Department of Surgery, Division of General Surgery and Trauma, Hospital das Clínicas, University of Sao Paulo, Brazil.
Department of Surgery, Division of Gastrointestinal Endoscopy, Hospital das Clínicas, University of Sao Paulo, Brazil.
Int J Surg. 2019 Aug;68:85-90. doi: 10.1016/j.ijsu.2019.06.012. Epub 2019 Jun 21.
chest tube insertions are commonly performed in various scenarios. Although frequent, these procedures result in a significant complication rate, especially in the acute care setting. Ultrasonography has been incorporated to interventional procedures aiming to reduce the incidence of complications. However, little is known about the applications of ultrasound in tube thoracostomies. The aim of this systematic review is to present the potential applications of ultrasonography as an adjunct to the procedure.
we searched Medline/Pubmed, EMBASE and Scopus databases. Out of 3012 articles, we selected 19 for further analysis. Thirteen of those were excluded because they did not meet the inclusion criteria. Ultimately, 6 articles were thoroughly evaluated and included in the review.
The included articles show that ultrasound can be used to correctly identify a safe insertion site, to accurately find a vulnerable intercostal artery, and is reliable for timely diagnosis of drain malpositioning.
this systematic review highlights the potential benefits of incorporating ultrasonography in tube thoracostomies. No randomized clinical trials are available. However, it is reasonable to assume that proper use of ultrasound may reduce procedure-related complications.
胸腔引流管插入术在各种情况下都很常见。尽管这些操作很常见，但它们会导致很高的并发症发生率，尤其是在急性护理环境中。超声检查已被纳入旨在降低并发症发生率的介入操作中。然而，对于超声在胸腔引流管插入术中的应用知之甚少。本系统评价旨在介绍超声作为该操作辅助手段的潜在应用。
我们检索了 Medline/Pubmed、EMBASE 和 Scopus 数据库。在 3012 篇文章中，我们选择了 19 篇进行进一步分析。其中 13 篇因不符合纳入标准而被排除。最终，有 6 篇文章被彻底评估并纳入了综述。
纳入的文章表明，超声可用于正确识别安全的插入部位，准确找到易损肋间动脉，并可可靠地及时诊断引流管错位。
本系统评价强调了将超声检查纳入胸腔引流管插入术的潜在益处。目前尚无随机临床试验可用。然而，合理的假设是正确使用超声可能会降低与操作相关的并发症。
