Absence of lung sliding is not a reliable sign of pneumothorax in patients with high positive end-expiratory pressure
The values of PEEP at which LS disappeared during the increasing arm of recruitment manouver did not show statistical significance from values obtained in the decreasing arm (Wilcoxon signed rank test, P=1.000 for the left lung, P=.875 for the right lung). [...]from data pooled for both sides and fr...
Gespeichert in:
| Veröffentlicht in: | The American journal of emergency medicine 2016-10, Vol.34 (10), p.2034-2036 |
|---|---|
| Hauptverfasser: | , , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 2036 |
|---|---|
| container_issue | 10 |
| container_start_page | 2034 |
| container_title | The American journal of emergency medicine |
| container_volume | 34 |
| creator | Markota, Andrej, MD Golub, Jerneja, MD Stožer, Andraž, MD, PhD Fluher, Jure, MD Prosen, Gregor, MD Bergauer, Andrej, MD Svenšek, Franci, MD, MSc Sinkovič, Andreja, MD, PhD |
| description | The values of PEEP at which LS disappeared during the increasing arm of recruitment manouver did not show statistical significance from values obtained in the decreasing arm (Wilcoxon signed rank test, P=1.000 for the left lung, P=.875 for the right lung). [...]from data pooled for both sides and from both increasing and decreasing part of recruitment maneuver, the median value of PEEP at which LS disappeared as a false positive sign of pneumothorax was 25 cmH2O (interquartile range, 20-30 cmH2O) ( Fig. 2 ). [...]according to our study the median value of PEEP at which LS disappears as a false positive sign of pneumothorax is 25 cmH2O, LS was absent at PEEP 15 cmH2O in 4.5% and at PEEP 20 cmH2O in 26.9% of cases. |
| doi_str_mv | 10.1016/j.ajem.2016.07.032 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1835381714</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0735675716304272</els_id><sourcerecordid>1835381714</sourcerecordid><originalsourceid>FETCH-LOGICAL-c439t-8cb470bbc373535260138d1690b16753a10bcee2a2a096fe213cd3d11aba809e3</originalsourceid><addsrcrecordid>eNp9kk9v1DAQxS0EotvCF-CALHHhksV_kjiREFJVQUGqxAE4W44zuzshsYPttN1vj6MtIPXAaXz4vSe_eUPIK862nPH63bA1A0xbkd9bprZMiidkwyspioYr_pRsmJJVUatKnZHzGAfGOC-r8jk5E6pshaj5hiyXXQRngfodHRe3p3HEHvPESJ1P1NAAI5puBBpx71ZsdrBMPh18MPcUHZ1NQnAp0jtMB3rA_YHOPmLCW6Dg-gLuZwwm-XCkc4AYlwAvyLOdGSO8fJgX5Menj9-vPhc3X6-_XF3eFLaUbSoa25WKdZ2VOYisRM24bHpet6zjOZY0nHUWQBhhWFvvQHBpe9lzbjrTsBbkBXl78p2D_7VATHrCaGEcjQO_RM2b7Lsuq8zom0fo4Jfg8u8yJapatYyJTIkTZYOPMcBOzwEnE46aM72Woge9lqLXUjRTOpeSRa8frJdugv6v5E8LGXh_AiDv4hYh6GhxbaXHADbp3uP__T88ktsRHVoz_oQjxH85dBSa6W_rWaxXwWvJSqGE_A1X5LLH</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1825679002</pqid></control><display><type>article</type><title>Absence of lung sliding is not a reliable sign of pneumothorax in patients with high positive end-expiratory pressure</title><source>MEDLINE</source><source>Elsevier ScienceDirect Journals</source><creator>Markota, Andrej, MD ; Golub, Jerneja, MD ; Stožer, Andraž, MD, PhD ; Fluher, Jure, MD ; Prosen, Gregor, MD ; Bergauer, Andrej, MD ; Svenšek, Franci, MD, MSc ; Sinkovič, Andreja, MD, PhD</creator><creatorcontrib>Markota, Andrej, MD ; Golub, Jerneja, MD ; Stožer, Andraž, MD, PhD ; Fluher, Jure, MD ; Prosen, Gregor, MD ; Bergauer, Andrej, MD ; Svenšek, Franci, MD, MSc ; Sinkovič, Andreja, MD, PhD</creatorcontrib><description>The values of PEEP at which LS disappeared