Ultrasound-Assisted and Ultrasound-Guided Thoracentesis: An Educational Review

Author:

Boccatonda Andrea12ORCID,Baldini Chiara3,Rampoldi Davide3,Romani Giacomo3,Corvino Antonio4ORCID,Cocco Giulio5ORCID,D’Ardes Damiano6ORCID,Catalano Orlando7,Vetrugno Luigi8ORCID,Schiavone Cosima5,Piscaglia Fabio29ORCID,Serra Carla1ORCID

Affiliation:

1. Interventional, Diagnostic and Therapeutic Ultrasound Unit, Department of Medical and Surgical Sciences, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS), Azienda Ospedaliero-Universitaria Sant’Orsola Malpighi Hospital, 40138 Bologna, Italy

2. Department of Medical and Surgical Sciences (DIMEC), University of Bologna, 40126 Bologna, Italy

3. Internal Medicine, IRCCS Azienda Ospedaliero-Universitaria Policlinico di Sant’Orsola, 40138 Bologna, Italy

4. Movement Sciences and Wellbeing Department, University of Naples Parthenope, 80133 Napoli, Italy

5. Unit of Ultrasound in Internal Medicine, Department of Medicine and Science of Aging, Gabriele d’Annunzio University of Chieti and Pescara, 66100 Chieti, Italy

6. Institute of “Clinica Medica”, Department of Medicine and Aging Science, Gabriele d’Annunzio University of Chieti and Pescara, 66100 Chieti, Italy

7. Radiology Unit, Istituto Diagnostico Varelli, 80126 Naples, Italy

8. Department of Medical, Oral and Biotechnological Sciences, University of Chieti-Pescara, 66100 Chieti, Italy

9. Division of Internal Medicine, Hepatobiliary and Immunoallergic Diseases, IRCCS Azienda Ospedaliero-Universitaria di Bologna, 40138 Bologna, Italy

Abstract

Thoracentesis is one of the most important invasive procedures in the clinical setting. Particularly, thoracentesis can be relevant in the evaluation of a new diagnosed pleural effusion, thus allowing for the collection of pleural fluid so that laboratory tests essential to establish a diagnosis can be performed. Furthermore, thoracentesis is a maneuver that can have therapeutic and palliative purposes. Historically, the procedure was performed based on a physical examination. In recent years, the role of ultrasound has been established as a valuable tool for assistance and guidance in the thoracentesis procedure. The use of ultrasound increases success rates and significantly reduces complications. The aim of this educational review is to provide a detailed and sequential examination of the procedure, focusing on the two main modalities, the ultrasound-assisted and ultrasound-guided form.

Publisher

MDPI AG

Reference48 articles.

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5. Sensitivity and complications of thoracentesis and thoracoscopy: A meta-analysis;Molina;Eur. Respir. Rev.,2022

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