Transthoracic Ultrasonography in Predicting the Outcome of Small-Bore Catheter Drainage in Empyemas or Complicated Parapneumonic Effusions

Chen, Chia-Hung; Chen, Wei; Chen, Hung Jen; Yang, Yu; Lin, Yu‐Wei; Tu, Chih Yen; Hsu, Wu Huei

doi:10.1016/j.ultrasmedbio.2009.04.021

Cited by 62 publications

(36 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The presence of septations from inflammatory stranding has been correlated with an increased need for surgical drainage in children [15]. Unfortunately, the presence of complex septations within a pleural effusion has also been associated with a poorer outcome for successful catheter drainage and a higher overall patient mortality rate (Figure 11) [16,17]. Color flow Doppler imaging may be helpful in differentiating an empyema from the more vascular lung abscess [18].…”

Section: Thoracentesis Techniquesmentioning

confidence: 99%

Ultrasound for the Detection of Pleural Effusions and Guidance of the Thoracentesis Procedure

Sikora

Perera

Mailhot

et al. 2012

ISRN Emergency Medicine

View full text Add to dashboard Cite

Objective. To review the use of ultrasound for the detection of pleural effusions and guidance of the thoracentesis procedure. Methods. Two clinical cases will be presented in which ultrasound proved beneficial in guiding the diagnosis and management of patients with pleural effusions and respiratory distress. The ultrasound techniques for the evaluation of pleural effusions and performance of the thoracentesis procedure are discussed. A review of the most current literature follows to present the known diagnostic and safety benefits of ultrasound guidance for thoracentesis. Conclusions. Ultrasound improves the diagnostic accuracy for the detection of pleural effusions over standard chest radiographs. Ultrasound can also diagnose a complicated pleural effusion that may be at higher risk for an adverse outcome during a thoracentesis. Optimally, thoracentesis should be performed under direct ultrasound guidance to decrease the complication rate and improve patient safety.

show abstract

Section: Thoracentesis Techniquesmentioning

confidence: 99%

Ultrasound for the Detection of Pleural Effusions and Guidance of the Thoracentesis Procedure

Sikora

Perera

Mailhot

et al. 2012

ISRN Emergency Medicine

View full text Add to dashboard Cite

show abstract

“…1) can reliably demonstrate loculations and septations [69], and increases the success rate and reduces the complications of thoracentesis [70]. A recent retrospective study of 141 patients has demonstrated the appearance of sonographic septation to be a useful sign to help predict the outcome of small-bore catheter drainage in cases of empyema or complicated parapneumonic pleural effusion [71]. Patients with a complex septated sonographic pattern had a poorer prognosis for a successful outcome, higher ICU admission rate and a higher mortality rate.…”

Section: Radiological Investigationsmentioning

confidence: 99%

Empyema thoracis: new insights into an old disease

Brims

Lansley²,

Waterer³

et al. 2010

Eur Respir Rev

View full text Add to dashboard Cite

Pleural infection is a disease of historical importance and is still a modern menace, with incidences rising in adults and children, and a significant mortality in adults. Basic research is hampered by limitations with in vivo models, and the bacteriology of empyema is complex. The role of thoracic ultrasound in guiding investigation and drainage of empyema is clear. Prompt treatment with appropriate systemic antibiotics and chest tube drainage are the key; in cases of failure of these measures, thoracic surgery is of proven efficacy in the treatment of this age-old disease.

show abstract

“…Ultrasound may predict the likelihood of successful pleural drainage. In one study, all anechoic para-pneumonic effusions were drained, whereas complex and septated effusions were successfully drained only half the time [46]. The movement and strain pattern of atelectatic lung in response to the cardiac impulse can also predict the presence of trapped lung [47].…”

Section: Pleural Effusionmentioning

confidence: 99%

The efficacy of bedside chest ultrasound: from accuracy to outcomes

Hew

Tay

2016

Eur Respir Rev

View full text Add to dashboard Cite

For many respiratory physicians, point-of-care chest ultrasound is now an integral part of clinical practice. The diagnostic accuracy of ultrasound to detect abnormalities of the pleura, the lung parenchyma and the thoracic musculoskeletal system is well described. However, the efficacy of a test extends beyond just diagnostic accuracy. The true value of a test depends on the degree to which diagnostic accuracy efficacy influences decision-making efficacy, and the subsequent extent to which this impacts health outcome efficacy. We therefore reviewed the demonstrable levels of test efficacy for bedside ultrasound of the pleura, lung parenchyma and thoracic musculoskeletal system.For bedside ultrasound of the pleura, there is evidence supporting diagnostic accuracy efficacy, decisionmaking efficacy and health outcome efficacy, predominantly in guiding pleural interventions. For the lung parenchyma, chest ultrasound has an impact on diagnostic accuracy and decision-making for patients presenting with acute respiratory failure or breathlessness, but there are no data as yet on actual health outcomes. For ultrasound of the thoracic musculoskeletal system, there is robust evidence only for diagnostic accuracy efficacy.We therefore outline avenues to further validate bedside chest ultrasound beyond diagnostic accuracy, with an emphasis on confirming enhanced health outcomes. @ERSpublicationsThe next challenge in bedside chest ultrasound is to refocus from diagnostic accuracy toward patient outcomes http://ow.ly/NyNR3027WLU

show abstract

Transthoracic Ultrasonography in Predicting the Outcome of Small-Bore Catheter Drainage in Empyemas or Complicated Parapneumonic Effusions

Cited by 62 publications

References 13 publications

Ultrasound for the Detection of Pleural Effusions and Guidance of the Thoracentesis Procedure

Ultrasound for the Detection of Pleural Effusions and Guidance of the Thoracentesis Procedure

Empyema thoracis: new insights into an old disease

The efficacy of bedside chest ultrasound: from accuracy to outcomes

Contact Info

Product

Resources

About