Ultrasound-Guided Pleural Access

Shojaee, Samira; Argento, A. Christine

doi:10.1055/s-0034-1395794

Cited by 29 publications

(5 citation statements)

References 76 publications

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“…As compared with the first reflection, subsequent reflections reach the transducer with a temporal delay and are erroneously interpreted and displayed as signals from deeper within the lung tissue. Consequently, the distance between the superimposed A-lines is always equidistant to or a multiple of the distance between the pleura and the transducer surface (Shojaee and Argento 2014;Saraogi 2015). Recurrent vertical hypoechoic spaces between A-line conglomerates are caused by ribs that do not allow for the ultrasound waves to penetrate further, generating a downward shadow in the ultrasound image (Villalba-Orero et al 2017).…”

Section: Lus In Healthy Lungsmentioning

confidence: 99%

From bedside to bench: lung ultrasound for the assessment of pulmonary edema in animal models

et al. 2020

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Traditionally, the lung has been excluded from the ultrasound organ repertoire and, hence, the application of lung ultrasound (LUS) was largely limited to a few enthusiastic clinicians. Yet, in the last decades, the recognition of the previously untapped diagnostic potential of LUS in intensive care medicine has fueled its widespread use as a rapid, non-invasive and radiation-free bedside approach with excellent diagnostic accuracy for many of the most common causes of acute respiratory failure, e.g., cardiogenic pulmonary edema, pneumonia, pleural effusion and pneumothorax. Its increased clinical use has also incited attention for the potential usefulness of LUS in preclinical studies with small animal models mimicking lung congestion and pulmonary edema formation. Application of LUS to small animal models of pulmonary edema may save time, is cost-effective, and may reduce the number of experimental animals due to the possibility of serial evaluations in the same animal as compared with traditional end-point measurements. This review provides an overview of the emerging field of LUS with a specific focus on its application in animal models and highlights future perspectives for LUS in preclinical research.

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Section: Lus In Healthy Lungsmentioning

confidence: 99%

From bedside to bench: lung ultrasound for the assessment of pulmonary edema in animal models

et al. 2020

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“…Regarding the safety of VATS, and considering the risk of MACCE causing disabling and/or fatal outcomes after lung cancer surgery, we concluded that continuing aspirin is worthwhile because there were no differences in bleeding events, thrombotic events, and operative times between the aspirin group (group 2) and nonaspirin group (group 1). Ultrasound is a cost-effective imaging modality that permits clinicians to obtain information regarding the thorax without the risk of exposure to ionizing radiation, and it provides real-time and immediate results (23). Because it is easy to use, easy to learn how to use it, portable, and accurate when examining the pleural space, it has allowed for safer pleural procedures, including VATS.…”

Section: Adhesions Predictedmentioning

confidence: 99%

Ultrasonography for Detecting Adhesions: Aspirin Continuation for Lung Resection Patients

Yasukawa¹,

Taiji²,

Marugami³

et al. 2019

In Vivo

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Background/Aim: Aspirin reduces cardiovascular disease and/or stroke risks. However, perioperative aspirin use remains controversial. We assessed the efficacy of ultrasonography to facilitate video-assisted thoracic surgery (VATS). We analyzed the perioperative management of patients using aspirin and its association with bleeding events during lung cancer surgery. Patients and Methods: A total of 38 patients who underwent VATS after continuing or discontinuing aspirin were examined. Ultrasound was performed preoperatively to evaluate the pleural adhesions. Fisher's exact test was used to analyze correlations between the two groups. Results: Dense adhesions were found at VATS ports using ultrasonography (accuracy: 100%). No differences were detected in bleeding, thrombotic events, or operative times between the aspirin and non-aspirin groups. There were differences in bleeding (p=0.009) and operative times (p=0.021) between the dense adhesion and non-dense adhesion groups. Conclusion: Preoperative detection of pleural adhesions using ultrasonography was useful in selecting pulmonary resection patients who continued aspirin perioperatively.

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“…A thorough US study can easily define the precise tumor localization (extrapleural, pleural or parenchymal), the local infiltration, the mass extent and its nature (solid, cystic or complex) . Thoracic US can also guide transthoracic biopsy of pleural tumors if an appropriate and safe window is identified …”

Section: Chest Ultrasound Findingsmentioning

confidence: 99%

New insights in the use of pleural ultrasonography for diagnosis and treatment of pleural disease

Marchetti

Arondi

Baglivo

et al. 2018

Clinical Respiratory J

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The use of transthoracic ultrasound (US) has acquired a wide consensus among respiratory physicians during the last few years. The development of portable devices promotes patient's bedside evaluation providing rapid, real-time and low-cost diagnostic information. The different acoustic impedance between different tissues and organs produces artifacts known as A lines, B lines, sliding sign, lung point, etc. The identification of such artifacts is essential to discriminate normal pleural appearance from the presence of pleural effusion, pneumothorax, thickenings and tumors. Ultrasounds are also a valuable tool during interventional procedures, such as thoracentesis, chest tube insertion and transcutaneous biopsy. Its use is recommended before medical thoracoscopy in order to assess the best site of trocar insertion according to presence, quantity and characteristics of pleural effusion. The aim of this review is to provide practical tips on chest ultrasound in clinical and interventional respiratory practice.

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Ultrasound-Guided Pleural Access

Cited by 29 publications

References 76 publications

From bedside to bench: lung ultrasound for the assessment of pulmonary edema in animal models

From bedside to bench: lung ultrasound for the assessment of pulmonary edema in animal models

Ultrasonography for Detecting Adhesions: Aspirin Continuation for Lung Resection Patients

New insights in the use of pleural ultrasonography for diagnosis and treatment of pleural disease

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