during the increasing arm of recruitment manouver did not show statistical significance from values obtained in the decreasing arm (Wilcoxon signed rank test, P=1.000 for the left lung, P=.875 for the right lung). [...]from data pooled for both sides and from both increasing and decreasing part of recruitment maneuver, the median value of PEEP at which LS disappeared as a false positive sign of pneumothorax was 25 cmH2O (interquartile range, 20-30 cmH2O) ( Fig. 2 ). [...]according to our study the median value of PEEP at which LS disappears as a false positive sign of pneumothorax is 25 cmH2O, LS was absent at PEEP 15 cmH2O in 4.5% and at PEEP 20 cmH2O in 26.9% of cases.</description><identifier>ISSN: 0735-6757</identifier><identifier>EISSN: 1532-8171</identifier><identifier>DOI: 10.1016/j.ajem.2016.07.032</identifier><identifier>PMID: 27492261</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Aged ; Emergency ; Emergency medical care ; Female ; Humans ; Lung - diagnostic imaging ; Lung diseases ; Male ; Patients ; Pneumothorax - diagnosis ; Pneumothorax - etiology ; Pneumothorax - physiopathology ; Point-of-Care Testing ; Positive-Pressure Respiration - adverse effects ; Prospective Studies ; Recruitment ; Respiratory distress syndrome ; Respiratory therapy ; Signs ; Tomography, X-Ray Computed ; Ultrasonography</subject><ispartof>The American journal of emergency medicine, 2016-10, Vol.34 (10), p.2034-2036</ispartof><rights>2016 Elsevier Inc.</rights><rights>Copyright Elsevier Limited 2016</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c439t-8cb470bbc373535260138d1690b16753a10bcee2a2a096fe213cd3d11aba809e3</citedby><cites>FETCH-LOGICAL-c439t-8cb470bbc373535260138d1690b16753a10bcee2a2a096fe213cd3d11aba809e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0735675716304272$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27492261$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Markota, Andrej, MD</creatorcontrib><creatorcontrib>Golub, Jerneja, MD</creatorcontrib><creatorcontrib>Stožer, Andraž, MD, PhD</creatorcontrib><creatorcontrib>Fluher, Jure, MD</creatorcontrib><creatorcontrib>Prosen, Gregor, MD</creatorcontrib><creatorcontrib>Bergauer, Andrej, MD</creatorcontrib><creatorcontrib>Svenšek, Franci, MD, MSc</creatorcontrib><creatorcontrib>Sinkovič, Andreja, MD, PhD</creatorcontrib><title>Absence of lung sliding is not a reliable sign of pneumothorax in patients with high positive end-expiratory pressure</title><title>The American journal of emergency medicine</title><addtitle>Am J Emerg Med</addtitle><description>The values of PEEP at which LS disappeared during the increasing arm of recruitment manouver did not show statistical significance from values obtained in the decreasing arm (Wilcoxon signed rank test, P=1.000 for the left lung, P=.875 for the right lung). [...]from data pooled for both sides and from both increasing and decreasing part of recruitment maneuver, the median value of PEEP at which LS disappeared as a false positive sign of pneumothorax was 25 cmH2O (interquartile range, 20-30 cmH2O) ( Fig. 2 ). [...]according to our study the median value of PEEP at which LS disappears as a false positive sign of pneumothorax is 25 cmH2O, LS was absent at PEEP 15 cmH2O in 4.5% and at PEEP 20 cmH2O in 26.9% of cases.