Diagnostic ultrasound in pneumothorax

Revue des maladies respiratoires
É MauryB Guidet

Abstract

For a long time the lung has been regarded as inaccessible to ultrasound. However, recent clinical studies have shown that this organ can be examined by this technique, which appears, in some situations, to be superior to thoracic radiography. The examination does not require special equipment and is possible using a combination of simple qualitative signs: lung sliding, the presence of B lines and the demonstration of the lung point. The lung sliding corresponds to the artefact produced by the movement of the two pleural layers, one against the other. The B lines indicate the presence of an interstitial syndrome. The presence of lung sliding and/or B lines has a negative predictive value of 100% and formally excludes a pneumothorax in the area where the probe has been applied. The presence of the lung point is pathognomonic of pneumothorax but the sensitivity is no more than 60%. Ultrasound is therefore a rapid and simple means of excluding a pneumothorax (lung sliding or B lines) and of confirming a pneumothorax when the lung point is visible. The question that remains is whether ultrasound can totally replace radiography in the management of this disorder.

References

May 1, 1993·Journal of Clinical Ultrasound : JCU·R TarghettaL Pourcelot
Dec 29, 2000·Intensive Care Medicine·D LichtensteinA Gepner
Aug 2, 2003·Radiology·Andrew Kong
Oct 15, 2003·Intensive Care Medicine·Daniel A LichtensteinGilbert Mezière
Jun 9, 2005·Critical Care Medicine·Daniel A LichtensteinMarc Tenoudji-Cohen
Sep 21, 2005·Intensive Care Medicine·Cécile VigneauEric Maury
Apr 21, 2007·Critical Care Medicine·Daniel A Lichtenstein
Jul 28, 2009·Critical Care Medicine·Bélaïd BouhemadJean-Jacques Rouby
Sep 21, 2010·American Journal of Respiratory and Critical Care Medicine·Belaïd BouhemadJean-Jacques Rouby
Nov 26, 2010·Intensive Care Medicine·Giovanni Volpicelli
Jan 5, 2011·Thorax·Eustachio AgricolaGiovanni Volpicelli
Mar 7, 2012·Intensive Care Medicine·Giovanni VolpicelliUNKNOWN International Liaison Committee on Lung Ultrasound (ILC-LUS) for International Consensus Conference on Lung Ultrasound (ICC-
Sep 26, 2013·Critical Care : the Official Journal of the Critical Care Forum·Saadah AlrajabGloria Caldito
Apr 25, 2014·Current Opinion in Critical Care·Daniel Lichtenstein
Jul 25, 2014·Intensive Care Medicine·Giovanni VolpicelliMauro F Frascisco

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Citations

Apr 20, 2019·The Indian Journal of Radiology & Imaging·Sivasubramanian Srinivasan

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