Ultrasonography in the Diagnosis of Pneumothorax Not Detected by Chest Radiography: Case Report
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Case Report
P: 106-111
June 2019

Ultrasonography in the Diagnosis of Pneumothorax Not Detected by Chest Radiography: Case Report

J Turk Soc Intens Care 2019;17(2):106-111
1. Necmettin Erbakan Üniversitesi Meram Tıp Fakültesi, Anesteziyoloji ve Reanimasyon Anabilim Dalı, Yoğun Bakım Bilim Dalı, Konya, Türkiye
2. Necmettin Erbakan Üniversitesi Meram Tıp Fakültesi, Anesteziyoloji ve Reanimasyon Anabilim Dalı, Konya, Türkiye
No information available.
No information available
Received Date: 23.05.2018
Accepted Date: 09.08.2018
Publish Date: 31.05.2019
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ABSTRACT

In patients with acute respiratory distress syndrome (ARDS), many factors, especially barotrauma may cause pneumothorax. Early detection of pneumothorax is critical in ARDS patients. When pneumothorax is suspected, chest radiography is usually preferred as the first line imaging modality. Recently, ultrasonography has been used by intensive care physicians in many fields, even in imaging of pneumothorax. We present a 75-year-old female patient with ARDS complicated by pneumothorax, in whom chest radiography was not diagnostic but ultrasound was used for diagnosis and follow-up.

Keywords: Ultrasound, pneumothorax, ARDS

References

1
Terzi E, Zarogoulidis K, Kougioumtzi I, et al. Acute respiratory distress syndrome and pneumothorax. J Thorac Dis 2014;6:S435-42.
2
Gattinoni L, Bombino M, Pelosi P, et al. Lung structure and function in different stages of severe adult respiratory distress syndrome. JAMA 1994;271:1772-9.
3
Jalli R, Sefidbakht S, Jafari SH. Value of ultrasound in diagnosis of pneumothorax: a prospective study. Emerg Radiol 2013;20:131-4.
4
Gobien RP, Reines HD, Schabel SI. Localized tension pneumothorax: unrecognized form of barotrauma in adult respiratory distress syndrome. Radiology 1982;142:15-9.
5
Terminella L, Sharma G. Diagnostic studies in patients with acute respiratory distress syndrome. Semin Thorac Cardiovasc Surg 2006;18:2-7.
6
Tagliabue M, Casella TC, Zincone GE, et al. CT and chest radiography in the evaluation of adult respiratory distress syndrome. Acta Radiol 1994;35:230-4.
7
Trovato G, Sperandeo M. Lung Ultrasound in Pneumothorax: The Continuing Need for Radiology. J Emerg Med 2016;51:189-91.
8
Rowan KR, Kirkpatick AW, Liu D, et al. Traumatic pneumothorax detection with thoracic US: correlation with chest radiography and CT--initial experience. Radiology 2002;225:210-4.
9
Gargani L, Picano E. The risk of cumulative radiation exposure in chest imaging and the advantage of bedside ultrasound. Crit Ultrasound J 2015;7:4.
10
Volpicelli G. Sonographic diagnosis of pneumothorax. Intensive Care Med 2011;37:224-32.
11
Oveland NP, Lossius HM, Aagaard R, et al. Animal laboratory training improves lung ultrasound proficiency and speed. J Emerg Med 2013;45:e71-8.
12
Lichtenstein D. Novel approaches to ultrasonography of the lung and pleural space: where are we now? Breathe (Sheff). 2017;13:100-11.
13
Lichtenstein DA. Ultrasound in the management of thoracic disease. Crit Care Med. 2007;35:S250-61.
14
Lichtenstein DA, Menu Y. A bedside ultrasound sign ruling out pneumothorax in the critically ill. Lung sliding. Chest 1995;108:1345-8.
15
Lichtenstein D, Mezière G, Biderman P, et al. The “lung point”: an ultrasound sign specific to pneumothorax. Intensive Care Med 2000;26:1434-40.
16
Lichtenstein DA, Lascols N, Prin S, et al. The “lung pulse”: an early ultrasound sign of complete atelectasis. Intensive Care Med 2003;29:2187-92.
17
Chuang TJ, Lai CC. Sonographic barcode sign of pneumothorax. QJM 2017;110:525-6.
18
Lichtenstein D. Lung ultrasound in acute respiratory failure an introduction to the BLUE-protocol. Minerva Anestesiol 2009;75:313-7.
19
Volpicelli G, Boero E, Sverzellati N, et al. Semi-quantification of pneumothorax volume by lung ultrasound. Intensive Care Med 2014;40:1460-7.
20
Henry M, Arnold T, Harvey J, et al. BTS guidelines for the management of spontaneous pneumothorax. Thorax 2003;58:ii39-52.
21
O’Rourke JP, Yee ES. Civilian spontaneous pneumothorax. Treatment options and long-term results. Chest 1989;96:1302-6.
22
Woodside KJ, vanSonnenberg E, Chon KS, et al. Pneumothorax in patients with acute respiratory distress syndrome: pathophysiology, detection, and treatment. J Intensive Care Med 2003;18:9-20.
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