</description><subject>Aged</subject><subject>Emergency</subject><subject>Emergency medical care</subject><subject>Female</subject><subject>Humans</subject><subject>Lung - diagnostic imaging</subject><subject>Lung diseases</subject><subject>Male</subject><subject>Patients</subject><subject>Pneumothorax - diagnosis</subject><subject>Pneumothorax - etiology</subject><subject>Pneumothorax - physiopathology</subject><subject>Point-of-Care Testing</subject><subject>Positive-Pressure Respiration - adverse effects</subject><subject>Prospective Studies</subject><subject>Recruitment</subject><subject>Respiratory distress syndrome</subject><subject>Respiratory therapy</subject><subject>Signs</subject><subject>Tomography, X-Ray Computed</subject><subject>Ultrasonography</subject><issn>0735-6757</issn><issn>1532-8171</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp9kk9v1DAQxS0EotvCF-CALHHhksV_kjiREFJVQUGqxAE4W44zuzshsYPttN1vj6MtIPXAaXz4vSe_eUPIK862nPH63bA1A0xbkd9bprZMiidkwyspioYr_pRsmJJVUatKnZHzGAfGOC-r8jk5E6pshaj5hiyXXQRngfodHRe3p3HEHvPESJ1P1NAAI5puBBpx71ZsdrBMPh18MPcUHZ1NQnAp0jtMB3rA_YHOPmLCW6Dg-gLuZwwm-XCkc4AYlwAvyLOdGSO8fJgX5Menj9-vPhc3X6-_XF3eFLaUbSoa25WKdZ2VOYisRM24bHpet6zjOZY0nHUWQBhhWFvvQHBpe9lzbjrTsBbkBXl78p2D_7VATHrCaGEcjQO_RM2b7Lsuq8zom0fo4Jfg8u8yJapatYyJTIkTZYOPMcBOzwEnE46aM72Woge9lqLXUjRTOpeSRa8frJdugv6v5E8LGXh_AiDv4hYh6GhxbaXHADbp3uP__T88ktsRHVoz_oQjxH85dBSa6W_rWaxXwWvJSqGE_A1X5LLH</recordid><startdate>20161001</startdate><enddate>20161001</enddate><creator>Markota, Andrej, MD</creator><creator>Golub, Jerneja, MD</creator><creator>Stožer, Andraž, MD, PhD</creator><creator>Fluher, Jure, MD</creator><creator>Prosen, Gregor, MD</creator><creator>Bergauer, Andrej, MD</creator><creator>Svenšek, Franci, MD, MSc</creator><creator>Sinkovič, Andreja, MD, PhD</creator><general>Elsevier Inc</general><general>Elsevier Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7T5</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>H94</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20161001</creationdate><title>Absence of lung sliding is not a reliable sign of pneumothorax in patients with high positive end-expiratory pressure</title><author>Markota, Andrej, MD ; Golub, Jerneja, MD ; Stožer, Andraž, MD, PhD ; Fluher, Jure, MD ; Prosen, Gregor, MD ; Bergauer, Andrej, MD ; Svenšek, Franci, MD, MSc ; Sinkovič, Andreja, MD, PhD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c439t-8cb470bbc373535260138d1690b16753a10bcee2a2a096fe213cd3d11aba809e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Aged</topic><topic>Emergency</topic><topic>Emergency medical care</topic><topic>Female</topic><topic>Humans</topic><topic>Lung - diagnostic imaging</topic><topic>Lung diseases</topic><topic>Male</topic><topic>Patients</topic><topic>Pneumothorax - diagnosis</topic><topic>Pneumothorax - etiology</topic><topic>Pneumothorax - physiopathology</topic><topic>Point-of-Care Testing</topic><topic>Positive-Pressure Respiration - adverse effects</topic><topic>Prospective Studies</topic><topic>Recruitment</topic><topic>Respiratory distress syndrome</topic><topic>Respiratory therapy</topic><topic>Signs</topic><topic>Tomography, X-Ray Computed</topic><topic>Ultrasonography</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Markota, Andrej, MD</creatorcontrib><creatorcontrib>Golub, Jerneja, MD</creatorcontrib><creatorcontrib>Stožer, Andraž, MD, PhD</creatorcontrib><creatorcontrib>Fluher, Jure, MD</creatorcontrib><creatorcontrib>Prosen, Gregor, MD</creatorcontrib><creatorcontrib>Bergauer, Andrej, MD</creatorcontrib><creatorcontrib>Svenšek, Franci, MD, MSc</creatorcontrib><creatorcontrib>Sinkovič, Andreja, MD, PhD</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Immunology Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>The