Ultrasound Guidance in Detection of Pneumothorax and Thoracentesis Performance View PDF

^*Hamed Amini Ahidashti
Department Of Emergency Medicine, Mazandaran University Of Medical Science, Sari, Iran, Islamic Republic Of

^*Corresponding Author:

Hamed Amini Ahidashti
Department Of Emergency Medicine, Mazandaran University Of Medical Science, Sari, Iran, Islamic Republic Of
Email:amamali110@gmail.com

Published on: 2017-02-14

Abstract

Management of pneumothorax and its early diagnosis are important clinical skills for physicians in emergency departments and respiratory medicine. The recent investigations provided some evidence about the use of ultrasonography in diagnosis of pneumothorax in critical care units. Currently ultrasonography is on hand in most therapeutic and diagnostic departments for both detection and disease management. Advantages of ultrasonography are that it’s portable and can be applied in patient’s bedside. In this article we reviewed the efficacy of ultrasonography ii diagnosis of pneumothorax and well performance in Thoracentesis. We concluded that diagnostic accuracy of ultrasonography was equal and some times more than chest radiography in detection of pneumothorax. Ultrasonography will increase patient safety and the amount of fluid removed during thoracentesis and can reduce the risk of pneumothorax, hospitalization costs and length of stay.

Keywords

Pneumothorax; Ultrasonography; Chest radiography; Thoracentesi

Introduction

Ther are two forms of pneumothorax including spontaneous and traumatic. Ther is no history of trauma for Spontaneous pneumothorax and has two subgroup consisting of primary or secondary. Primary spontaneous pneumothorax is seen in young and normal individuals whereas secondary spontaneous pneumothorax is resulting of lung other pathologies like chronic obstructive pulmonary disease, cystic fibrosi and etc. Th frequency of pneumothorax has higher rate in patients with underlying lung disease.