Early detection of delayed pneumothorax using lung ultrasound after transthoracic needle lung biopsy: A prospective pilot study
Abstract Objectives Delayed pneumothorax can cause an emergency room visit and be life‐threatening in case of tension pneumothorax after transthoracic needle biopsy. We hypothesized that most delayed pneumothoraces are diagnosed by later enlargement of occult pneumothorax due to the low diagnostic a...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2022-05-01
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| Series: | The Clinical Respiratory Journal |
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| Online Access: | https://doi.org/10.1111/crj.13495 |
| _version_ | 1817986849719713792 |
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| author | Jeong Suk Koh Chaeuk Chung Ju Ock Kim Sung Soo Jung Hee Sun Park Jeong Eun Lee Da Hyun Kang Yoonjoo Kim Dongil Park |
| author_facet | Jeong Suk Koh Chaeuk Chung Ju Ock Kim Sung Soo Jung Hee Sun Park Jeong Eun Lee Da Hyun Kang Yoonjoo Kim Dongil Park |
| author_sort | Jeong Suk Koh |
| collection | DOAJ |
| description | Abstract Objectives Delayed pneumothorax can cause an emergency room visit and be life‐threatening in case of tension pneumothorax after transthoracic needle biopsy. We hypothesized that most delayed pneumothoraces are diagnosed by later enlargement of occult pneumothorax due to the low diagnostic accuracy of a chest X‐ray. Lung ultrasound is a highly accurate tool for detection of pneumothorax. The aim of this study is to evaluate the diagnostic accuracy of lung ultrasound for prediction of delayed pneumothorax on chest X‐ray. Methods This prospective pilot study was performed between April 2020 and July 2020 in Chungnam National University Hospital. The participants underwent chest X‐rays and lung ultrasound before, immediately after, and 3 h after transthoracic needle biopsy, respectively. The presence or absence of lung sliding at each anterior BLUE‐point on an ultrasound and pneumothorax on a chest X‐ray was recorded. Results Pneumothorax occurred in 17 (35.4%) participants, and three of them underwent chest tube replacement. Of the 17 (35.4%) cases of pneumothorax, five participants (10.4%) were diagnosed with delayed pneumothorax. Three out of five participants showed loss of lung sliding on lung ultrasound before the diagnosis of delayed pneumothorax. Therefore, the sensitivity of lung sliding on lung ultrasound for early detection of delayed pneumothorax was 60%. Two undetected cases were asymptomatic, and the pneumothoraces were exceedingly small and recovered spontaneously. Thus, sensitivity for detection of clinically meaningful delayed pneumothorax requiring chest tube replacement was 100% (2/2). Conclusion Lung ultrasound can probably predict clinically meaningful delayed pneumothorax after transthoracic needle lung biopsy. |
| first_indexed | 2024-04-14T00:14:32Z |
| format | Article |
| id | doaj.art-cd9689be24e14e9a826a352b5ac422e4 |
| institution | Directory Open Access Journal |
| issn | 1752-6981 1752-699X |
| language | English |
| last_indexed | 2024-04-14T00:14:32Z |
| publishDate | 2022-05-01 |
| publisher | Wiley |
| record_format | Article |
| series | The Clinical Respiratory Journal |
| spelling | doaj.art-cd9689be24e14e9a826a352b5ac422e42022-12-22T02:23:11ZengWileyThe Clinical Respiratory Journal1752-69811752-699X2022-05-0116541341910.1111/crj.13495Early detection of delayed pneumothorax using lung ultrasound after transthoracic needle lung biopsy: A prospective pilot studyJeong Suk Koh0Chaeuk Chung1Ju Ock Kim2Sung Soo Jung3Hee Sun Park4Jeong Eun Lee5Da Hyun Kang6Yoonjoo Kim7Dongil Park8Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine Chungnam National University Hospital Daejeon Republic of KoreaDivision of Pulmonary and Critical Care Medicine, Department of Internal Medicine Chungnam National University Hospital Daejeon Republic of KoreaDivision of Pulmonary and Critical Care Medicine, Department of Internal Medicine Chungnam National University Hospital Daejeon Republic of KoreaDivision of Pulmonary and Critical Care Medicine, Department of Internal