Real-time ultrasound-guided thoracentesis in the intensive care unit: prevalence of mechanical complications

Background: The use of thoracic ultrasound during thoracentesis reduces complications. The aim of this study was to determine the prevalence of complications for real-time ultrasound-guided thoracentesis performed by intensivists. As a secondary objective, the change in oxygenation before and after...

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Autores Principales: Rodriguez Lima, David Rene, Yepes, Andrés Felipe, Birchenall Jiménez, Claudia Inés, Mercado Díaz, Mario Andrés, Pinilla Rojas, Darío Isaías
Formato: Artículo (Article)
Lenguaje:Inglés (English)
Publicado: Springer 2020
Materias:
Acceso en línea:https://repository.urosario.edu.co/handle/10336/23402
https://doi.org/10.1186/s13089-020-00172-9
id ir-10336-23402
recordtype dspace
spelling ir-10336-234022022-05-02T12:37:14Z Real-time ultrasound-guided thoracentesis in the intensive care unit: prevalence of mechanical complications Rodriguez Lima, David Rene Yepes, Andrés Felipe Birchenall Jiménez, Claudia Inés Mercado Díaz, Mario Andrés Pinilla Rojas, Darío Isaías Complications Intensive care Thoracentesis Ultrasound Background: The use of thoracic ultrasound during thoracentesis reduces complications. The aim of this study was to determine the prevalence of complications for real-time ultrasound-guided thoracentesis performed by intensivists. As a secondary objective, the change in oxygenation before and after the procedure was evaluated. Patients and methods: An observational prospective study was conducted. A total of 81 cases of real-time ultrasound-guided thoracentesis performed by intensivists in the intensive care unit (ICU) of Méderi Major University Hospital, Bogotá, Colombia, between August 2018 and August 2019 were analyzed. Thoracentesis performed by interventional radiologists and using techniques different from the focus of this study were excluded from the analysis. Results: There was one pneumothorax, for a prevalence rate of mechanical complications in this population of 1.2%. The mean partial oxygen pressure to inspired oxygen fraction ratio (PaO2/FiO2) prior to the procedure was 198.1 (95% CI 184.75–211.45), with a PaO2/FiO2 after the procedure of 224.6 (95% CI 213.08–226.12) (p and lt; 0.05). Conclusions: Real-time ultrasound-guided thoracentesis performed by intensivists is a safe procedure and leads to a significant improvement in oxygenation rates. Future studies are required to determine the impact of these results on other outcomes, such as mortality, ICU stay, and days of mechanical ventilation. © 2020, The Author(s). 2020 2020-05-26T00:01:45Z info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion https://repository.urosario.edu.co/handle/10336/23402 https://doi.org/10.1186/s13089-020-00172-9 eng info:eu-repo/semantics/openAccess application/pdf Springer instname:Universidad del Rosario
institution EdocUR - Universidad del Rosario
collection DSpace
language Inglés (English)
topic Complications
Intensive care
Thoracentesis
Ultrasound
spellingShingle Complications
Intensive care
Thoracentesis
Ultrasound
Rodriguez Lima, David Rene
Yepes, Andrés Felipe
Birchenall Jiménez, Claudia Inés
Mercado Díaz, Mario Andrés
Pinilla Rojas, Darío Isaías
Real-time ultrasound-guided thoracentesis in the intensive care unit: prevalence of mechanical complications
description Background: The use of thoracic ultrasound during thoracentesis reduces complications. The aim of this study was to determine the prevalence of complications for real-time ultrasound-guided thoracentesis performed by intensivists. As a secondary objective, the change in oxygenation before and after the procedure was evaluated. Patients and methods: An observational prospective study was conducted. A total of 81 cases of real-time ultrasound-guided thoracentesis performed by intensivists in the intensive care unit (ICU) of Méderi Major University Hospital, Bogotá, Colombia, between August 2018 and August 2019 were analyzed. Thoracentesis performed by interventional radiologists and using techniques different from the focus of this study were excluded from the analysis. Results: There was one pneumothorax, for a prevalence rate of mechanical complications in this population of 1.2%. The mean partial oxygen pressure to inspired oxygen fraction ratio (PaO2/FiO2) prior to the procedure was 198.1 (95% CI 184.75–211.45), with a PaO2/FiO2 after the procedure of 224.6 (95% CI 213.08–226.12) (p and lt; 0.05). Conclusions: Real-time ultrasound-guided thoracentesis performed by intensivists is a safe procedure and leads to a significant improvement in oxygenation rates. Future studies are required to determine the impact of these results on other outcomes, such as mortality, ICU stay, and days of mechanical ventilation. © 2020, The Author(s).
format Artículo (Article)
author Rodriguez Lima, David Rene
Yepes, Andrés Felipe
Birchenall Jiménez, Claudia Inés
Mercado Díaz, Mario Andrés
Pinilla Rojas, Darío Isaías
author_facet Rodriguez Lima, David Rene
Yepes, Andrés Felipe
Birchenall Jiménez, Claudia Inés
Mercado Díaz, Mario Andrés
Pinilla Rojas, Darío Isaías
author_sort Rodriguez Lima, David Rene
title Real-time ultrasound-guided thoracentesis in the intensive care unit: prevalence of mechanical complications
title_short Real-time ultrasound-guided thoracentesis in the intensive care unit: prevalence of mechanical complications
title_full Real-time ultrasound-guided thoracentesis in the intensive care unit: prevalence of mechanical complications
title_fullStr Real-time ultrasound-guided thoracentesis in the intensive care unit: prevalence of mechanical complications
title_full_unstemmed Real-time ultrasound-guided thoracentesis in the intensive care unit: prevalence of mechanical complications
title_sort real-time ultrasound-guided thoracentesis in the intensive care unit: prevalence of mechanical complications
publisher Springer
publishDate 2020
url https://repository.urosario.edu.co/handle/10336/23402
https://doi.org/10.1186/s13089-020-00172-9
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score 12,131701