ArticlePediatric surgery international2006
Thorax ultrasound in the management of pediatric pneumonias complicated with empyema.
Article in Pediatric surgery international, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
What it found
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
7 citing papers in PubMed, 18 citations in OpenAlex.
- Pediatric pleural empyema - decision making beyond imaging - a retrospective cohort study.Frontiers in pediatrics · 2026Article
- The Role of Lung Ultrasonography in Etiologic Diagnosis of Acute Dyspnea in a Resource Limited Setting.Bulletin of emergency and trauma · 2020Article
- Ultrasound detection of pneumonia in febrile children with respiratory distress: a prospective study.European journal of pediatrics · 2016Article
- Article
- Use of ultrasound to diagnose and manage a five-liter empyema in a rural clinic in sierra leone.Case reports in emergency medicine · 2014Article
- Evaluation of the lung in children with suspected pneumonia: usefulness of ultrasonography.La Radiologia medica · 2009Article
- Ultrasound of the chest in children (mediastinum excluded).European radiology · 2008Review
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The aim of this work is to prospectively study the value of thoracic ultrasound (US) before pleural drainage in children with parapneumonic effusion (PPE). All children hospitalized for PPE, identified by thoracic radiography, underwent US to assess pleural loculation, echogenicity, and pleural fluid quantity. From August 2001 to July 2003, 52 children were examined. US was performed on 48 of these children, of whom 35 received chest tube drainage and 13 only received clinical treatment. US identified 38 patients with free flowing and 10 with loculated pleural fluid. About 25 of the free flowing (65.8%) and 10 (100%) of the loculated patients received chest tube drainage. Echogenicity was anechoic in 13, echoic without septations in 17 and echoic with septations in 18. Chest tube drainage was required in 6 anechoic (46.15%), 14 echoic without septations (82.35%), and 15 echoic with septations (83.33%). Quantity of fluid estimated by US varied from 20 to 860 ml. Effusion volume was higher in patients that were echoic with septations and loculated effusions. Pleural glucose and pH were lower, and LDH was higher in loculated PPE patients. In conclusion, US is an auxiliary exam for determining whether thoracic drainage is needed in parapneumonic effusion; loculated or echoic effusion should be drained, and free anechoic fluid needs further investigation.
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