Thoracic ultrasound for pleural effusion in the intensive care unit: a narrative review from diagnosis to treatment
Abstract Pleural effusion (PLEFF), mostly caused by volume overload, congestive heart failure, and pleuropulmonary infection, is a common condition in critical care patients. Thoracic ultrasound (TUS) helps clinicians not only to visualize pleural effusion, but also to distinguish between the differ...
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| Series: | Critical Care |
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| Online Access: | http://link.springer.com/article/10.1186/s13054-017-1897-5 |
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doaj-d882fd319c714553938dd1f6a42d26952020-11-24T23:58:37ZengBMCCritical Care1364-85352017-12-0121111110.1186/s13054-017-1897-5Thoracic ultrasound for pleural effusion in the intensive care unit: a narrative review from diagnosis to treatmentE. Brogi0L. Gargani1E. Bignami2F. Barbariol3A. Marra4F. Forfori5L. Vetrugno6Department of Anaesthesia and Intensive Care, University of PisaInstitute of Clinical Physiology, National Research CouncilDepartment of Anesthesia and Intensive Care, IRCCS San Raffaele Scientific InstituteDepartment of Medicine, University of UdineDepartment of Neurosciences, Reproductive and Odontostomatological Sciences, University of Naples “Federico II”Department of Anaesthesia and Intensive Care, University of PisaDepartment of Medicine, University of UdineAbstract Pleural effusion (PLEFF), mostly caused by volume overload, congestive heart failure, and pleuropulmonary infection, is a common condition in critical care patients. Thoracic ultrasound (TUS) helps clinicians not only to visualize pleural effusion, but also to distinguish between the different types. Furthermore, TUS is essential during thoracentesis and chest tube drainage as it increases safety and decreases life-threatening complications. It is crucial not only during needle or tube drainage insertion, but also to monitor the volume of the drained PLEFF. Moreover, TUS can help diagnose co-existing lung diseases, often with a higher specificity and sensitivity than chest radiography and without the need for X-ray exposure. We review data regarding the diagnosis and management of pleural effusion, paying particular attention to the impact of ultrasound. Technical data concerning thoracentesis and chest tube drainage are also provided.http://link.springer.com/article/10.1186/s13054-017-1897-5Pleural effusionLungUltrasonographyCathetersCritical care |
| collection |
DOAJ |
| language |
English |
| format |
Article |
| sources |
DOAJ |
| author |
E. Brogi L. Gargani E. Bignami F. Barbariol A. Marra F. Forfori L. Vetrugno |
| spellingShingle |
E. Brogi L. Gargani E. Bignami F. Barbariol A. Marra F. Forfori L. Vetrugno Thoracic ultrasound for pleural effusion in the intensive care unit: a narrative review from diagnosis to treatment Critical Care Pleural effusion Lung Ultrasonography Catheters Critical care |
| author_facet |
E. Brogi L. Gargani E. Bignami F. Barbariol A. Marra F. Forfori L. Vetrugno |
| author_sort |
E. Brogi |
| title |
Thoracic ultrasound for pleural effusion in the intensive care unit: a narrative review from diagnosis to treatment |
| title_short |
Thoracic ultrasound for pleural effusion in the intensive care unit: a narrative review from diagnosis to treatment |
| title_full |
Thoracic ultrasound for pleural effusion in the intensive care unit: a narrative review from diagnosis to treatment |
| title_fullStr |
Thoracic ultrasound for pleural effusion in the intensive care unit: a narrative review from diagnosis to treatment |
| title_full_unstemmed |
Thoracic ultrasound for pleural effusion in the intensive care unit: a narrative review from diagnosis to treatment |
| title_sort |
thoracic ultrasound for pleural effusion in the intensive care unit: a narrative review from diagnosis to treatment |
| publisher |
BMC |
| series |
Critical Care |
| issn |
1364-8535 |
| publishDate |
2017-12-01 |
| description |
Abstract Pleural effusion (PLEFF), mostly caused by volume overload, congestive heart failure, and pleuropulmonary infection, is a common condition in critical care patients. Thoracic ultrasound (TUS) helps clinicians not only to visualize pleural effusion, but also to distinguish between the different types. Furthermore, TUS is essential during thoracentesis and chest tube drainage as it increases safety and decreases life-threatening complications. It is crucial not only during needle or tube drainage insertion, but also to monitor the volume of the drained PLEFF. Moreover, TUS can help diagnose co-existing lung diseases, often with a higher specificity and sensitivity than chest radiography and without the need for X-ray exposure. We review data regarding the diagnosis and management of pleural effusion, paying particular attention to the impact of ultrasound. Technical data concerning thoracentesis and chest tube drainage are also provided. |
| topic |
Pleural effusion Lung Ultrasonography Catheters Critical care |
| url |
http://link.springer.com/article/10.1186/s13054-017-1897-5 |
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