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Pleura

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Chest Sonography

Abstract

In the normal thorax the transthoracic sonographic view reaches to the pleura at the most. The healthy air containing lung is not depictable due to the total sound reflection at its surface. In the early years of ultrasound up to the nineteen eighties the presentation of pleural effusions was considered the only reasonable application for chest sonography apart from echokardiography.

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References

  • Abu Arab W (2012) Solitary fibrous tumours of the pleura. Eur J Cardiothorac Surg 41:587–597

    Google Scholar 

  • Balik M, Plasil P, Waldauf P et al (2006) Ultrasound estimation of volume of pleural fluid in mechanically ventilated patients. Intensive Care Med 32:318–321

    Article  CAS  PubMed  Google Scholar 

  • Belaabidia B, Sellami S, Benelkhayat R et al (2006) Le léiomyosarcome diaphragmatique : revue de la littérature, à propos d’une observation. Cancer Radiother 10:137–141

    Article  CAS  PubMed  Google Scholar 

  • Cardillo G, Lococo F, Carleo F, Martelli M (2012) Solitary fibrous tumors of the pleura. Curr Opin Pulm Med 18:339–346

    Google Scholar 

  • Chian CF, Su WL, Soh LH et al (2004) Echogenic swirling pattern as a predictor of malignant pleural effusions in patients with malignancies. Chest 126:129–134

    Article  PubMed  Google Scholar 

  • Colice GL, Cutis A, Deslauriers J et al (2000) Medical and surgical treatment of parapneumonic effusions, an evidencebased guideline. Chest 18:1158–1171

    Article  Google Scholar 

  • Collins JD, Burwell D, Furmanski S et al (1972) Minimal detectable pleural effusions. Radiology 105:51–53

    Article  Google Scholar 

  • Dorffner R, Eibenberger K, Youssefzadeh S et al (1998) The value of sonography in the intensive care unit for the diagnosis of diaphragmatic paralysis. RöFo 169:274–277

    CAS  PubMed  Google Scholar 

  • Eibenberger KL, Dock WI, Ammann ME et al (1994) Quantification of pleural effusion: sonography versus radiography. Radiology 191:681–684

    Article  CAS  PubMed  Google Scholar 

  • Epelman M, Navarro OM, Daneman A, Miller SF (2005) Mmode sonography of diaphragmatic motion: description of technique and experience in 278 pediatric patients. Pediatr Radiol 35:661–667

    Article  PubMed  Google Scholar 

  • Francis CA, Hoffer JA, Reynolds S (2016) Ultrasonographic evaluation of diaphragm thickness during mechanical ventilation in intensive care patients, Am J Crit Care 25:e1–8. doi: 10.4037/ajcc2016563

  • Gardelli G, Feletti F, Nanni A, Mughetti M, Piraccini A, Zompatori M (2012) Chest ultrasonography in the ICU. Respir Care 57:773–781

    Google Scholar 

  • Garofalo G, Busso M, Perotto F, De Pascale A, Fava C (2006) Ultrasound diagnosis of pneumothorax. Radiol Med 111:516–525

    Google Scholar 

  • Gehmacher O, Kopf A, Scheier M et al (1997) Ist eine Pleuritis sonographisch darstellbar? Ultraschall Med 18:214–219

    Article  CAS  PubMed  Google Scholar 

  • Geiger D, Düll T, von Pawel J et al (2003) Thoraxwandinfiltration und Stichkanalinvasion beim malignen Pleuramesotheliom. Ultraschall Med 24:34, abstract

    Article  Google Scholar 

  • Goecke W, Schwerk WB (1990) Die RealTimeSonographie in der Diagnostik von Pleuraergüssen. In: Gebhardt J, Hackelöer BJ, Klinggräff GV, Seitz K (eds) Ultraschalldiagnostik, vol 89. Springer, Berlin

    Google Scholar 

  • Görg C, Bert T, Görg K (2005) Contrastenhanced sonography for differential diagnosis of pleurisy and focal pleural lesions of unknown cause. Chest 128:3894–3899

    Article  PubMed  Google Scholar 

  • Gryminski J, Krakówka P, Lypacewicz G (1976) The diagnosis of pleural effusion by ultrasonic and radiologic techniques. Chest 70:33–37

    Article  CAS  PubMed  Google Scholar 

  • Hansen M, Muhl E (1997) Blunt thoracic trauma – therapeutic relevance of results of roentgen image, ultrasound and computerized tomography. Langenbecks Arch Chir Suppl Kongressbd 114:458–460

    CAS  PubMed  Google Scholar 

  • Heffner JE (2010) Management of the patient with a malignant pleural effusion. Semin Respir Crit Care Med 31:723–733

