Skip to main content
Top
Published in: The Ultrasound Journal 1/2018

Open Access 01-12-2018 | Original article

An easier and safe affair, pleural drainage with ultrasound in critical patient: a technical note

Authors: Luigi Vetrugno, Giovanni Maria Guadagnin, Daniele Orso, Enrico Boero, Elena Bignami, Tiziana Bove

Published in: The Ultrasound Journal | Issue 1/2018

Login to get access

Abstract

Thoracic ultrasound is a powerful diagnostic imaging technique for pleural space disorders. In addition to visualising pleural effusion, thoracic ultrasound also helps clinicians to identify the best puncture site and to guide the drainage insertion procedure. Thoracic ultrasound is essential during these invasive manoeuvres to increase safety and decrease potential life-threatening complications. This paper provides a technical description of pigtail-type drainage insertion using thoracic ultrasound, paying particular attention to indications, contraindications, ultrasound guidance, preparation/equipment, procedure and complications.
Appendix
Available only for authorised users
Literature
1.
2.
go back to reference Fartoukh M, Azoulay E, Galliot R et al (2002) Clinically documented pleural effusions in medical ICU patients: how useful is routine thoracentesis? Chest 121(1):178–184CrossRefPubMed Fartoukh M, Azoulay E, Galliot R et al (2002) Clinically documented pleural effusions in medical ICU patients: how useful is routine thoracentesis? Chest 121(1):178–184CrossRefPubMed
3.
go back to reference Mattison LE, Coppage L, Alderman DF et al (1997) Pleural effusions in the medical ICU: prevalence, causes, and clinical implications. Chest 111(4):1018–1023CrossRefPubMed Mattison LE, Coppage L, Alderman DF et al (1997) Pleural effusions in the medical ICU: prevalence, causes, and clinical implications. Chest 111(4):1018–1023CrossRefPubMed
4.
go back to reference Goligher EC, Leis JA, Fowler RA et al (2011) Utility and safety of draining pleural effusions in mechanically ventilated patients: a systematic review and meta-analysis. Crit Care 15:R46CrossRefPubMedPubMedCentral Goligher EC, Leis JA, Fowler RA et al (2011) Utility and safety of draining pleural effusions in mechanically ventilated patients: a systematic review and meta-analysis. Crit Care 15:R46CrossRefPubMedPubMedCentral
6.
go back to reference Lichtenstein D, Goldstein I, Mourgeon E et al (2004) Comparative diagnostic performances of auscultation, chest radiography, and lung ultrasonography in acute respiratory distress syndrome. Anesthesiology 100(1):9–15CrossRefPubMed Lichtenstein D, Goldstein I, Mourgeon E et al (2004) Comparative diagnostic performances of auscultation, chest radiography, and lung ultrasonography in acute respiratory distress syndrome. Anesthesiology 100(1):9–15CrossRefPubMed
9.
go back to reference Diacon AH, Brutsche MH, Solèr M (2003) Accuracy of pleural puncture sites: a prospective comparison of clinical examination with ultrasound. Chest 123(2):436CrossRefPubMed Diacon AH, Brutsche MH, Solèr M (2003) Accuracy of pleural puncture sites: a prospective comparison of clinical examination with ultrasound. Chest 123(2):436CrossRefPubMed
12.
go back to reference Talmor M, Hydo L, Gershenwald JG et al (1998) Beneficial effects of chest tube drainage of pleural effusion in acute respiratory failure refractory to positive end-expiratory pressure ventilation. Surgery 123(2):137–143CrossRefPubMed Talmor M, Hydo L, Gershenwald JG et al (1998) Beneficial effects of chest tube drainage of pleural effusion in acute respiratory failure refractory to positive end-expiratory pressure ventilation. Surgery 123(2):137–143CrossRefPubMed
13.
go back to reference Colice GL, Curtis A, Deslauriers J et al (2000) Medical and surgical treatment of parapneumonic effusions: an evidence-based guideline. Chest 118(4):1158–1171CrossRefPubMed Colice GL, Curtis A, Deslauriers J et al (2000) Medical and surgical treatment of parapneumonic effusions: an evidence-based guideline. Chest 118(4):1158–1171CrossRefPubMed
