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Ultrasound for thoracentesis

By ACEP Now | on January 1, 2013 | 0 Comment
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Contributor Disclosures

Contributors

Dr. Maurelus is an Ultrasound Fellow at SUNY Downstate, Kings County Hospital Center, Department of Emergency Medicine. Dr. Secko is Director of the Emergency Ultrasound Division at SUNY Downstate, Kings County Hospital Center, Department of Emergency Medicine. Dr. Mehta is the Emergency Ultrasound Fellowship Director at SUNY Downstate/Kings County Hospital Center, Department of Emergency Medicine. Dr. Robert Solomon is Medical Editor of ACEP News and editor of the Focus On series, core faculty in the emergency medicine residency at Allegheny General Hospital, Pittsburgh, and Assistant Professor in the Department of Emergency Medicine at Temple University School of Medicine, Philadelphia.

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Explore This Issue
ACEP News: Vol 32 – No 01 – January 2013

Disclosures

Dr. Maurelus, Dr. Secko, Dr. Mehta, and Dr. Solomon have disclosed that they have no significant relationships with or financial interests in any commercial companies that pertain to this article.

Disclaimer

ACEP makes every effort to ensure that contributors to College-sponsored programs are knowledgeable authorities in their fields. Participants are nevertheless advised that the statements and opinions expressed in this article are provided as guidelines and should not be construed as College policy. The material contained herein is not intended to establish policy, procedure, or a standard of care. The views expressed in this article are those of the contributors and not necessarily the opinion or recommendation of ACEP. The College disclaims any liability or responsibility for the consequences of any actions taken in reliance on those statements or opinions.

References

  1. Wayne DB, Barsuk JH, O’Leary KJ, Fudala MJ, McGaghie WC. Mastery learning of thoracentesis skills by internal medicine residents using simulation technology and deliberate practice. J Hosp Med. Jan 2008;3(1):48-54
  2. Patel PA, Ernst FR, Gunnarsson CL. Ultrasonography guidance reduces complications and costs associated with thoracentesis procedures. J Clin Ultrasound. 2012 Mar-Apr;40(3)
  3. Hirsch JH, Rogers JV, Mack LA. Real-time sonography of pleural opacities. AJR Am J Roentgenol 1981; 136:297–301
  4. Yang PC, Luh KT, Chang DB et al. Value of sonography in determining the nature of pleural effusion: analysis of 320 cases. AJR Am J Roentgenol 1992; 159:29–33
  5. Toms PA, Tasker DA, Flower, DRC. Intervention in the pleura. Euro J Rad. 34 (2000) 119–132
  6. Feller-Kopman D. Ultrasound-guided thoracentesis. Chest. 2006 Jun;129(6):1709-14. Review.
  7. Grogan, DR, Irwin, RS, Channick, R, et al Complications associated with thoracentesis: a prospective, randomized study comparing three different methods. Arch Intern Med 1990; 150, 873-877
  8. Barnes, TW, Morgenthaler, TI, Olson, EJ, et al Sonographically guided thoracentesis and rate of pneumothorax. J Clin Ultrasound 2005; 33, 442-446
  9. Weingardt JP, Guico RR, Nemcek AA Jr, et al. Ultrasound findings following failed, clinically directed thoracenteses. J Clin Ultrasound 1994; 22:419–426
  10. Diacon AH, Brutsche MH, Soler M. Accuracy of pleural puncture sites: a prospective comparison of clinical examination with ultrasound. Chest 2003; 123:436–441
  11. Aguilera P, Chan J, Jones M, Durham B, Luther King M. The Safety and Efficacy of Ultrasound-Assisted Thoracentesis in the Emergency Department. Ann of Emerg Med, Volume 50, Issue 3, Supplement, September 2007,S108
  12. Mayo, PH, Goltz, HR, Tafreshi, M, et al Safety of ultrasound-guided thoracentesis in patients receiving mechanical ventilation. Chest 2004; 125, 1059-1062
  13. Jones PW, Moyers JP, Rogers JT, Rodriguez RM, Lee YC, Light RW. Ultrasound-guided thoracentesis: is it a safer method? Chest 2003 Feb;123(2):418-23.
  14. Beckh S, Bolcskei PL, Lessnau KD. Real-time chest ultrasonography: A comprehensive review for the pulmonologist. Chest 2002; 122:1759–1773
  15. Dimov V, Altaqi B. Thoracentesis: A Step-by-Step Procedure Guide with Photos. Clinical Notes. Available at http://note3.blogspot.com/2004/02/thoracentesis-procedure-guide.html. Accessed July 8, 2008.
  16. Raptopoulos V, Davis LM, Lee G, et al. Factors affecting the development of pneumothorax associated with thoracentesis. AJR Am J Roentgenol 1991; 156:917–920
  17. Koh DM, Burke S, Davies N, Padley SP. Transthoracic US of the chest: clinical uses and applications. Radiographics.2002;22:e1.
  18. Sherman SC. Reexpansion pulmonary edema: a case report and review of the current literature. J Emerg Med. 2003 Jan;24(1):23-7. Review.
  19. Murat A, Arslan A, Balci AE. Re-expansion pulmonary edema. Acta Radiol. 2004 Jul;45(4):431-3.

CME Online Questionnaire

The CME test and evaluation form based on this article are located online at www.ACEP.org/focuson.

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Topics: Airway ManagementClinical GuidelineCMECritical CareEmergency MedicineEmergency PhysicianImaging and UltrasoundInternal MedicinePatient SafetyProcedures and SkillsPulmonaryQualityResearchUltrasound

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