Ultrasound estimation of volume of pleural fluid in mechanically ventilated patients
The aim was to develop a practical method for estimation of the volume of pleural effusion using ultrasonography in mechanically ventilated patients. Prospective observational study. 20-bed general intensive care unit in the university hospital. 81 patients were included after initial suspicion of p...
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| Veröffentlicht in: | Intensive care medicine 2006-02, Vol.32 (2), p.318-321, Article 318 |
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| creator | BALIK, M PLASIL, P WALDAUF, P PAZOUT, J FRIC, M OTAHAL, M PACHL, J |
| description | The aim was to develop a practical method for estimation of the volume of pleural effusion using ultrasonography in mechanically ventilated patients.
Prospective observational study.
20-bed general intensive care unit in the university hospital.
81 patients were included after initial suspicion of pleural fluid on chest supine X-ray and pre-puncture ultrasound confirming effusion. Patients with thoracic deformities, post-lung surgery, with diaphragm pathology, haemothorax, empyema and with incomplete aspiration of pleural fluid on post-puncture ultrasound were excluded.
Patients were supine with mild trunk elevation at 15 degrees . Probe was moved upwards in posterior axillary line, and transverse section perpendicular to the body axis was obtained with pleural separation visible at lung base. The maximal distance between parietal and visceral pleura (Sep) in end-expiration was recorded. Thoracentesis was performed at previous probe position and volume of pleural fluid (V) recorded.
92 effusions were evaluated and drained; 11 (12%) were excluded for incomplete aspiration. Success rate of obtaining fluid under ultrasound guidance was 100%; the incidence of pneumothorax or bleeding was zero. Mean Sep was 35+/-13 mm. Mean V was 658+/-320 ml. Significant positive correlation between both Sep and V was found: r=0.72; r(2)=0.52; p |
| doi_str_mv | 10.1007/s00134-005-0024-2 |
| format | Article |
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Prospective observational study.
20-bed general intensive care unit in the university hospital.
81 patients were included after initial suspicion of pleural fluid on chest supine X-ray and pre-puncture ultrasound confirming effusion. Patients with thoracic deformities, post-lung surgery, with diaphragm pathology, haemothorax, empyema and with incomplete aspiration of pleural fluid on post-puncture ultrasound were excluded.
Patients were supine with mild trunk elevation at 15 degrees . Probe was moved upwards in posterior axillary line, and transverse section perpendicular to the body axis was obtained with pleural separation visible at lung base. The maximal distance between parietal and visceral pleura (Sep) in end-expiration was recorded. Thoracentesis was performed at previous probe position and volume of pleural fluid (V) recorded.
92 effusions were evaluated and drained; 11 (12%) were excluded for incomplete aspiration. Success rate of obtaining fluid under ultrasound guidance was 100%; the incidence of pneumothorax or bleeding was zero. Mean Sep was 35+/-13 mm. Mean V was 658+/-320 ml. Significant positive correlation between both Sep and V was found: r=0.72; r(2)=0.52; p<0.001. The amount of pleural fluid volume can be estimated with the simplified formula: V (ml)=20 x Sep (mm). Mean prediction error of V using Sep was 158.4+/-160.6 ml.
Easy quantification of pleural fluid may help to decide about performing thoracentesis in high-risk patients, although thoracentesis under ultrasound guidance appears to be a safe procedure.</description><identifier>ISSN: 0342-4642</identifier><identifier>EISSN: 1432-1238</identifier><identifier>DOI: 10.1007/s00134-005-0024-2</identifier><identifier>PMID: 16432674</identifier><identifier>CODEN: ICMED9</identifier><language>eng</language><publisher>Heidelberg: Springer</publisher><subject>Analysis of Variance ; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; Biological and medical sciences ; Care and treatment ; Chest ; Clinical death. Palliative care. Organ gift and preservation ; Diagnosis ; Diaphragm (Anatomy) ; Emergency and intensive respiratory care ; Female ; Hemothorax ; Humans ; Intensive care ; Intensive care medicine ; Intensive Care Units ; Linear Models ; Male ; Medical sciences ; Methods ; Middle Aged ; Paracentesis ; Pleural effusion ; Pleural Effusion - diagnostic imaging ; Pleural effusions ; Pneumothorax ; Prospective Studies ; Respiration, Artificial ; Thoracentesis ; Thoracic surgery ; Ultrasonic imaging ; Ultrasonography ; Ultrasound imaging ; Ventilators ; Ventilators, Mechanical</subject><ispartof>Intensive care medicine, 2006-02, Vol.32 (2), p.318-321, Article 318</ispartof><rights>2006 INIST-CNRS</rights><rights>COPYRIGHT 2006 Springer</rights><rights>Springer-Verlag 2006</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c570t-167bf8efa538b819b667bcc3e4a33205e80fc6d3916bb68d0c9dfc1f1cb643eb3</citedby><cites>FETCH-LOGICAL-c570t-167bf8efa538b819b667bcc3e4a33205e80fc6d3916bb68d0c9dfc1f1cb643eb3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=17500422$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16432674$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>BALIK, M</creatorcontrib><creatorcontrib>PLASIL, P</creatorcontrib><creatorcontrib>WALDAUF, P</creatorcontrib><creatorcontrib>PAZOUT, J</creatorcontrib><creatorcontrib>FRIC, M</creatorcontrib><creatorcontrib>OTAHAL, M</creatorcontrib><creatorcontrib>PACHL, J</creatorcontrib><title>Ultrasound estimation of volume of pleural fluid in mechanically ventilated patients</title><title>Intensive care medicine</title><addtitle>Intensive Care Med</addtitle><description>The aim was to develop a practical method for estimation of the volume of pleural effusion using ultrasonography in mechanically ventilated patients.
