0
Clinical Investigations in Critical Care |

Safety of Ultrasound-Guided Thoracentesis in Patients Receiving Mechanical Ventilation*

Paul H. Mayo; Hayden R. Goltz; Mehran Tafreshi; Peter Doelken
Author and Funding Information

*From the Division of Pulmonary/Critical Care Medicine (Drs. Mayo, Goltz, and Tafreshi), Beth Israel Medical Center, New York, NY; and Division of Pulmonary/Critical Care Medicine (Dr. Doelken), Medical University of South Carolina, Charleston, SC.

Correspondence to: Paul H. Mayo, MD, FCCP, Division of Pulmonary/Critical Care Medicine, Seventh Floor Dazian Building, Beth Israel Medical Center, Sixteenth Street at First Avenue, New York, NY 10003; e-mail: pmayo@bethisraelny.org



Chest. 2004;125(3):1059-1062. doi:10.1378/chest.125.3.1059
Text Size: A A A
Published online

Objective: To determine the safety of ultrasound-guided thoracentesis (UST) performed by critical care physicians on patients receiving mechanical ventilation.

Design: Prospective and observational.

Setting: ICUs in a teaching hospital.

Patients: Two hundred eleven serial patients receiving mechanical ventilation with pleural effusion requiring diagnostic or therapeutic thoracentesis.

Interventions: Two hundred thirty-two separate USTs were performed by critical care physicians without radiology support. Anteroposterior chest radiographs were reviewed for possible postprocedure pneumothorax.

Results: Pneumothorax occurred in 3 of 232 USTs (1.3%). The procedure was well tolerated in this critically ill population.

Conclusions: UST performed in patients receiving mechanical ventilation without radiology support results in an acceptable rate of pneumothorax.


Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Figures

Tables

References

NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Related Content

Customize your page view by dragging & repositioning the boxes below.

Find Similar Articles
CHEST Journal Articles
  • CHEST Journal
    Print ISSN: 0012-3692
    Online ISSN: 1931-3543