American journal of emergency medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Markota, Andrej, MD</au><au>Golub, Jerneja, MD</au><au>Stožer, Andraž, MD, PhD</au><au>Fluher, Jure, MD</au><au>Prosen, Gregor, MD</au><au>Bergauer, Andrej, MD</au><au>Svenšek, Franci, MD, MSc</au><au>Sinkovič, Andreja, MD, PhD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Absence of lung sliding is not a reliable sign of pneumothorax in patients with high positive end-expiratory pressure</atitle><jtitle>The American journal of emergency medicine</jtitle><addtitle>Am J Emerg Med</addtitle><date>2016-10-01</date><risdate>2016</risdate><volume>34</volume><issue>10</issue><spage>2034</spage><epage>2036</epage><pages>2034-2036</pages><issn>0735-6757</issn><eissn>1532-8171</eissn><abstract>The values of PEEP at which LS disappeared during the increasing arm of recruitment manouver did not show statistical significance from values obtained in the decreasing arm (Wilcoxon signed rank test, P=1.000 for the left lung, P=.875 for the right lung). [...]from data pooled for both sides and from both increasing and decreasing part of recruitment maneuver, the median value of PEEP at which LS disappeared as a false positive sign of pneumothorax was 25 cmH2O (interquartile range, 20-30 cmH2O) ( Fig. 2 ). [...]according to our study the median value of PEEP at which LS disappears as a false positive sign of pneumothorax is 25 cmH2O, LS was absent at PEEP 15 cmH2O in 4.5% and at PEEP 20 cmH2O in 26.9% of cases.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>27492261</pmid><doi>10.1016/j.ajem.2016.07.032</doi><tpages>3</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0735-6757 |
| ispartof | The American journal of emergency medicine, 2016-10, Vol.34 (10), p.2034-2036 |
| issn | 0735-6757 1532-8171 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1835381714 |
| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Aged Emergency Emergency medical care Female Humans Lung - diagnostic imaging Lung diseases Male Patients Pneumothorax - diagnosis Pneumothorax - etiology Pneumothorax - physiopathology Point-of-Care Testing Positive-Pressure Respiration - adverse effects Prospective Studies Recruitment Respiratory distress syndrome Respiratory therapy Signs Tomography, X-Ray Computed Ultrasonography |
| title | Absence of lung sliding is not a reliable sign of pneumothorax in patients with high positive end-expiratory pressure |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-06T05%3A55%3A27IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Absence%20of%20lung%20sliding%20is%20not%20a%20reliable%20sign%20of%20pneumothorax%20in%20patients%20with%20high%20positive%20end-expiratory%20pressure&rft.jtitle=The%20American%20journal%20of%20emergency%20medicine&rft.au=Markota,%20Andrej,%20MD&rft.date=2016-10-01&rft.volume=34&rft.issue=10&rft.spage=2034&rft.epage=2036&rft.pages=2034-2036&rft.issn=0735-6757&rft.eissn=1532-8171&rft_id=info:doi/10.1016/j.ajem.2016.07.032&rft_dat=%3Cproquest_cross%3E1835381714%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1825679002&rft_id=info:pmid/27492261&rft_els_id=S0735675716304272&rfr_iscdi=true |