Multiplane ultrasound approach to quantify pleural effusion at the bedside

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dc.contributor.authorRemerand, Francis
dc.contributor.authorDellamonica, Jean
dc.contributor.authorMao, Zhang
dc.contributor.authorFerrari, Fabio [UNESP]
dc.contributor.authorBouhemad, Belaid
dc.contributor.authorYang Jianxin,
dc.contributor.authorArbelot, Charlotte
dc.contributor.authorLu, Qin
dc.contributor.authorIchai, Carole
dc.contributor.authorRouby, Jean-Jacques
dc.contributor.institutionHop La Pitie Salpetriere
dc.contributor.institutionUPMC
dc.contributor.institutionCHRU Tours
dc.contributor.institutionCtr Hosp Univ Nice
dc.contributor.institutionZhejiang Univ
dc.contributor.institutionUniversidade Estadual Paulista (Unesp)
dc.date.accessioned2014-05-20T13:32:07Z
dc.date.available2014-05-20T13:32:07Z
dc.date.issued2010-04-01
dc.description.abstractTo assess the accuracy of a multiplane ultrasound approach to measure pleural effusion volume (PEV), considering pleural effusion (PE) extension along the cephalocaudal axis and PE area.Prospective study performed on 58 critically ill patients with 102 PEs. Thoracic drainage was performed in 46 patients (59 PEs) and lung computed tomography (CT) in 24 patients (43 PEs). PE was assessed using bedside lung ultrasound. Adjacent paravertebral intercostal spaces were examined, and ultrasound PEV was calculated by multiplying the paravertebral PE length by its area, measured at half the distance between the apical and caudal limits of the PE.Ultrasound PEV was compared to either the volume of the drained PE (59 PE) or PEV assessed on lung CT (43 PE). In patients with lung CT, the accuracy of this new method was compared to the accuracy of previous methods proposed for PEV measurement. Ultrasound PEV was tightly correlated with drained PEV (r = 0.84, p < 0.001) and with CT PEV (r = 0.90, p < 0.001). The mean biases between ultrasound and actual volumes of PE were -33 ml when compared to drainage (limits of agreement -292 to +227 ml) and -53 ml when compared to CT (limits of agreement -303 to +198 ml). This new method was more accurate than previous methods to measure PEV.Using a multiplane approach increases the accuracy of lung ultrasound to measure the volume of large to small pleural effusions in critically ill patients.en
dc.description.affiliationHop La Pitie Salpetriere, AP HP, Dept Anesthesie Reanimat, F-75013 Paris, France
dc.description.affiliationUPMC, Univ Paris 06, Hop La Pitie Salpetriere, AP HP,Dept Anesthesiol & Crit Care Med,Multidisci, Paris, France
dc.description.affiliationCHRU Tours, Hop Trousseau, Groupement Anesthesie Reanimat, F-37044 Tours 1, France
dc.description.affiliationCtr Hosp Univ Nice, Hop Archet, Nice, France
dc.description.affiliationZhejiang Univ, Affiliated Hosp 2, Hangzhou 310003, Zhejiang, Peoples R China
dc.description.affiliationUniv Estadual Paulista, Fac Med, Dept Anesthesiol, Botucatu, SP, Brazil
dc.description.affiliationCtr Hosp Univ Nice, Hop St Roch, Surg Intens Care Unit, Dept Anesthesie & Reanimat, Nice, France
dc.description.affiliationUnespUniv Estadual Paulista, Fac Med, Dept Anesthesiol, Botucatu, SP, Brazil
dc.format.extent656-664
dc.identifierhttp://dx.doi.org/10.1007/s00134-010-1769-9
dc.identifier.citationIntensive Care Medicine. New York: Springer, v. 36, n. 4, p. 656-664, 2010.
dc.identifier.doi10.1007/s00134-010-1769-9
dc.identifier.issn0342-4642
dc.identifier.urihttp://hdl.handle.net/11449/10958
dc.identifier.wosWOS:000275548400011
dc.language.isoeng
dc.publisherSpringer
dc.relation.ispartofIntensive Care Medicine
dc.relation.ispartofjcr15.008
dc.relation.ispartofsjr3,293
dc.rights.accessRightsAcesso restrito
dc.sourceWeb of Science
dc.subjectPleural effusionen
dc.subjectCritical careen
dc.subjectUltrasound imagingen
dc.subjectComputed tomography scanen
dc.subjectPleural drainageen
dc.titleMultiplane ultrasound approach to quantify pleural effusion at the bedsideen
dc.typeArtigo
dcterms.licensehttp://www.springer.com/open+access/authors+rights?SGWID=0-176704-12-683201-0
dcterms.rightsHolderSpringer
unesp.author.orcid0000-0001-9092-4642[10]
unesp.campusUniversidade Estadual Paulista (Unesp), Faculdade de Medicina, Botucatupt

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