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Editorials |

Chest Ultrasound for “Dummies”

Peter Doelken, MD; Charlie Strange, MD, FCCP
Author and Funding Information

Affiliations: Charleston, SC
 ,  Dr. Doelken is Assistant Professor in the Division of Pulmonary and Critical Care Medicine, Medical University of South Carolina, Charleston, SC. Dr. Strange is Associate Professor in the Division of Pulmonary and Critical Care Medicine, Medical University of South Carolina, Charleston, SC.

Correspondence to: Charlie Strange, MD, FCCP, Department of Pulmonary and Critical Care Medicine, MUSC 96 Jonathan Lucas St, PO Box 250623, Charleston, SC 29425



Chest. 2003;123(2):332-333. doi:10.1378/chest.123.2.332
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In this issue of CHEST (see page 436), Diacon et al report that bedside ultrasonography performed by a pulmonologist increases the success of thoracentesis by 26% in patients with pleural effusion when compared with puncture site localization by clinical examination and a chest radiograph. Many proposed sites for thoracentesis based on clinical examination were in areas that had insufficient pleural fluid, and a few proposed sites were at risk for hepatic or splenic puncture. The sensitivity and specificity of clinical examination for fluid detection was found to be only 76.6 and 60.3%, respectively.

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