17.
go back to reference Keeling AN, Leong S, Logan PM et al (2008) Empyema and effusion: outcome of image-guided small-bore catheter drainage. Cardiovasc Intervent Radiol 31(1):135–141CrossRefPubMed Keeling AN, Leong S, Logan PM et al (2008) Empyema and effusion: outcome of image-guided small-bore catheter drainage. Cardiovasc Intervent Radiol 31(1):135–141CrossRefPubMed
19.
go back to reference 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(8):1757–1763CrossRefPubMed 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(8):1757–1763CrossRefPubMed
23.
go back to reference Koyanagi T, Kawaharada N, Kurimoto Y et al (2010) Examination of intercostal arteries with transthoracic Doppler sonography. Echocardiography 27(1):17–20CrossRefPubMed Koyanagi T, Kawaharada N, Kurimoto Y et al (2010) Examination of intercostal arteries with transthoracic Doppler sonography. Echocardiography 27(1):17–20CrossRefPubMed
25.
go back to reference Olinger A, Shurtleff E (2012) Posterior intercostal artery tortuosity and collateral branch points: a cadaveric study. Folia Morphol 71(4):245–251 Olinger A, Shurtleff E (2012) Posterior intercostal artery tortuosity and collateral branch points: a cadaveric study. Folia Morphol 71(4):245–251
26.
go back to reference Carney M, Ravin CE (1979) Intercostal artery laceration during thoracocentesis: increase risk in elderly patients. Chest 75(4):520–522CrossRefPubMed Carney M, Ravin CE (1979) Intercostal artery laceration during thoracocentesis: increase risk in elderly patients. Chest 75(4):520–522CrossRefPubMed
30.
go back to reference Davies HE, Merchant S, McGown A (2008) A study of the complications of small bore ‘Seldinger’ intercostal chest drains. Respirology 13(4):603–607CrossRefPubMed Davies HE, Merchant S, McGown A (2008) A study of the complications of small bore ‘Seldinger’ intercostal chest drains. Respirology 13(4):603–607CrossRefPubMed
31.
go back to reference Davies HE, Davies RJ, Davies CW (2010) Management of pleural infection in adults: British Thoracic Society pleural disease guideline 2010. Thorax 65(Suppl 2):ii41–ii53CrossRefPubMed Davies HE, Davies RJ, Davies CW (2010) Management of pleural infection in adults: British Thoracic Society pleural disease guideline 2010. Thorax 65(Suppl 2):ii41–ii53CrossRefPubMed
32.
go back to reference Sohara Y (2008) Reexpansion pulmonary edema. Ann Thorac Cardiovasc Surg 14(4):205–209PubMed Sohara Y (2008) Reexpansion pulmonary edema. Ann Thorac Cardiovasc Surg 14(4):205–209PubMed
33.
go back to reference Gumus S, Yucel O, Gamsizkan M et al (2010) The role of oxidative stress and effect of alpha-lipoic acid in reexpansion pulmonary edema: an experimental study. Arch Med Sci 6(6):848–853CrossRefPubMedPubMedCentral Gumus S, Yucel O, Gamsizkan M et al (2010) The role of oxidative stress and effect of alpha-lipoic acid in reexpansion pulmonary edema: an experimental study. Arch Med Sci 6(6):848–853CrossRefPubMedPubMedCentral
34.
37.
go back to reference Matsuura Y, Nomimura T, Murakami H et al (1991) Clinical analysis of reexpansion pulmonary edema. Chest 100(6):1562–1566CrossRefPubMed Matsuura Y, Nomimura T, Murakami H et al (1991) Clinical analysis of reexpansion pulmonary edema. Chest 100(6):1562–1566CrossRefPubMed
Metadata
Title
An easier and safe affair, pleural drainage with ultrasound in critical patient: a technical note
Authors
Luigi Vetrugno
Giovanni Maria Guadagnin
Daniele Orso
Enrico Boero
Elena Bignami
Tiziana Bove
Publication date
01-12-2018
Publisher
Springer Milan
Published in
The Ultrasound Journal / Issue 1/2018
Electronic ISSN: 2524-8987
DOI
https://doi.org/10.1186/s13089-018-0098-z

Other articles of this Issue 1/2018

The Ultrasound Journal 1/2018 Go to the issue