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Can Chest Ultrasound Replace Chest X-ray in Thoracic Surgery?

Background: There is growing evidence that supports the use of chest ultrasound (CUS) versus conventional chest X-ray (CXR) in order to diagnose postoperative complications. However, data regarding its use after thoracic surgery are scarce and contradictory. The aim of this study was to conduct a sy...

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Autores principales: Grapatsas, Konstantinos, Leivaditis, Vasileios, Ehle, Benjamin, Papaporfyriou, Anastasia
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9412512/
https://www.ncbi.nlm.nih.gov/pubmed/36006073
http://dx.doi.org/10.3390/tomography8040175
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author Grapatsas, Konstantinos
Leivaditis, Vasileios
Ehle, Benjamin
Papaporfyriou, Anastasia
author_facet Grapatsas, Konstantinos
Leivaditis, Vasileios
Ehle, Benjamin
Papaporfyriou, Anastasia
author_sort Grapatsas, Konstantinos
collection PubMed
description Background: There is growing evidence that supports the use of chest ultrasound (CUS) versus conventional chest X-ray (CXR) in order to diagnose postoperative complications. However, data regarding its use after thoracic surgery are scarce and contradictory. The aim of this study was to conduct a systematic review to evaluate the accuracy of CUS after thoracic surgery. Methods: An electronic search in MEDLINE (via PubMed), complemented by manual searches in article references, was conducted to identify eligible studies. Results: Six studies with a total of 789 patients were included in this meta-analysis. Performing CXR decreased in up to 61.6% of cases, with the main reasons for performing CXR being massive subcutaneous emphysema or complex hydrothorax. Agreement between CUS and routine-based therapeutic options was, in some studies, up to 97%. Conclusions: The selectively postoperative use of CUS may reduce the number of routinely performed CXR. However, if CUS findings are inconclusive, further radiological examinations are obligatory.
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spelling pubmed-94125122022-08-27 Can Chest Ultrasound Replace Chest X-ray in Thoracic Surgery? Grapatsas, Konstantinos Leivaditis, Vasileios Ehle, Benjamin Papaporfyriou, Anastasia Tomography Review Background: There is growing evidence that supports the use of chest ultrasound (CUS) versus conventional chest X-ray (CXR) in order to diagnose postoperative complications. However, data regarding its use after thoracic surgery are scarce and contradictory. The aim of this study was to conduct a systematic review to evaluate the accuracy of CUS after thoracic surgery. Methods: An electronic search in MEDLINE (via PubMed), complemented by manual searches in article references, was conducted to identify eligible studies. Results: Six studies with a total of 789 patients were included in this meta-analysis. Performing CXR decreased in up to 61.6% of cases, with the main reasons for performing CXR being massive subcutaneous emphysema or complex hydrothorax. Agreement between CUS and routine-based therapeutic options was, in some studies, up to 97%. Conclusions: The selectively postoperative use of CUS may reduce the number of routinely performed CXR. However, if CUS findings are inconclusive, further radiological examinations are obligatory. MDPI 2022-08-20 /pmc/articles/PMC9412512/ /pubmed/36006073 http://dx.doi.org/10.3390/tomography8040175 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Grapatsas, Konstantinos
Leivaditis, Vasileios
Ehle, Benjamin
Papaporfyriou, Anastasia
Can Chest Ultrasound Replace Chest X-ray in Thoracic Surgery?
title Can Chest Ultrasound Replace Chest X-ray in Thoracic Surgery?
title_full Can Chest Ultrasound Replace Chest X-ray in Thoracic Surgery?
title_fullStr Can Chest Ultrasound Replace Chest X-ray in Thoracic Surgery?
title_full_unstemmed Can Chest Ultrasound Replace Chest X-ray in Thoracic Surgery?
title_short Can Chest Ultrasound Replace Chest X-ray in Thoracic Surgery?
title_sort can chest ultrasound replace chest x-ray in thoracic surgery?
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9412512/
https://www.ncbi.nlm.nih.gov/pubmed/36006073
http://dx.doi.org/10.3390/tomography8040175
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