Yıl: 2019 Cilt: 6 Sayı: 3 Sayfa Aralığı: 273 - 278 Metin Dili: İngilizce DOI: 10.14744/nci.2018.46548 İndeks Tarihi: 22-05-2020

How successful is “pleural sound sign” in the identification of pneumothorax?

Öz:
OBJECTIVE: In the present study, in thorax ultrasonography (USG) Doppler images obtained from cases with occult pneumothorax, we investigated the status of pulsatile pleural sounds over the pleural line and called these as the pleural soundsign (PSS). The purpose of the present study was to identify the efficacy of the proposed PSS in diagnosing pneumothoraxand to compare it with the other USG findings including the sliding lung sign (SLS) and seashore sign (SSS).METHODS: The present study included 66 consecutive patients who were referred to the emergency unit with a blunttrauma from October 2009 to January 2010 at a tertiary university hospital.RESULTS: Of the 66 patients, 34 were in the patient group, and 32 were in the control group. Males accounted for 66.7%(n=44) of the study population. In predicting pneumothorax, the areas under receiver operating characteristic (ROC) curvesof PSSmax and PSSdifference were 0.989 and 0.990, respectively. While the sensitivity of the SLS was 88% and the sensitivityof the SSS was 56%, the specificities of the SLS and SSS were 100%. Based on our findings, accuracy ranking was as follows:PSSmax = PSSdifference > SLS > SSS.CONCLUSION: New applications of thorax USG are rapidly growing. Our findings have to be confirmed in a large patientseries. PSS is not a novel method, but it enhanced the importance of USG in the diagnosis of pneumothorax. We can stipulatethat it can replace thorax computed tomography imaging particularly for the diagnosis of occult pneumothoraxes.
Anahtar Kelime:

