Curr Pulmonol Rep (2017) 6:187–194 DOI 10.1007/s13665-017-0188-6 POINT OF CARE THORACIC ULTRASOUND (S KOENIG, SECTION EDITOR) 1 1 Jason McClune & Jose Cardenas-Garcia Published online: 22 July 2017 Springer Science+Business Media, LLC 2017 Abstract � Contraindications for high-risk bleeding conditions, includ- Purpose of Review Ultrasound is an invaluable tool and ing coagulopathy and/or clopidogrel use, deserve reconsid- its use for thoracic procedures continues to expand. This eration because emerging evidence suggests ultrasound review evaluates current use and evidence of ultrasound guidance may reduce complications to an acceptable risk with thoracic procedures. profile. Recent Findings � Ultrasound-assisted pleuroscopy and ultrasound-guided bi- � Ultrasound guidance assists with proper device place- opsies performed by experienced users have low complica- ment and reduces the risk of complications. tion rates and high diagnostic yield similar to computed � A low risk of pneumothorax can be achieved, even in tomography-guided biopsies. high-risk populations, such as those receiving positive Summary Increased use of ultrasound may be attributed to its pressure ventilation. portability paired with real-time assessment. Integrating ultra- sound guidance with thoracic procedures repeatedly demon- strates reductions in complication rates and is emerging as standard of care. Key Points . . Keywords Ultrasound guidance Thoracic procedures
Current Respiratory Care Reports – Springer Journals
Published: Jul 22, 2017
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