Role of chest ultrasound in management of exudative pleural effusion

Rabab A. El Wahsh; Mahmoud M. El-Habashy; Rehab A. Saad; Asrar Helal Mahrous

doi:10.53730/ijhs.v6nS6.9294

Authors

Rabab A. El Wahsh Chest Department, Faculty of Medicine, Menoufia University
Mahmoud M. El-Habashy Chest Department, Faculty of Medicine, Menoufia University
Rehab A. Saad Chest Department, Faculty of Medicine, Menoufia University
Asrar Helal Mahrous Chest Department, Faculty of Medicine, Menoufia University

Keywords:

chest ultrasound, pleural effusion, ultrasound guidance

Abstract

Background: During the planning and execution of diagnostic and therapeutic procedures, thoracic ultrasonography is an appropriate imaging tool for the interventional pulmonologist (IP). Aim of the work: to determine whether or not thoracic ultrasonography should be used in the management of exudative pleural effusion. Patients and Methods: One hundred patients with exudative pleural effusion were included in a prospective interventional analytical study. During this study, the patients underwent ultrasonographic examination and evaluation to guide various diagnostic manoeuvres. These manoeuvres included diagnostic thoracentesis, tru cut needle biopsy from pleural or underlying lung or mediastinal lesions, and thoracoscopic assistance. In addition to assisting in therapeutic operations (such as therapeutic thoracentesis, installation of pleural drains, and pleurodesis), ultrasound was also used for prognostic reasons (post-pleural drainage assessment, pleural drain follow up, non-expandable lung prediction, and pleurodesis success detection). Results: 70 patients underwent ultrasound-guided diagnostic procedures, including diagnostic thoracentesis in 19 patients, biopsy from pleural, lung, or mediastinal lesions in 30 patients, and thoracoscopic assistance in 21 patients in order to select the appropriate type of intervention, either medical thoracoscopy (MT) or video-assisted thoracoscopic surgery (VATS).

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