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Pleural clinic: where thoracic ultrasound meets respiratory medicine

Thoracic ultrasound (TUS) has become an essential procedure in respiratory medicine. Due to its intrinsic safety and versatility, it has been applied in patients affected by several respiratory diseases both in intensive care and outpatient settings. TUS can complement and often exceed stethoscope a...

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Autores principales: Tinè, Mariaenrica, Daverio, Matteo, Semenzato, Umberto, Cocconcelli, Elisabetta, Bernardinello, Nicol, Damin, Marco, Saetta, Marina, Spagnolo, Paolo, Balestro, Elisabetta
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10598727/
https://www.ncbi.nlm.nih.gov/pubmed/37886366
http://dx.doi.org/10.3389/fmed.2023.1289221
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author Tinè, Mariaenrica
Daverio, Matteo
Semenzato, Umberto
Cocconcelli, Elisabetta
Bernardinello, Nicol
Damin, Marco
Saetta, Marina
Spagnolo, Paolo
Balestro, Elisabetta
author_facet Tinè, Mariaenrica
Daverio, Matteo
Semenzato, Umberto
Cocconcelli, Elisabetta
Bernardinello, Nicol
Damin, Marco
Saetta, Marina
Spagnolo, Paolo
Balestro, Elisabetta
author_sort Tinè, Mariaenrica
collection PubMed
description Thoracic ultrasound (TUS) has become an essential procedure in respiratory medicine. Due to its intrinsic safety and versatility, it has been applied in patients affected by several respiratory diseases both in intensive care and outpatient settings. TUS can complement and often exceed stethoscope and radiological findings, especially in managing pleural diseases. We hereby aimed to describe the establishment, development, and optimization in a large, tertiary care hospital of a pleural clinic, which is dedicated to the evaluation and monitoring of patients with pleural diseases, including, among others, pleural effusion and/or thickening, pneumothorax and subpleural consolidation. The clinic was initially meant to follow outpatients undergoing medical thoracoscopy. In this scenario, TUS allowed rapid and regular assessment of these patients, promptly diagnosing recurrence of pleural effusion and other complications that could be appropriately managed. Over time, our clinic has rapidly expanded its initial indications thus becoming the place to handle more complex respiratory patients in collaboration with, among others, thoracic surgeons and oncologists. In this article, we critically describe the strengths and pitfalls of our “pleural clinic” and propose an organizational model that results from a synergy between respiratory physicians and other professionals. This model can inspire other healthcare professionals to develop a similar organization based on their local setting.
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spelling pubmed-105987272023-10-26 Pleural clinic: where thoracic ultrasound meets respiratory medicine Tinè, Mariaenrica Daverio, Matteo Semenzato, Umberto Cocconcelli, Elisabetta Bernardinello, Nicol Damin, Marco Saetta, Marina Spagnolo, Paolo Balestro, Elisabetta Front Med (Lausanne) Medicine Thoracic ultrasound (TUS) has become an essential procedure in respiratory medicine. Due to its intrinsic safety and versatility, it has been applied in patients affected by several respiratory diseases both in intensive care and outpatient settings. TUS can complement and often exceed stethoscope and radiological findings, especially in managing pleural diseases. We hereby aimed to describe the establishment, development, and optimization in a large, tertiary care hospital of a pleural clinic, which is dedicated to the evaluation and monitoring of patients with pleural diseases, including, among others, pleural effusion and/or thickening, pneumothorax and subpleural consolidation. The clinic was initially meant to follow outpatients undergoing medical thoracoscopy. In this scenario, TUS allowed rapid and regular assessment of these patients, promptly diagnosing recurrence of pleural effusion and other complications that could be appropriately managed. Over time, our clinic has rapidly expanded its initial indications thus becoming the place to handle more complex respiratory patients in collaboration with, among others, thoracic surgeons and oncologists. In this article, we critically describe the strengths and pitfalls of our “pleural clinic” and propose an organizational model that results from a synergy between respiratory physicians and other professionals. This model can inspire other healthcare professionals to develop a similar organization based on their local setting. Frontiers Media S.A. 2023-10-11 /pmc/articles/PMC10598727/ /pubmed/37886366 http://dx.doi.org/10.3389/fmed.2023.1289221 Text en Copyright © 2023 Tinè, Daverio, Semenzato, Cocconcelli, Bernardinello, Damin, Saetta, Spagnolo and Balestro. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Medicine
Tinè, Mariaenrica
Daverio, Matteo
Semenzato, Umberto
Cocconcelli, Elisabetta
Bernardinello, Nicol
Damin, Marco
Saetta, Marina
Spagnolo, Paolo
Balestro, Elisabetta
Pleural clinic: where thoracic ultrasound meets respiratory medicine
title Pleural clinic: where thoracic ultrasound meets respiratory medicine
title_full Pleural clinic: where thoracic ultrasound meets respiratory medicine
title_fullStr Pleural clinic: where thoracic ultrasound meets respiratory medicine
title_full_unstemmed Pleural clinic: where thoracic ultrasound meets respiratory medicine
title_short Pleural clinic: where thoracic ultrasound meets respiratory medicine
title_sort pleural clinic: where thoracic ultrasound meets respiratory medicine
topic Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10598727/
https://www.ncbi.nlm.nih.gov/pubmed/37886366
http://dx.doi.org/10.3389/fmed.2023.1289221
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