Prospective observational study.
20-bed general intensive care unit in the university hospital.
81 patients were included after initial suspicion of pleural fluid on chest supine X-ray and pre-puncture ultrasound confirming effusion. Patients with thoracic deformities, post-lung surgery, with diaphragm pathology, haemothorax, empyema and with incomplete aspiration of pleural fluid on post-puncture ultrasound were excluded.
Patients were supine with mild trunk elevation at 15 degrees . Probe was moved upwards in posterior axillary line, and transverse section perpendicular to the body axis was obtained with pleural separation visible at lung base. The maximal distance between parietal and visceral pleura (Sep) in end-expiration was recorded. Thoracentesis was performed at previous probe position and volume of pleural fluid (V) recorded.
92 effusions were evaluated and drained; 11 (12%) were excluded for incomplete aspiration. Success rate of obtaining fluid under ultrasound guidance was 100%; the incidence of pneumothorax or bleeding was zero. Mean Sep was 35+/-13 mm. Mean V was 658+/-320 ml. Significant positive correlation between both Sep and V was found: r=0.72; r(2)=0.52; p<0.001. The amount of pleural fluid volume can be estimated with the simplified formula: V (ml)=20 x Sep (mm). Mean prediction error of V using Sep was 158.4+/-160.6 ml.
Easy quantification of pleural fluid may help to decide about performing thoracentesis in high-risk patients, although thoracentesis under ultrasound guidance appears to be a safe procedure.</description><subject>Analysis of Variance</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Biological and medical sciences</subject><subject>Care and treatment</subject><subject>Chest</subject><subject>Clinical death. Palliative care. Organ gift and preservation</subject><subject>Diagnosis</subject><subject>Diaphragm (Anatomy)</subject><subject>Emergency and intensive respiratory care</subject><subject>Female</subject><subject>Hemothorax</subject><subject>Humans</subject><subject>Intensive care</subject><subject>Intensive care medicine</subject><subject>Intensive Care Units</subject><subject>Linear Models</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Methods</subject><subject>Middle Aged</subject><subject>Paracentesis</subject><subject>Pleural effusion</subject><subject>Pleural Effusion - diagnostic imaging</subject><subject>Pleural effusions</subject><subject>Pneumothorax</subject><subject>Prospective Studies</subject><subject>Respiration, Artificial</subject><subject>Thoracentesis</subject><subject>Thoracic surgery</subject><subject>Ultrasonic imaging</subject><subject>Ultrasonography</subject><subject>Ultrasound imaging</subject><subject>Ventilators</subject><subject>Ventilators, Mechanical</subject><issn>0342-4642</issn><issn>1432-1238</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNptkU9r3DAQxUVpaLZJPkAvxbS0N6caSZbtYwj9Ewj0kpyFLI9SBVnaWnYg3z6z7EJoWYSQNPze8DSPsQ_AL4Hz9lvhHKSqOW9oC1WLN2wDSooahOzesg2XStRKK3HK3pfySHSrG3jHTkETpVu1YXf3cZltyWsaKyxLmOwScqqyr55yXCfc3bYR19nGysc1jFVI1YTuj03B2RifqydMS4h2wbHakphe5ZydeBsLXhzOM3b_4_vd9a_69vfPm-ur29o1LV9q0O3gO_S2kd3QQT9oKjgnUVkpBW-w497pUfagh0F3I3f96B14cAP5x0Gesa_7vts5_13JvplCcRijTZjXYnSrlWqVJvDTf-BjXudE3owADX3TaU7Q5z30YCOakHymybhdR3MFjYQeRNcQVR-hHjAhjSgn9IHK__CXR3haI07BHRXAXuDmXMqM3mxnimV-NsDNLnazj91Q7GYXuxGk-Xj43zpMOL4qDjkT8OUA2EKx-dkmF8or1zacKyHkC7wqs5A</recordid><startdate>20060201</startdate><enddate>20060201</enddate><creator>BALIK, M</creator><creator>PLASIL, P</creator><creator>WALDAUF, P</creator><creator>PAZOUT, J</creator><creator>FRIC, M</creator><creator>OTAHAL, M</creator><creator>PACHL, J</creator><general>Springer</general><general>Springer Nature B.V</general><scope>IQODW</scope><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>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M7Z</scope><scope>NAPCQ</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20060201</creationdate><title>Ultrasound estimation of volume of pleural fluid in mechanically ventilated patients</title><author>BALIK, M ; PLASIL, P ; WALDAUF, P ; PAZOUT, J ; FRIC, M ; OTAHAL, M ; PACHL, J</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c570t-167bf8efa538b819b667bcc3e4a33205e80fc6d3916bb68d0c9dfc1f1cb643eb3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Analysis of Variance</topic><topic>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Biological and medical sciences</topic><topic>Care and treatment</topic><topic>Chest</topic><topic>Clinical death. Palliative care. Organ gift and preservation</topic><topic>Diagnosis</topic><topic>Diaphragm (Anatomy)</topic><topic>Emergency and intensive respiratory care</topic><topic>Female</topic><topic>Hemothorax</topic><topic>Humans</topic><topic>Intensive