• J. Cardiothorac. Vasc. Anesth. · Apr 2011

    Comparative Study

    Estimating the volume of chronic pleural effusions using transesophageal echocardiography.

    • Andrew Howard, Andrew Jackson, Christopher Howard, and Phillip Spratt.
    • Department of Anaesthesia, St Vincent's Hospital, Sydney, Australia. andrewhoward@me.com
    • J. Cardiothorac. Vasc. Anesth.. 2011 Apr 1;25(2):229-32.

    ObjectiveTo develop a simple method of quantifying the volume of chronic pleural effusions caused by heart failure using transesophageal echocardiography measurement of the maximum cross-sectional area of the pleural effusion.DesignA prospective observational case series.SettingAn operating room.ParticipantsTwenty-eight patients undergoing cardiac surgery known to have chronic pleural effusions caused by heart failure diagnosed preoperatively in whom surgical management included draining the effusion.InterventionsTransesophageal echocardiography was in situ for clinical reasons. The drainage of all pleural effusions was performed according to clinical judgement.Measurement And Main ResultThe maximum cross-sectional area (CSA(max)) in centimeters squared of the pleural effusion on transesophageal echocardiography was recorded. The chest and pleural cavity were opened, the pleural effusion was drained, and total amount of fluid drained was recorded. The data were analyzed on a log-log plot with the conclusion that volume (V) in milliliters could be estimated from the following formula: V = 4.5 · CSA(max)(3/2).ConclusionThis study showed a simple way of quantifying the volume of chronic pleural effusions from heart failure in patients undergoing cardiac surgery, with potential for clinical applications.Crown Copyright © 2011. Published by Elsevier Inc. All rights reserved.

      Pubmed     Full text   Copy Citation     Plaintext  

      Add institutional full text...

    Notes

     
    Knowledge, pearl, summary or comment to share?
    300 characters remaining
    help        
    You can also include formatting, links, images and footnotes in your notes
    • Simple formatting can be added to notes, such as *italics*, _underline_ or **bold**.
    • Superscript can be denoted by <sup>text</sup> and subscript <sub>text</sub>.
    • Numbered or bulleted lists can be created using either numbered lines 1. 2. 3., hyphens - or asterisks *.
    • Links can be included with: [my link to pubmed](http://pubmed.com)
    • Images can be included with: ![alt text](https://bestmedicaljournal.com/study_graph.jpg "Image Title Text")
    • For footnotes use [^1](This is a footnote.) inline.
    • Or use an inline reference [^1] to refer to a longer footnote elseweher in the document [^1]: This is a long footnote..

    hide…