22.07.2017 | Point of Care Thoracic Ultrasound (S Koenig, Section Editor)
Ultrasound Guidance for Thoracic Procedures
verfasst von:
Jason McClune, Jose Cardenas-Garcia
Erschienen in:
Current Pulmonology Reports
|
Ausgabe 3/2017
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Abstract
Purpose of Review
Ultrasound is an invaluable tool and its use for thoracic procedures continues to expand. This review evaluates current use and evidence of ultrasound with thoracic procedures.
Recent Findings
• Ultrasound guidance assists with proper device placement and reduces the risk of complications.
• A low risk of pneumothorax can be achieved, even in high-risk populations, such as those receiving positive pressure ventilation.
• Contraindications for high-risk bleeding conditions, including coagulopathy and/or clopidogrel use, deserve reconsideration because emerging evidence suggests ultrasound guidance may reduce complications to an acceptable risk profile.
• Ultrasound-assisted pleuroscopy and ultrasound-guided biopsies performed by experienced users have low complication rates and high diagnostic yield similar to computed tomography-guided biopsies.
Summary
Increased use of ultrasound may be attributed to its portability paired with real-time assessment. Integrating ultrasound guidance with thoracic procedures repeatedly demonstrates reductions in complication rates and is emerging as standard of care.