TY - JOUR
T1 - Postoperative chest ultrasound findings and effectiveness after thoracic surgery: A pilot study
AU - Chiappetta, Marco
AU - Meacci, Elisa
AU - Cesario, Alfredo
AU - Smargiassi, Andrea
AU - Inchingolo, Riccardo
AU - Petracca Ciavarella, Leonardo
AU - Lopatriello, Stefania
AU - Contegiacomo, Andrea
AU - Congedo, Maria Teresa
AU - Margaritora, Stefano
PY - 2018
Y1 - 2018
N2 - The aim of this study was to analyze the information from post-operative chest ultrasound (CU) to evaluate the possibility to use this method instead of chest X-ray (CXR) after thoracic surgery. Patients who underwent thoracic surgery were evaluated with CU blinded to CXR after surgery, deciding if it was useful or CU was exhaustive. Twenty-four patients were enrolled prospectively. The CU allowed a further discrimination of the lung abnormalities, discriminating between atelectasis, infections or hematoma. CXR was required in only 5 cases due to the presence of massive subcutaneous emphysema or absence of lung point. In the remaining 19 cases, CU was considered exhaustive and effective. In particular, CU was considered exhaustive in 67% of cases after open surgery and in 85% of cases after video-assisted thoracic surgery. In conclusion, CU appears to be effective in post-operative management after thoracic surgery and it can increase the diagnostic accuracy reducing any unnecessary X-ray exposure.
AB - The aim of this study was to analyze the information from post-operative chest ultrasound (CU) to evaluate the possibility to use this method instead of chest X-ray (CXR) after thoracic surgery. Patients who underwent thoracic surgery were evaluated with CU blinded to CXR after surgery, deciding if it was useful or CU was exhaustive. Twenty-four patients were enrolled prospectively. The CU allowed a further discrimination of the lung abnormalities, discriminating between atelectasis, infections or hematoma. CXR was required in only 5 cases due to the presence of massive subcutaneous emphysema or absence of lung point. In the remaining 19 cases, CU was considered exhaustive and effective. In particular, CU was considered exhaustive in 67% of cases after open surgery and in 85% of cases after video-assisted thoracic surgery. In conclusion, CU appears to be effective in post-operative management after thoracic surgery and it can increase the diagnostic accuracy reducing any unnecessary X-ray exposure.
KW - Acoustics and Ultrasonics
KW - Biophysics
KW - Chest X-ray
KW - Chest ultrasound
KW - Female
KW - Humans
KW - Lung
KW - Lung Diseases
KW - Male
KW - Middle Aged
KW - Pilot Projects
KW - Postoperative Care
KW - Postoperative Complications
KW - Prospective Studies
KW - Radiological and Ultrasound Technology
KW - Reproducibility of Results
KW - Thoracic Surgical Procedures
KW - Thoracic surgery
KW - Ultrasonography
KW - Wedge sign
KW - Acoustics and Ultrasonics
KW - Biophysics
KW - Chest X-ray
KW - Chest ultrasound
KW - Female
KW - Humans
KW - Lung
KW - Lung Diseases
KW - Male
KW - Middle Aged
KW - Pilot Projects
KW - Postoperative Care
KW - Postoperative Complications
KW - Prospective Studies
KW - Radiological and Ultrasound Technology
KW - Reproducibility of Results
KW - Thoracic Surgical Procedures
KW - Thoracic surgery
KW - Ultrasonography
KW - Wedge sign
UR - http://hdl.handle.net/10807/132885
UR - http://www.elsevier.com/locate/ultrasmedbio
U2 - 10.1016/j.ultrasmedbio.2018.05.009
DO - 10.1016/j.ultrasmedbio.2018.05.009
M3 - Article
SN - 0301-5629
VL - 44
SP - 1960
EP - 1967
JO - Ultrasound in Medicine and Biology
JF - Ultrasound in Medicine and Biology
ER -