    Google Scholar 

  • Herth F, Schmitteckert H, Schulz M, Becker H (2003) Diagnostik des Pneumothorax mittels transthorakalem Ultraschall – eine prospektive Untersuchung. Ultraschall Med 24(Suppl 1):30, abstract

    Google Scholar 

  • Hooper C, Lee YCG, Maskell N et al. (2010) Investigation of a unilateral pleural effusion in adults: British Thoracic Society disease guidelines 2010, Thorax;65(Suppl 2):ii4eii17.doi: 10.1136/thx.2010.136978

  • Hsu CW, Sun SF (2014) Latrogenic pneumothorax related to mechanical ventilation. World J Crit Care Med 3:8–14

    Article  PubMed  PubMed Central  Google Scholar 

  • Jung KJ, JY Park, DW Hwang et al. (2014) Ultrasonographic Diaphragmatic Motion Analysis and Its Correlation With Pulmonary Function in Hemiplegic Stroke Patients, Ann Rehabil Med 38(1):29–37

    Google Scholar 

  • Layer G, Schmitteckert H, Steudel A et al (1999) MRT, CT und Sonographie in der präoperativen Beurteilung der Primärtumorausdehnung beim malignen Pleuramesotheliom. Fortschr Roentgenstr 170:365–370

    CAS  Google Scholar 

  • Lehnert M, Taeger D, Wiethege Tet al., Update zur Epidemiologie des Pleuramesothelioms in Deutschland, IPA – Institut für Prävention und Arbeitsmedizin der Deutschen Gesetzlichen Unfallversicherung, Institut der Ruhr-Universität Bochum, Deutsche Gesetzliche Unfallversicherung, 2009

    Google Scholar 

  • Lichtenstein DA, Menu Y (1995) A bedside ultrasound sign ruling out pneumothorax in the critically ill: lung sliding. Chest 108:345–348

    Article  Google Scholar 

  • Lichtenstein DA, Mezière GA (2008) Relevance of lung ultrasound in the diagnosis of acute respiratory failure. The BLUEprotocol. Chest 134:117–125

    Article  PubMed  PubMed Central  Google Scholar 

  • Lichtenstein DA, Mezière GA, Bidermann P (1997) The comet tail artifact: an ultrasound sign of alveolarinterstitial syndrome. Am J Respir Crit Care Med 156:1640–1646

    Article  CAS  PubMed  Google Scholar 

  • Lichtenstein DA, Mezière GA, Bidermann P, Gepner A (2000) The »lung point«: an ultrasound sign specific to pneumothorax. Intensive Care Med 26:1434–1440

    Article  CAS  PubMed  Google Scholar 

  • Light RW (2006) Parapneumonic effusions and empyema. Proc Am Thorac Soc 3:75–80

    Article  CAS  PubMed  Google Scholar 

  • Lloyd T, Tang YM, Benson MD, King S (2006) Diaphragmatic paralysis: the use of Mmode ultrasound for diagnosis in adults. Spinal Cord 44:505–508

    Article  CAS  PubMed  Google Scholar 

  • Loddenkemper R (1994) Pleuraerkrankungen. In: Ferlinz R (Hrsg) Pneumologie in Praxis und Klinik. Thieme, Stuttgart, S 712–717

    Google Scholar 

  • Loff S, Zwerchfellhernie, Zwerchfelldefekt (Congenital Diaphragmatic Hernia [CDH]), S1-Leitlinie der Deutschen Gesellschaft für Kinderchirurgie, AWMF-Register Nr. 006/087, 2016

    Google Scholar 

  • Matamis D, Soilemezi E, Tsagourias M et al. (2013) Sonographic evaluation of the diaphragm in critically ill patients. Technique and clinical applications, Intensive Care Med 39:801–810. doi: 10.1007/s00134-013-2823-1

  • Mathis G (1997) Thoraxsonogrphy – Part I: Chest wall and pleura. Ultrasound Med Biol 23:1131–1139

    Article  CAS  PubMed  Google Scholar 

  • Neumann V, Löseke S, Nowak D et al.(2013) Malignes Pleuramesotheliom. Inzidenz, Ätiologie, Diagnostik, Therapie und Arbeitsmedizin, Deutsches Ärzteblatt 110: 319–326

    Google Scholar 

  • Noda Y, Sekiguchi K, Kohara N et al. (2016) Sonographic diaphragm thickness correlates with compound muscle action potentialamplitude and forced vital capacity, MuscleNerve 53:522–527. Doi: 10.1002/mus.24902

  • Ozpolat B1, Kaya O, Yazkan R, Osmanoğlu G (2009) Diaphragmatic injuries: a surgical challenge. Report of forty-one cases,Thorac Cardiovasc Surg 57(6):358–62. doi: 10.1055/s-0029-1185579

  • Park GY, Kim SR, Kim YW et al. (2014) Decreased diaphragm excursion in stroke patients with dysphagia as assessed by M- mode sonography, Arch Phys Med Rehabil. pii: S0003-9993(14)01033-8. doi: 10.1016/j.apmr.2014.08.019.

