ArticleChest2013
Using thoracic ultrasonography to accurately assess pneumothorax progression during positive pressure ventilation: a comparison with CT scanning.
Article in Chest, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.
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Who cites it
24 citing papers in PubMed.
- Semi-quantification of pneumothorax volume by lung ultrasound.Intensive care medicine · 2014Trial
- International evidence-based recommendations for point-of-care lung ultrasound : 2025 focused update of the 2012 recommendations.Intensive care medicine · 2026Article
- Pneumothorax and Hemothorax: Practical Approaches for Radiologists.Journal of the Korean Society of Radiology · 2026Review
- Improved detection of air-filled lesions using computed tomography in dogs with recurrent spontaneous pneumothorax through reduction of pulmonary atelectasis via positive pressure ventilation.Frontiers in veterinary science · 2024Article
- Review of risk factors, clinical manifestations, rapid diagnosis, and emergency treatment of neonatal perioperative pneumothorax.World journal of clinical cases · 2022Review
- Lung Sonography in Critical Care Medicine.Diagnostics (Basel, Switzerland) · 2022Review
- Ultrasonography can replace chest X-rays in the postoperative care of thoracic surgical patients.PloS one · 2022Article
- A wearable microwave instrument can detect and monitor traumatic abdominal injuries in a porcine model.Scientific reports · 2021Article
- Italian Society of Anesthesia, Analgesia, Resuscitation, and Intensive Care expert consensus statement on the use of lung ultrasound in critically ill patients with coronavirus disease 2019 (ITACO).Journal of anesthesia, analgesia and critical care · 2021Article
- Accuracy of Resident-Performed Point-of-Care Lung Ultrasound Examinations Versus Chest Radiography in Pneumothorax Follow-up After Tube Thoracostomy in Rwanda.Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine · 2020Observational
- ERS International Congress, Madrid, 2019: highlights from the Respiratory Intensive Care Assembly.ERJ open research · 2020Article
- Transthoracic ultrasound-guided biopsy in the hands of chest physicians - a stepwise approach.European clinical respiratory journal · 2019Review
- How should we monitor patients with acute respiratory failure treated with noninvasive ventilation?European respiratory review : an official journal of the European Respiratory Society · 2018Review
- Lung Ultrasound in the Critically Ill.Korean journal of critical care medicine · 2017Article
- The efficacy of bedside chest ultrasound: from accuracy to outcomes.European respiratory review : an official journal of the European Respiratory Society · 2016Review
- Lung Ultrasound Diagnostic Accuracy in Neonatal Pneumothorax.Canadian respiratory journal · 2016Article
- Bedside ultrasonography for diagnosis of pneumothorax.Quantitative imaging in medicine and surgery · 2015Review
- Double lung point in an 18-month-old child: a case report and literature review.Journal of thoracic disease · 2015Article
- A title is worth a thousand words: it is possible to semi-quantify pneumothorax by lung ultrasound.Intensive care medicine · 2014Article
- Ultrasonography for clinical decision-making and intervention in airway management: from the mouth to the lungs and pleurae.Insights into imaging · 2014Article
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAlthough thoracic ultrasonography accurately determines the size and extent of occult pneumothoraces (PTXs) in spontaneously breathing patients, there is uncertainty about patients receiving positive pressure ventilation. We compared the lung point (ie, the area where the collapsed lung still adheres to the inside of the chest wall) using the two modalities ultrasonography and CT scanning to determine whether ultrasonography can be used reliably to assess PTX progression in a positive-pressure-ventilated porcine model.
methodsAir was introduced in incremental steps into fi ve hemithoraces in three intubated porcine models. The lung point was identified on ultrasound imaging and referenced against the lateral limit of the intrapleural air space identified on the CT scans. The distance from the sternum to the lung point (S-LP) was measured on the CT scans and correlated to the insufflated air volume.
resultsThe mean total difference between the 131 ultrasound and CT scan lung points was 6.8 mm (SD, 7.1 mm; range, 0.0-29.3 mm). A mixed-model regression analysis showed a linear relationship between the S-LP distances and the PTX volume ( P , .001).
conclusionsIn an experimental porcine model, we found a linear relation between the PTX size and the lateral position of the lung point. The accuracy of thoracic ultrasonography for identifying the lung point (and, thus, the PTX extent) was comparable to that of CT imaging. These clinically relevant results suggest that ultrasonography may be safe and accurate in monitoring PTX progression during positive pressure ventilation.
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