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ULTRAZVUK U DIJAGNOSTICI PNEUMOTORAKSA

ULTRASOUND IN DIAGNOSTICS OF PNEUMOTHORAX

Authors

 

Miroslav Mišović1, Tijana Kosanović2
1 Institut za radiologiju, Vojnomedicinska akademija, Beograd
2 Opšta bolnica, Pančevo

 

• The paper was received on 12.11.2015. / Accepted on 18.11.2015.

 

Abstract

 

Before, it was thought that the air was the enemy of the ultrasound waves and that the lungs are unaccesible for the ultrasound examination. Reason for all is presence of the air in the lungs or in pleural space, which prevent diffusion of ultrasound waves and resulting in artefacts unabling appearance of the ultrasound picture. Today, yust owing to our knowledge and adeqate explanation of these arefacts, we can quicly, simply and great precise make a diagnosis of the pneumothorax. The ultrasound has shown numerous advances in comparison with other diagnostic methods (CXR, MDCT), especially in urgent conditions, in polytraumatized patients, in those who are in severe general condition and in unstable patients in the intensive care units, in whom urgent diadnosis is of great importance. Because of all this FAST protocol is extended with examination of the thorax (lungs), so that E- FAST protocol is now applied.

 

 

References

 

  1. Di Bartolomeo S, Sanson G, Nardi G, Shian F, Michelutto V, Lattuada L. A population- based study on pneumothorax in severely traumatized patients. J Trauma. 2001;51:677-82.
  2. Ball CG, Ranson K, Dente CJ, Feliciano DV, Laupland KB, Dyer D, et al. Clinical predictors of occult pneumothoraces in severely injured blunt polytrauma patients: A prospective observational study. Injury. 2009;40:44-7.
  3. Wernecke K, Galanski M, Peters PE, Hansen J. Pneumothorax: Evaluation by ultrasound- preliminary results. J Thorac Imaging. 1987;2:76-8.
  4. Kirkpatrick AW, Sirois M, Laupland KB, Liu D, Rowan K, Ball CG, et al. Hand- held thoracic sonography for detecting post- traumatic pneumothoraces: The extended focused assessment with sonography for trauma (EFAST). J Trauma. 2004;57:288-95.
  5. Ball CG, Kirkpatrick AW, Laupland KB, Fox DL, Litvinchuk S, Dyer DM, et al. Factors related to the failure of radiographic recognition of occult posttraumatic pneumothoraces. Am J Surg. 2005;189:541-6.
  6. Lichtenstein D, Meziere G, Biderman P, Gepner A. The ''comet- tail artifact'': An ultrasound sign ruling out pneumothorax. IIntensive Care Med. 1999;25:383-8.
  7. De Luca C, Valentino M, Rimondi M, Branchini M, Baleni MC, Barozzi L. Use of chest sonography in acute- care radiology. J Ultrasound. 2008;11:125-34.
  8. Zhang M, Liu ZH, Yang JX, Gan JX, Xu SW, You XD, et al. Rapid detection of pneumothorax by ultrasonography in patients with multiple trauma. Crit Care. 2006;10:R112.
  9. Barillari A, Kiuru S. Detection of spontaneous pneumothorax with chest ultrasound in the emergencu department. Intern Emerg Med. 2010;5:253-5.
  10. Cunningham J, Kirkpatrick AW, Nicolaou S, Liu D, Hamilton DR, Lawless B, et al. Enhanced recognition of ''lung sliding'' with power Doppler imaging in the diagnosis of pneumothorax. J Trauma. 2002;52:769-71.
  11. Blaivas M, Lyon M, Duggal S. A prospective comparison of supine chest radiography and bedside ultrasound for the diagnosis of traumatic pneumothorax. Acad Emerg Med. 2005;12:844-9.
  12. Lichtenstein DA, Meziere G, Lascols N, Biderman P, Courret JP, Gepner A, et al. Ultrasound diagnosis of occult pneumothorax. Crit Care Med. 2005;33:1231-8.

PDF Mišović M. and Kosanović T. • MD-Medical Data 2015;7(4): 311-314

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