Multiplane ultrasound approach to quantify pleural effusion at the bedside

dc.contributorUniversidade Estadual Paulista (UNESP)
dc.creatorRemerand, Francis
dc.creatorDellamonica, Jean
dc.creatorMao, Zhang
dc.creatorFerrari, Fabio
dc.creatorBouhemad, Belaid
dc.creatorYang Jianxin,
dc.creatorArbelot, Charlotte
dc.creatorLu, Qin
dc.creatorIchai, Carole
dc.creatorRouby, Jean-Jacques
dc.date2014-05-20T13:32:07Z
dc.date2016-10-25T16:50:34Z
dc.date2014-05-20T13:32:07Z
dc.date2016-10-25T16:50:34Z
dc.date2010-04-01
dc.date.accessioned2017-04-05T20:20:31Z
dc.date.available2017-04-05T20:20:31Z
dc.identifierIntensive Care Medicine. New York: Springer, v. 36, n. 4, p. 656-664, 2010.
dc.identifier0342-4642
dc.identifierhttp://hdl.handle.net/11449/10958
dc.identifierhttp://acervodigital.unesp.br/handle/11449/10958
dc.identifier10.1007/s00134-010-1769-9
dc.identifierWOS:000275548400011
dc.identifierhttp://dx.doi.org/10.1007/s00134-010-1769-9
dc.identifier.urihttp://repositorioslatinoamericanos.uchile.cl/handle/2250/858783
dc.descriptionTo assess the accuracy of a multiplane ultrasound approach to measure pleural effusion volume (PEV), considering pleural effusion (PE) extension along the cephalocaudal axis and PE area.Prospective study performed on 58 critically ill patients with 102 PEs. Thoracic drainage was performed in 46 patients (59 PEs) and lung computed tomography (CT) in 24 patients (43 PEs). PE was assessed using bedside lung ultrasound. Adjacent paravertebral intercostal spaces were examined, and ultrasound PEV was calculated by multiplying the paravertebral PE length by its area, measured at half the distance between the apical and caudal limits of the PE.Ultrasound PEV was compared to either the volume of the drained PE (59 PE) or PEV assessed on lung CT (43 PE). In patients with lung CT, the accuracy of this new method was compared to the accuracy of previous methods proposed for PEV measurement. Ultrasound PEV was tightly correlated with drained PEV (r = 0.84, p < 0.001) and with CT PEV (r = 0.90, p < 0.001). The mean biases between ultrasound and actual volumes of PE were -33 ml when compared to drainage (limits of agreement -292 to +227 ml) and -53 ml when compared to CT (limits of agreement -303 to +198 ml). This new method was more accurate than previous methods to measure PEV.Using a multiplane approach increases the accuracy of lung ultrasound to measure the volume of large to small pleural effusions in critically ill patients.
dc.languageeng
dc.publisherSpringer
dc.relationIntensive Care Medicine
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectPleural effusion
dc.subjectCritical care
dc.subjectUltrasound imaging
dc.subjectComputed tomography scan
dc.subjectPleural drainage
dc.titleMultiplane ultrasound approach to quantify pleural effusion at the bedside
dc.typeOtro


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