care</topic><topic>Intensive care medicine</topic><topic>Intensive Care Units</topic><topic>Linear Models</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Methods</topic><topic>Middle Aged</topic><topic>Paracentesis</topic><topic>Pleural effusion</topic><topic>Pleural Effusion - diagnostic imaging</topic><topic>Pleural effusions</topic><topic>Pneumothorax</topic><topic>Prospective Studies</topic><topic>Respiration, Artificial</topic><topic>Thoracentesis</topic><topic>Thoracic surgery</topic><topic>Ultrasonic imaging</topic><topic>Ultrasonography</topic><topic>Ultrasound imaging</topic><topic>Ventilators</topic><topic>Ventilators, Mechanical</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>BALIK, M</creatorcontrib><creatorcontrib>PLASIL, P</creatorcontrib><creatorcontrib>WALDAUF, P</creatorcontrib><creatorcontrib>PAZOUT, J</creatorcontrib><creatorcontrib>FRIC, M</creatorcontrib><creatorcontrib>OTAHAL, M</creatorcontrib><creatorcontrib>PACHL, J</creatorcontrib><collection>Pascal-Francis</collection><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>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Biochemistry Abstracts 1</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</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 China</collection><collection>MEDLINE - Academic</collection><jtitle>Intensive care medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>BALIK, M</au><au>PLASIL, P</au><au>WALDAUF, P</au><au>PAZOUT, J</au><au>FRIC, M</au><au>OTAHAL, M</au><au>PACHL, J</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Ultrasound estimation of volume of pleural fluid in mechanically ventilated patients</atitle><jtitle>Intensive care medicine</jtitle><addtitle>Intensive Care Med</addtitle><date>2006-02-01</date><risdate>2006</risdate><volume>32</volume><issue>2</issue><spage>318</spage><epage>321</epage><pages>318-321</pages><artnum>318</artnum><issn>0342-4642</issn><eissn>1432-1238</eissn><coden>ICMED9</coden><abstract>The aim was to develop a practical method for estimation of the volume of pleural effusion using ultrasonography in mechanically ventilated patients.
Prospective observational study.
20-bed general intensive care unit in the university hospital.
81 patients were included after initial suspicion of pleural fluid on chest supine X-ray and pre-puncture ultrasound confirming effusion. Patients with thoracic deformities, post-lung surgery, with diaphragm pathology, haemothorax, empyema and with incomplete aspiration of pleural fluid on post-puncture ultrasound were excluded.
Patients were supine with mild trunk elevation at 15 degrees . Probe was moved upwards in posterior axillary line, and transverse section perpendicular to the body axis was obtained with pleural separation visible at lung base. The maximal distance between parietal and visceral pleura (Sep) in end-expiration was recorded. Thoracentesis was performed at previous probe position and volume of pleural fluid (V) recorded.
92 effusions were evaluated and drained; 11 (12%) were excluded for incomplete aspiration. Success rate of obtaining fluid under ultrasound guidance was 100%; the incidence of pneumothorax or bleeding was zero. Mean Sep was 35+/-13 mm. Mean V was 658+/-320 ml. Significant positive correlation between both Sep and V was found: r=0.72; r(2)=0.52; p<0.001. The amount of pleural fluid volume can be estimated with the simplified formula: V (ml)=20 x Sep (mm). Mean prediction error of V using Sep was 158.4+/-160.6 ml.
Easy quantification of pleural fluid may help to decide about performing thoracentesis in high-risk patients, although thoracentesis under ultrasound guidance appears to be a safe procedure.</abstract><cop>Heidelberg</cop><cop>Berlin</cop><pub>Springer</pub><pmid>16432674</pmid><doi>10.1007/s00134-005-0024-2</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Analysis of Variance Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Biological and medical sciences Care and treatment Chest Clinical death. Palliative care. Organ gift and preservation Diagnosis Diaphragm (Anatomy) Emergency and intensive respiratory care Female Hemothorax Humans Intensive care Intensive care medicine Intensive Care Units Linear Models Male Medical sciences Methods Middle Aged Paracentesis Pleural effusion Pleural Effusion - diagnostic imaging Pleural effusions Pneumothorax Prospective Studies Respiration, Artificial Thoracentesis Thoracic surgery Ultrasonic imaging Ultrasonography Ultrasound imaging Ventilators Ventilators, Mechanical |
| title | Ultrasound estimation of volume of pleural fluid in mechanically ventilated patients |
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