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International Expert Consensus and Recommendations for Neonatal Pneumothorax Ultrasound Diagnosis and Ultrasound-guided Thoracentesis Procedure

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Published on: March 12, 2020

Bedside sonography for detection of postprocedure pneumothorax.

Eugene Shostak¹, Douglas Brylka, Joseph Krepp

¹New York Presbyterian Hospital/Weill Cornell Medical Center, New York, NY 10021, USA.

Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine

|May 30, 2013

Summary

Bedside sonography effectively detects procedure-related pneumothorax, showing high accuracy when scans are of good quality. Chest radiography is recommended for patients with lung disease limiting sonographic examination.

Keywords:

biopsy pneumothorax sonography

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Published on: April 7, 2023

Area of Science:

Medical Imaging
Pulmonary Medicine
Diagnostic Ultrasound

Background:

Bedside sonography is established for diagnosing pneumothorax in emergency and trauma settings.
The utility of sonography for detecting iatrogenic pneumothorax remains less explored.

Purpose of the Study:

To evaluate the performance of bedside sonography in identifying procedure-related pneumothorax.
To identify limitations of sonography in this context.

Main Methods:

185 patients undergoing thoracentesis, transbronchial biopsy, or CT-guided lung biopsy were studied.
Pre- and post-procedure transthoracic sonography and post-procedure chest radiography were performed.
Chest radiography served as the gold standard for pneumothorax diagnosis.

Main Results:

Pneumothorax occurred in 4.0% of patients, primarily after CT-guided needle lung biopsy.
Sonography demonstrated 88% sensitivity and 97% specificity for pneumothorax detection.
Diagnostic accuracy was 97% for adequate sonographic scans; limited scans in 43 patients showed a likelihood ratio of 1.08.

Conclusions:

High-quality bedside chest sonography is a valuable tool for post-procedure pneumothorax evaluation.
Chest radiography is advised for patients with pre-existing lung disease that limits sonographic image quality.