SESSION TITLE: Postoperative ICU Issues Posters
SESSION TYPE: Original Investigation Poster
PRESENTED ON: Wednesday, October 29, 2014 at 01:30 PM - 02:30 PM
PURPOSE: Chest XR (CXR) is routinely used to verify chest tube position after placement. However, even a 'perfect' CXR will not identify a chest tube missplaced outside of the thoracic cavity, in the subcutaneous tissue. An extrathoracic chest tube can only be identified with a computerized tomography (CT) of the chest, but this is not routinly done after chest tube placement, and can not be done quickly in an unstable patient.
METHODS: Bedside US with a 10MHz transducer probe was used in the transverse plane inorder to identify positioning of a 32F chest tube.
RESULTS: Hyperechoic arc was noted on ultrasound between the visceral pleura and parietal pleura, along with pleural sliding with respiration in the area of the chest tube. Intrathoracic positioning of the chest tube was additionally confirmed with chest CT.
CONCLUSIONS: Bedside use of US to verify chest tube positioning is a quick and reliable tool to verify intrathoracic chest tube placement. A CXR can not do this, and a chest CT is not routinely performed.
CLINICAL IMPLICATIONS: Bedside US is quick and reliable tool to verify intrathoracic chest tube placement.
DISCLOSURE: The following authors have nothing to disclose: John Agapian, Yuxuan Wang, John Agapian, Dan Ludi, Afshin Molkara
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