Journal info
|
||||
Select Journal
Journals
Bratislava Medical Journal 2024 Ahead of print 2023 2022 2021 2020 2019 2018 2017 2016 2015 2014 2013 2012 Endocrine Regulations General Physiology and Biophysics Neoplasma Acta Virologica Studia Psychologica Cardiology Letters Psychológia a patopsych. dieťaťa Kovove Materialy-Metallic Materials Slovenská hudbaWebshop Cart
Your Cart is currently empty.
Info: Your browser does not accept cookies. To put products into your cart and purchase them you need to enable cookies.
Bratislava Medical Journal Vol.122, No.12, p.871–875, 2021 |
||
Title: Lung ultrasound could reduce X-ray after major lung resection | ||
Author: A. Dzian, M. Malik, L. Hamada, M. Skalicanova, K. Zelenak, M. Stevik, M. Grendar | ||
Abstract: OBJECTIVES: This study evaluated the role of ultrasound in postoperative care after major lung resection. BACKGROUND: High accuracy of lung ultrasound imaging was proved in various medical fields. The experience with ultrasound after thoracic surgery is limited. METHODS: Patients scheduled for major lung resection were consecutively included in a prospective study comparing two modalities of imaging examinations, namely those employing ultrasound and X-ray in the diagnoses of pneumothorax and pleural effusion. Two examinations were performed. One after recovery from anaesthesia, the second before chest tube removal. RESULTS: Forty-eight patients underwent 87 examinations. X-ray and ultrasound examinations showed substantial and fair agreements for pneumothorax (Cohen’s kappa coefficients 0.775 and 0.397) and slight and substantial agreements for pleural effusion (Cohen’s kappa coefficients 0.036 and 0.611). The sensitivity bounds for pneumothorax were 45.5–58.5 % at the first and 29.7–59.4 % at the second examination. Sensitivity bounds for pleural effusion were 0–86.2 % at the first and 32.6–36.9 % at the second examination. Except for two cases of pneumothorax being missed by X-ray imaging, the rest of mismatches were clinically irrelevant conditions with no impact on clinical decision and patient’s outcome. CONCLUSION: The use of ultrasound can reduce the number of X-ray examinations and thus lower the radiation exposure after major lung resections (Tab. 4, Ref. 30). |
||
Keywords: ultrasound; major lung resection; pneumothorax; pleural effusion, postoperative care | ||
Published online: 14-Dec-2021 | ||
Year: 2021, Volume: 122, Issue: 12 | Page From: 871, Page To: 875 | |
doi:10.4149/BLL_2021_141 |
||
|
download file |
|