective. The value of transthoracic sonography in diffuse parenchymal lung disease is not established. This prospective study was conducted to analyze pleural and parenchymal alterations in patients with diffuse parenchymal lung disease by transthoracic sonography and to compare the results with the findings of a control group. Methods. Fifty-three patients with diffuse parenchymal lung disease and 35 control subjects underwent transthoracic sonography for assessment of (1) basal pleural effusion, (2) the presence and number of comet tail artifacts, (3) thickening, (4) an irregular, fragmented pleural line, and (5) subpleural alterations. Results. Basal pleural effusion was revealed in 37.7% of the patients with diffuse parenchymal lung disease (0% of the control subjects; P < .001), and 98.1% had multiple (>6 per scan) comet tail artifacts (14.3% of the control subjects; P < .001). Only a few artifacts (≤6 per scan; P < .001) were shown in 85.7% of the control subjects. All the control subjects had strongly localized comet tail artifacts and no thickened pleural line (84.9% of patients; P < .001). In 98.1% of the patients, an irregular, fragmented pleural surface could be detected (82.8% of the control subjects; P < .05). Subpleural alterations were found in 37.7% of the patients and in 8.6% of the control subjects (P < .001). Conclusions. Diffuse parenchymal lung disease should be considered if multiple comet tail artifacts distributed over the whole surface of the lung together with a thickened and irregular, fragmented pleural line are visible. Transthoracic sonography may reflect the distribution of pleural involvement and may show subpleural alterations.

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Transthoracic Sonography of Diffuse Parenchymal Lung Disease

Reißig

Kroegel

2003

Journal of Ultrasound in Medicine

201

111

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“…The incidence of pleural effusion detected by chest ultrasound was high when compared to plain chest radiograph (Table 1): postero-anterior projection of chest x-ray could not identify a very small amount (less than 100 ml) of pleural effusion, but chest ultrasound detected most of the pleural effusion. Many other studies have also confirmed the superiority of chest ultrasound for detection of small pleural effusion compared to simple chest radiographic technique (Gryminski et al, 1976;Kohan et al, 1986;Lipscomb et al, 1981;Yu et al, 1992;Zanobetti et al, 2011). Thus, the diagnosis of pleural effusions in critically ill patients has been revolutionized with the advent of chest ultrasound allowing easy bedside quantification of pleural fluid and making thoracentesis a safe procedure (Pneumatikos & Bouros, 2008 …”

Section: Accuracy Of Sonographic Detection Of Pleural Effusionmentioning

confidence: 94%

Clinical Utility of Ultrasonographic Detection of Pleural Effusion for Evaluation of Heart Failure Patients

Kataoka¹

2012

Sonography

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“…Compared with chest x-ray, US has high sensitivity and specificity rates for detection of pleural [57,58] and parenchymal [59][60][61][62] diseases of lungs. (Table V) (Figures 5, 6, 7, 8, 9).…”

Section: Thoracic Ultrasonographymentioning

confidence: 99%

Improvements in intensive care units

Karakurt¹,

Yalçin²,

Arıkan³

2016

MMJ

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We have had some important improvements in the intensive care units (ICU) like high flow oxygen system (HFOS), therapeutic hypothermia, extra corporeal membrane oxygenation (ECMO), extra corporeal carbon dioxide removal (ECCOR), echocardiography (ECHO) and ultrasonography (US).HFOS gives oxygen to the patients at rates of flow higher (up to 60 L/min) than that delivered traditionally in LFOS (up to 16L/ min). It is obtained 1 cmH2O PEEP for every 10L/min of flow delivered by HFOS. HFOS serves as an important alternative to noninvasive mechanical ventilation especially in the management of the patients with hypoxemic respiratory failure.Post-resuscitation care consists of optimization of oxygenation and ventilation, avoiding hypotension, treating immediate precipitants of cardiac arrest such as acute coronary ischemia and initiating therapeutic (induced) hypothermia. Therapeutic hypothermia decreases cerebral metabolic rate, blood volume, and intracranial pressure, prevents reperfusion injury. So hypotermia protects cerebral functions.ECMO, the type of cardiopulmonary support, has become an essential tool in critical care patients with severe respiratory and cardiac failure, refractory to conventional therapy methods.Critical care ultrasonography (CCUS) and echocardiography have utility for intensivist-performed, immediate diagnoses of life threatening diseases, with no need to transport patients to radiology or cardiology departments or wait for radiologist or cardiologist on a consultative basis. CCUS and echocardiography should be an essential part of training of every ICU physician.

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The Diagnosis of Pleural Effusion by Ultrasonic and Radiologic Techniques

Cited by 176 publications

References 5 publications

Transthoracic Sonography of Diffuse Parenchymal Lung Disease

Transthoracic Sonography of Diffuse Parenchymal Lung Disease

Clinical Utility of Ultrasonographic Detection of Pleural Effusion for Evaluation of Heart Failure Patients

Improvements in intensive care units

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