Medicine Chungnam National University Hospital Daejeon Republic of KoreaDivision of Pulmonary and Critical Care Medicine, Department of Internal Medicine Chungnam National University Hospital Daejeon Republic of KoreaDivision of Pulmonary and Critical Care Medicine, Department of Internal Medicine Chungnam National University Hospital Daejeon Republic of KoreaDivision of Pulmonary and Critical Care Medicine, Department of Internal Medicine Chungnam National University Hospital Daejeon Republic of KoreaDivision of Pulmonary and Critical Care Medicine, Department of Internal Medicine Chungnam National University Hospital Daejeon Republic of KoreaDivision of Pulmonary and Critical Care Medicine, Department of Internal Medicine Chungnam National University Hospital Daejeon Republic of KoreaAbstract Objectives Delayed pneumothorax can cause an emergency room visit and be life‐threatening in case of tension pneumothorax after transthoracic needle biopsy. We hypothesized that most delayed pneumothoraces are diagnosed by later enlargement of occult pneumothorax due to the low diagnostic accuracy of a chest X‐ray. Lung ultrasound is a highly accurate tool for detection of pneumothorax. The aim of this study is to evaluate the diagnostic accuracy of lung ultrasound for prediction of delayed pneumothorax on chest X‐ray. Methods This prospective pilot study was performed between April 2020 and July 2020 in Chungnam National University Hospital. The participants underwent chest X‐rays and lung ultrasound before, immediately after, and 3 h after transthoracic needle biopsy, respectively. The presence or absence of lung sliding at each anterior BLUE‐point on an ultrasound and pneumothorax on a chest X‐ray was recorded. Results Pneumothorax occurred in 17 (35.4%) participants, and three of them underwent chest tube replacement. Of the 17 (35.4%) cases of pneumothorax, five participants (10.4%) were diagnosed with delayed pneumothorax. Three out of five participants showed loss of lung sliding on lung ultrasound before the diagnosis of delayed pneumothorax. Therefore, the sensitivity of lung sliding on lung ultrasound for early detection of delayed pneumothorax was 60%. Two undetected cases were asymptomatic, and the pneumothoraces were exceedingly small and recovered spontaneously. Thus, sensitivity for detection of clinically meaningful delayed pneumothorax requiring chest tube replacement was 100% (2/2). Conclusion Lung ultrasound can probably predict clinically meaningful delayed pneumothorax after transthoracic needle lung biopsy.https://doi.org/10.1111/crj.13495delayed pneumothoraxlung slidinglung ultrasoundpneumothoraxtransthoracic needle lung biopsy |
| spellingShingle | Jeong Suk Koh Chaeuk Chung Ju Ock Kim Sung Soo Jung Hee Sun Park Jeong Eun Lee Da Hyun Kang Yoonjoo Kim Dongil Park Early detection of delayed pneumothorax using lung ultrasound after transthoracic needle lung biopsy: A prospective pilot study The Clinical Respiratory Journal delayed pneumothorax lung sliding lung ultrasound pneumothorax transthoracic needle lung biopsy |
| title | Early detection of delayed pneumothorax using lung ultrasound after transthoracic needle lung biopsy: A prospective pilot study |
| title_full | Early detection of delayed pneumothorax using lung ultrasound after transthoracic needle lung biopsy: A prospective pilot study |
| title_fullStr | Early detection of delayed pneumothorax using lung ultrasound after transthoracic needle lung biopsy: A prospective pilot study |
| title_full_unstemmed | Early detection of delayed pneumothorax using lung ultrasound after transthoracic needle lung biopsy: A prospective pilot study |
| title_short | Early detection of delayed pneumothorax using lung ultrasound after transthoracic needle lung biopsy: A prospective pilot study |
| title_sort | early detection of delayed pneumothorax using lung ultrasound after transthoracic needle lung biopsy a prospective pilot study |
| topic | delayed pneumothorax lung sliding lung ultrasound pneumothorax transthoracic needle lung biopsy |
| url | https://doi.org/10.1111/crj.13495 |
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