  • Reißig A, Kroegel C (2005) Accuracy of transthoracic sonography in excluding postinterventional pneumothorax and hydropneumothorax. Comparison to chest radiography. Eur J Radiol 53:463–470

    Google Scholar 

  • Reuß J (2010) Sonography of the pleura. Sonography of the pleura. Ultraschall Med 31:8–22

    Article  PubMed  Google Scholar 

  • ReußJ, Blank W, Drews U et al (2002) Sonographischanatomischer Vergleich des Aufbaus der inneren Thoraxwand zwischen Interkostalmuskulatur und Pleuraspalt. Ultraschall Med 23(Suppl 1):70, abstract

    Google Scholar 

  • Roch A, Bojan M, Michelet P et al (2005) Usefulness of ultrasonography in predicting pleural effusions >500 ml in patients receiving mechanical ventilation. Chest 127:224–232

    Article  PubMed  Google Scholar 

  • Rubikas R (2001) Diaphragmatic injuries. Eur J Cardiothorac Surg 20:53–57

    Article  CAS  PubMed  Google Scholar 

  • Sartori S, Tombesi P, Trevisani L, Nielsen I, Tassinari D, Abbasciano V (2007) Accuracy of transthoracic sonography in detection of pneumothorax after sonographically guided lung biopsy: prospective comparison with chest radiography. AJR Am J Roentgenol 188:37–41

    Article  PubMed  Google Scholar 

  • Soilemezi E, Tsagourias M, Talias MA, Soteriades ES, Makrakis V, Zakynthinos E, Matamis D (2013) Sonographic assessment of changes in diaphragmatic kinetics induced by inspiratory resistive loading. Respirology 18:468–473

    Google Scholar 

  • Soldati G, Testa A, Sher S, Pignataro G, La Sala M, Silveri NG (2008) Occult traumatic pneumothorax – diagnostic accuracy of lung ultrasonography in the emergency department. Chest 133:204–211

    Article  PubMed  Google Scholar 

  • Tacsi S, Burghard A, Schäfer H, Rabe C, Ewig S, Lüderitzt B (2005) Longterm outcome of intrapleural fibrinolytic therapy via smallbore catheter drainage in the management of complicated parapneumonic effusion and a empyemaa case series. Med Klin (Munich) 100:181–185

    Google Scholar 

  • Travis WD (2010) Sarcomatoid neoplasms of the lung and pleura, Arch Pathol Lab Med 134(11):1645–1658. doi: 10.1043/2010-0086-RAR.1

  • Urvoas E, Pariente D, Fausser C et al (1994) Diaphragmatic paralysis in children: diagnosis by TMmode ultrasound. Pediatr Radiol 24:564–568

    Article  CAS  PubMed  Google Scholar 

  • Vignon P, Chastagner C, Berkane V et al (2005) Quantitative assessment of pleural effusion in critically ill patients by means of ultrasonography. Crit Care Med 33:1757–1763

    Article  PubMed  Google Scholar 

  • Volpicelli G (2011) Sonographic diagnosis of pneumothorax, Intensive Care Med 37(2):224–232. doi: 10.1007/s00134-010-2079-y

  • Volpicelli G et al (2012) International evidencebased recommendations for pointofcare lung ultrasound. Intensive Care Med 38:577–591

    Article  PubMed  Google Scholar 

  • Wilkerson RG, Stone MB (2010) Sensitivity of bedside ultrasound and supine anteroposterior chest radiographs for the identification of pneumothorax after blunt trauma. Acad Emerg Med 17:11–17

    Google Scholar 

  • Yarmus L, FellerKopman D (2012) Pneumothorax in the critically ill patient. Chest 141:1098–1105

    Google Scholar 

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Authors and Affiliations

  1. Kliniken Böblingen, 120, Böblingen, 71032, Germany

    Joachim Reuß

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  1. Joachim Reuß
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Correspondence to Joachim Reuß .

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  1. Rankweil, Austria

    Gebhard Mathis

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Reuß, J. (2017). Pleura. In: Mathis, G. (eds) Chest Sonography. Springer, Cham. https://doi.org/10.1007/978-3-319-44072-9_3

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  • DOI: https://doi.org/10.1007/978-3-319-44072-9_3

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  • Print ISBN: 978-3-319-44071-2

  • Online ISBN: 978-3-319-44072-9

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