Pulmonary consolidation alters the ultrasound estimate of pleural fluid volume when considering chest drainage in patients on ECMO

After excluding three effusions (5.7%) for incomplete drainage, a total of 50 effusions were evaluated and drained in 42 (27 males and 15 females) patients (age 44 ± 17 years, APACHE II 25.8 ± 6.8, SOFA 11 ± 2.5, height 174 ± 7 cm, body weight 87 ± 20 kg). The known CUS assessment of pleural fluid v...

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Published in:Critical care (London, England) England), 2022-05, Vol.26 (1), p.144-144, Article 144
Main Authors: Balik, Martin, Mokotedi, Masego Candy, Maly, Michal, Otahal, Michal, Stach, Zdenek, Svobodova, Eva, Flaksa, Marek, Rulisek, Jan, Brozek, Tomas, Porizka, Michal
Format: Article
Language:English
Subjects:
Biopsy
Blood oxygenation, Extracorporeal
Correspondence
Critical care
Drainage
Drainage, Surgical
Extracorporeal Membrane Oxygenation
Humans
Lungs
Methods
Planning
Pleura
Pleural Effusion - diagnostic imaging
Pleural Effusion - therapy
Respiratory System
Ultrasonic imaging
Ultrasonography
Ventilators
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cited_by cdi_FETCH-LOGICAL-c4789-963d76ab1fe4bd6bc1bab45829270b95e2d3ad6f06935831173aebb9f4af87643
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creator Balik, Martin
Mokotedi, Masego Candy
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Svobodova, Eva
Flaksa, Marek
Rulisek, Jan
Brozek, Tomas
Porizka, Michal
description After excluding three effusions (5.7%) for incomplete drainage, a total of 50 effusions were evaluated and drained in 42 (27 males and 15 females) patients (age 44 ± 17 years, APACHE II 25.8 ± 6.8, SOFA 11 ± 2.5, height 174 ± 7 cm, body weight 87 ± 20 kg). The known CUS assessment of pleural fluid volume largely underestimates reality [1] in severely consolidated lungs surrounded by potentially misleadingly thin layer of circumferential effusion. The prediction error may be greatly reduced by calculating with pleural separation above the posterior axillary line which enables better evaluation of the benefits of pleural drainage versus the risks of complications in anticoagulated patients on ECMO (Fig. 1).
doi_str_mv 10.1186/s13054-022-04018-9
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ispartof Critical care (London, England), 2022-05, Vol.26 (1), p.144-144, Article 144
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source Publicly Available Content Database; PubMed
subjects Biopsy
Blood oxygenation, Extracorporeal
Correspondence
Critical care
Drainage
Drainage, Surgical
Extracorporeal Membrane Oxygenation
Humans
Lungs
Methods
Planning
Pleura
Pleural Effusion - diagnostic imaging
Pleural Effusion - therapy
Respiratory System
Ultrasonic imaging
Ultrasonography
Ventilators
title Pulmonary consolidation alters the ultrasound estimate of pleural fluid volume when considering chest drainage in patients on ECMO
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