Ultrasonography versus chest radiography after chest tube removal for the detection of pneumothorax

AACN Advanced Critical Care
Sandra SaucierKeith Killu

Abstract

Bedside ultrasound technology is an innovative, cost-effective, safe, and reproducible method used to make efficient decisions that directly affect the care of critical care patients. To validate the use of ultrasound technology when compared with the use of standard chest radiography for the detection of pneumothorax following chest tube removal. A prospective observational comparison study of 50 cardiothoracic patients with surgically placed pleural chest tubes was conducted. The accuracy of bedside ultrasound technology was compared with standard chest radiography to detect pneumothorax. The sample kappa statistic was 1.000, indicating a perfect agreement between bedside ultrasonography and chest radiography in the detection of pneumothorax. Completion of the bedside ultrasound procedure took significantly less time than chest radiography. Bedside ultrasound technology is as accurate as chest radiography in detecting pneumothorax following chest tube removal and can save institutions' time and money.

References

Mar 10, 2001·The Journal of Trauma·S A DulchavskyD R Hamilton
Sep 6, 2005·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Michael BlaivasSandeep Duggal
Jun 17, 2006·La Radiologia medica·G GarofaloC Fava
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Jun 10, 2008·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Tanveer KhanWade R Dimitri
Jul 11, 2008·Current Opinion in Critical Care·Robin K Guillory, Oliver L Gunter

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Citations

Oct 30, 2012·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Nancy BieglerAndrew W Kirkpatrick
Jul 25, 2014·The Journal of Trauma and Acute Care Surgery·Michael C SoultL D Britt

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