Konular: Genel ve Dahili Tıp
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Wongwaisayawan S, Suwannanon R, Prachanukool T, Sricharoen P, Saksobhavivat N, Kaewlai R. Trauma Ultrasound. Ultrasound Med Biol 2015;41:2543–61. [CrossRef ]
  • 2. Yadav K, Jalili M, Zehtabchi S. Management of traumatic occult pneumothorax. Resuscitation 2010;81:1063–8. [CrossRef ]
  • 3. Llaquet Bayo H, Montmany Vioque S, Rebasa P, Navarro Soto S. Results of conservative treatment in patients with occult pneumothorax. [Article in Spanish]. Cir Esp 2016;94:232–6. [CrossRef ]
  • 4. Moghekar A, Mehta A. Thoracic ultrasound: Picture worth a thousand sounds. Ann Thorac Med 2014;9:185–6. [CrossRef ]
  • 5. Lichtenstein DA, Mezière G, Lascols N, Biderman P, Courret JP, Gepner A, et al. Ultrasound diagnosis of occult pneumothorax. Crit Care Med 2005;33:1231–8. [CrossRef ]
  • 6. Lichtenstein DA, Menu Y. A bedside ultrasound sign ruling out pneumothorax in the critically ill. Lung sliding. Chest 1995;108:1345–8. 7. Chan SS. Emergency bedside ultrasound to detect pneumothorax. Acad Emerg Med 2003;10:91–4. [CrossRef ]
  • 8. Ergin M, Girişgin AS, Karaoğlan O, Çalık G, Koçak S, Cander B. A new development in emergency department ultrasonography: Pleural Sliding Sound (PSS). Pak J Med Sci 2012;28:948–51.
  • 9. Kline JP, Dionisio D, Sullivan K, Early T, Wolf J, Kline D. Detection of pneumothorax with ultrasound. AANA J 2013;81:265–71.
  • 10. Husain LF, Hagopian L, Wayman D, Baker WE, Carmody KA. Sonographic diagnosis of pneumothorax. J Emerg Trauma Shock 2012;5:76–81. [CrossRef ]
  • 11. Lichtenstein DA, Mezière GA, Lagoueyte JF, Biderman P, Goldstein I, Gepner A. A-lines and B-lines: lung ultrasound as a bedside tool for predicting pulmonary artery occlusion pressure in the critically ill. Chest 2009;136:1014–20. [CrossRef ]
  • 12. Schiller O, Schonfeld T, Yaniv I, Stein J, Kadmon G, Nahum E. Bi-level positive airway pressure ventilation in pediatric oncology patients with acute respiratory failure. J Intensive Care Med 2009;24:383–8. [CrossRef ]
  • 13. Lichtenstein D, Mezière G, Biderman P, Gepner A. The “lung point”: an ultrasound sign specific to pneumothorax. Intensive Care Med 2000;26:1434–40. [CrossRef ]
  • 14. Blaivas M, Lyon M, Duggal S. A prospective comparison of supine chest radiography and bedside ultrasound for the diagnosis of traumatic pneumothorax. Acad Emerg Med 2005;12:844–9. [CrossRef ]
  • 15. Zhang M, Liu ZH, Yang JX, Gan JX, Xu SW, You XD, et al. Rapid detection of pneumothorax by ultrasonography in patients with multiple trauma. Crit Care 2006;10:R112. [CrossRef ]
  • 16. Gardelli G, Feletti F, Nanni A, Mughetti M, Piraccini A, Zompatori M. Chest ultrasonography in the ICU. Respir Care 2012;57:773–81. [CrossRef ]
  • 17. Murphy M, Nagdev A, Sisson C. Lack of lung sliding on ultrasound does not always indicate a pneumothorax. Resuscitation 2008;77:270.
  • 18. De Luca C, Valentino M, Rimondi MR, Branchini M, Baleni MC, Barozzi L. Use of chest sonography in acute-care radiology(). J Ultrasound 2008;11:125–34. [CrossRef ]
  • 19. Lichtenstein DA. Ultrasound in the management of thoracic disease. Crit Care Med 2007;35:S250–61. [CrossRef ]
  • 20. Cunningham J, Kirkpatrick AW, Nicolaou S, Liu D, Hamilton DR, Lawless B, et al. Enhanced recognition of “lung sliding” with power color Doppler imaging in the diagnosis of pneumothorax. J Trauma 2002;52:769–71. [CrossRef ]
APA GÖKNİL ÇALIK S, ÇALIK M, GİRİŞGİN A, KARAOGLAN O, DÜNDAR Z, ergin m (2019). How successful is “pleural sound sign” in the identification of pneumothorax?. , 273 - 278. 10.14744/nci.2018.46548
Chicago GÖKNİL ÇALIK Saniye,ÇALIK Mustafa,GİRİŞGİN ABDULLAH SADIK,KARAOGLAN Osman,DÜNDAR ZERRİN DEFNE,ergin mehmet How successful is “pleural sound sign” in the identification of pneumothorax?. (2019): 273 - 278. 10.14744/nci.2018.46548
MLA GÖKNİL ÇALIK Saniye,ÇALIK Mustafa,GİRİŞGİN ABDULLAH SADIK,KARAOGLAN Osman,DÜNDAR ZERRİN DEFNE,ergin mehmet How successful is “pleural sound sign” in the identification of pneumothorax?. , 2019, ss.273 - 278. 10.14744/nci.2018.46548
AMA GÖKNİL ÇALIK S,ÇALIK M,GİRİŞGİN A,KARAOGLAN O,DÜNDAR Z,ergin m How successful is “pleural sound sign” in the identification of pneumothorax?. . 2019; 273 - 278. 10.14744/nci.2018.46548
Vancouver GÖKNİL ÇALIK S,ÇALIK M,GİRİŞGİN A,KARAOGLAN O,DÜNDAR Z,ergin m How successful is “pleural sound sign” in the identification of pneumothorax?. . 2019; 273 - 278. 10.14744/nci.2018.46548
IEEE GÖKNİL ÇALIK S,ÇALIK M,GİRİŞGİN A,KARAOGLAN O,DÜNDAR Z,ergin m "How successful is “pleural sound sign” in the identification of pneumothorax?." , ss.273 - 278, 2019. 10.14744/nci.2018.46548
ISNAD GÖKNİL ÇALIK, Saniye vd. "How successful is “pleural sound sign” in the identification of pneumothorax?". (2019), 273-278. https://doi.org/10.14744/nci.2018.46548
APA GÖKNİL ÇALIK S, ÇALIK M, GİRİŞGİN A, KARAOGLAN O, DÜNDAR Z, ergin m (2019). How successful is “pleural sound sign” in the identification of pneumothorax?. İstanbul Kuzey Klinikleri, 6(3), 273 - 278. 10.14744/nci.2018.46548
Chicago GÖKNİL ÇALIK Saniye,ÇALIK Mustafa,GİRİŞGİN ABDULLAH SADIK,KARAOGLAN Osman,DÜNDAR ZERRİN DEFNE,ergin mehmet How successful is “pleural sound sign” in the identification of pneumothorax?. İstanbul Kuzey Klinikleri 6, no.3 (2019): 273 - 278. 10.14744/nci.2018.46548
MLA GÖKNİL ÇALIK Saniye,ÇALIK Mustafa,GİRİŞGİN ABDULLAH SADIK,KARAOGLAN Osman,DÜNDAR ZERRİN DEFNE,ergin mehmet How successful is “pleural sound sign” in the identification of pneumothorax?. İstanbul Kuzey Klinikleri, vol.6, no.3, 2019, ss.273 - 278. 10.14744/nci.2018.46548
AMA GÖKNİL ÇALIK S,ÇALIK M,GİRİŞGİN A,KARAOGLAN O,DÜNDAR Z,ergin m How successful is “pleural sound sign” in the identification of pneumothorax?. İstanbul Kuzey Klinikleri. 2019; 6(3): 273 - 278. 10.14744/nci.2018.46548
Vancouver GÖKNİL ÇALIK S,ÇALIK M,GİRİŞGİN A,KARAOGLAN O,DÜNDAR Z,ergin m How successful is “pleural sound sign” in the identification of pneumothorax?. İstanbul Kuzey Klinikleri. 2019; 6(3): 273 - 278. 10.14744/nci.2018.46548
IEEE GÖKNİL ÇALIK S,ÇALIK M,GİRİŞGİN A,KARAOGLAN O,DÜNDAR Z,ergin m "How successful is “pleural sound sign” in the identification of pneumothorax?." İstanbul Kuzey Klinikleri, 6, ss.273 - 278, 2019. 10.14744/nci.2018.46548
ISNAD GÖKNİL ÇALIK, Saniye vd. "How successful is “pleural sound sign” in the identification of pneumothorax?". İstanbul Kuzey Klinikleri 6/3 (2019), 273-278. https://doi.org/10.14744/nci.2018.46548