TY - JOUR
T1 - Ultrasound artifacts mimicking pleural sliding after pneumonectomy
AU - Cavaliere, Franco
AU - Zamparelli, Roberto
AU - Soave, Paolo Maurizio
AU - Gargaruti, Riccardo
AU - Scapigliati, Andrea
AU - De Paulis, Stefano
PY - 2014
Y1 - 2014
N2 - STUDY OBJECTIVE: To determine the presence of pleural sliding on chest ultrasonography (US) in a series of patients admitted to a surgical intensive care unit (SICU).
DESIGN: Prospective, observational study.
SETTING: 16-bed SICU of a University hospital.
PATIENTS: 8 patients (7 men, 1 woman), aged 64 - 73 years (mean 67.5 yrs). Seven patients underwent pneumonectomy for pulmonary neoplasms; one patient underwent an atypical lung resection after having undergone a pneumonectomy one year before.
INTERVENTIONS: None.
MEASUREMENTS: Chest ultrasounds were performed during mechanical ventilation and spontaneous ventilation after endotracheal tube removal. In both examinations, pleural sliding was searched bilaterally in brightness mode (B-mode) and motion mode (M-mode) on the anterior thoracic wall in the least gravitationally dependent areas.
RESULTS: During mechanical ventilation, pleural sliding was always absent on the side of the pneumonectomy and present on the other side. During spontaneous ventilation, some artifacts mimicking pleural sliding were noted on the side of the pneumonectomy both in B-mode and M-mode (presence of the seashore sign) in all patients, except for the one patient who had undergone a pneumonectomy one year earlier. Those artifacts became more pronounced during deep breaths.
CONCLUSIONS: Ultrasound artifacts mimicking pleural sliding may be observed in the absence of the lung and may originate from the activity of intercostal muscles since they become more evident during deep breathing.
AB - STUDY OBJECTIVE: To determine the presence of pleural sliding on chest ultrasonography (US) in a series of patients admitted to a surgical intensive care unit (SICU).
DESIGN: Prospective, observational study.
SETTING: 16-bed SICU of a University hospital.
PATIENTS: 8 patients (7 men, 1 woman), aged 64 - 73 years (mean 67.5 yrs). Seven patients underwent pneumonectomy for pulmonary neoplasms; one patient underwent an atypical lung resection after having undergone a pneumonectomy one year before.
INTERVENTIONS: None.
MEASUREMENTS: Chest ultrasounds were performed during mechanical ventilation and spontaneous ventilation after endotracheal tube removal. In both examinations, pleural sliding was searched bilaterally in brightness mode (B-mode) and motion mode (M-mode) on the anterior thoracic wall in the least gravitationally dependent areas.
RESULTS: During mechanical ventilation, pleural sliding was always absent on the side of the pneumonectomy and present on the other side. During spontaneous ventilation, some artifacts mimicking pleural sliding were noted on the side of the pneumonectomy both in B-mode and M-mode (presence of the seashore sign) in all patients, except for the one patient who had undergone a pneumonectomy one year earlier. Those artifacts became more pronounced during deep breaths.
CONCLUSIONS: Ultrasound artifacts mimicking pleural sliding may be observed in the absence of the lung and may originate from the activity of intercostal muscles since they become more evident during deep breathing.
KW - ultrasunds
KW - ultrasunds
UR - http://hdl.handle.net/10807/61722
U2 - 10.1016/j.jclinane.2013.09.011
DO - 10.1016/j.jclinane.2013.09.011
M3 - Article
VL - 2014
SP - 131
EP - 135
JO - Journal of Clinical Anaesthesia
JF - Journal of Clinical Anaesthesia
ER -