Intraoperative Pneumothorax Identified with Transthoracic Ultrasound

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Intraoperative pneumothorax identified with transthoracic ultrasound.

P NEUMOTHORAX is an uncommon but potentially serious occurrence during anesthesia. Initial clinical signs may be subtle, but progression to a tension pneumothorax can result in significant cardiorespiratory instability. Because therapy for pneumothorax may require invasive chest tube placement, definitive diagnosis by chest radiography is necessary. However, intraoperative chest radiograph may ...

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Transthoracic ultrasound for diagnosing pneumothorax.

1. Ueda K, Ahmed W, Ross AF: Intraoperative pneumothorax identified with transthoracic ultrasound. ANESTHESIOLOGY 2011; 115:653–5 2. Ball CG, Kirkpatrick AW, Laupland KB, Fox DL, Litvinchuk S, Dyer DM, Anderson IB, Hameed SM, Kortbeek JB, Mulloy R: Factors related to the failure of radiographic recognition of occult posttraumatic pneumothoraces. Am J Surg 2005; 189: 541– 6, discussion 546 3. Om...

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Transthoracic ultrasound.

Sonography (US) has inherent limitations for thoracic imaging because sound waves are reflected by bone and air space (such as in lung parenchyma). However, US is less expensive and more convenient than computed tomography (CT) or magnetic resonance imaging (MRI); it provides immediate information with real-time imaging, and can give information not available from a standard radiograph. This re...

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Detection of pneumothorax with ultrasound.

Diagnosis of a pneumothorax in the perioperative area can be difficult. Traditional gold-standard modalities may not be available or feasible to institute. Ultrasound guidance allows the anesthesia provider a method of quickly ruling out this potentially life-threatening complication. In this article we detail the use of sonography for fast and accurate diagnosis of pneumothorax. The essential ...

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A case of iatrogenic pneumothorax in which chest tube placement could be avoided by intraoperative evaluation with transthoracic ultrasonography

We report a case of iatrogenic pneumothorax in which chest tube placement was avoided by continuous intraoperative evaluation with transthoracic ultrasonography. A 53-year-old man had undergone a subsegmentectomy. While attempting to place a central venous catheter in the right internal jugular vein after the induction of anesthesia, we identified gas absorption during the puncture and suspecte...

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ژورنال

عنوان ژورنال: Anesthesiology

سال: 2011

ISSN: 0003-3022

DOI: 10.1097/aln.0b013e31822a63f0