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Chest. 2004 Mar;125(3):1059-62.

Safety of ultrasound-guided thoracentesis in patients receiving mechanical ventilation.

Author information

1
Division of Pulmonary/Critical Care Medicine, Beth Israel Medical Center, New York, NY 10003, USA. pmayo@bethisraelny.org

Abstract

OBJECTIVE:

To determine the safety of ultrasound-guided thoracentesis (UST) performed by critical care physicians on patients receiving mechanical ventilation.

DESIGN:

Prospective and observational.

SETTING:

ICUs in a teaching hospital.

PATIENTS:

Two hundred eleven serial patients receiving mechanical ventilation with pleural effusion requiring diagnostic or therapeutic thoracentesis.

INTERVENTIONS:

Two hundred thirty-two separate USTs were performed by critical care physicians without radiology support. Anteroposterior chest radiographs were reviewed for possible postprocedure pneumothorax.

RESULTS:

Pneumothorax occurred in 3 of 232 USTs (1.3%). The procedure was well tolerated in this critically ill population.

CONCLUSIONS:

UST performed in patients receiving mechanical ventilation without radiology support results in an acceptable rate of pneumothorax.

PMID:
15006969
DOI:
10.1378/chest.125.3.1059
[Indexed for MEDLINE]

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