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Pleural Ultrasonography versus Chest Radiography for the Diagnosis of Pneumothorax
11 FebKey Messages
Pleural ultrasound is less sensitive than previously reported but remains superior to chest radiograph for detection of pneumothorax in the trauma and critical care populations.
Training and familiarity with bedside ultrasound techniques may provide better accuracy, as appeared with the emergency physician performance.
High-resolution linear probe gives higher accuracy for the sliding pleura sign.
Ultrasound is convenient, is a readily available bedside procedure, is easy to learn, is accurate for diagnosing pneumothorax, and avoids patient exposure to ionizing radiation.
References:
Saadah Alrajab, Asser M Youssef, Nuri I Akkus, Gloria Caldito
Pleural Ultrasonography versus Chest Radiography for the Diagnosis of Pneumothorax Review of the Literature and Meta-analysis
Crit Care. 2013;17(5)
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Tag:emergency ultrasound, major trauma, pneumothorax, thoracostomy, ultrasound