Objective: Chest auscultation and chest x-ray commonly are used to detect postoperative abnormalities and complications in patients admitted to intensive care after cardiac surgery. The aim of the study was to evaluate whether chest ultrasound represents an effective alternative to bedside chest x-ray to identify early postoperative abnormalities. Design: Diagnostic accuracy of chest auscultation and chest ultrasound were compared in identifying individual abnormalities detected by chest x-ray, considered the reference method. Setting: Cardiac surgery intensive care unit. Participants: One hundred fifty-one consecutive adult patients undergoing cardiac surgery. Interventions: All patients included were studied by chest auscultation, ultrasound, and x-ray upon admission to intensive care after cardiac surgery. Measurements and Main Results: Six lung pathologic changes and endotracheal tube malposition were found. There was a highly significant correlation between abnormalities detected by chest ultrasound and x-ray (k = 0.90), but a poor correlation between chest auscultation and x-ray abnormalities (k = 0.15). Conclusions: Chest auscultation may help identify endotracheal tube misplacement and tension pneumothorax but it may miss most major abnormalities. Chest ultrasound represents a valid alternative to chest x-ray to detect most postoperative abnormalities and misplacements. (C) 2014 Elsevier Inc. All rights reserved.
机构:
Cincinnati Childrens Hosp, Med Ctr, Div Emergency Med, Cincinnati, OH 45229 USA
Univ Cincinnati, Coll Med, Cincinnati, OH USACincinnati Childrens Hosp, Med Ctr, Div Emergency Med, Cincinnati, OH 45229 USA
Kerrey, Benjamin Thomas
Geis, Gary Lee
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Cincinnati Childrens Hosp, Med Ctr, Div Emergency Med, Cincinnati, OH 45229 USA
Univ Cincinnati, Coll Med, Cincinnati, OH USACincinnati Childrens Hosp, Med Ctr, Div Emergency Med, Cincinnati, OH 45229 USA
Geis, Gary Lee
Quinn, Andrea Megan
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h-index: 0
机构:
Cincinnati Childrens Hosp, Med Ctr, Div Emergency Med, Cincinnati, OH 45229 USACincinnati Childrens Hosp, Med Ctr, Div Emergency Med, Cincinnati, OH 45229 USA
Quinn, Andrea Megan
Hornung, Richard William
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机构:
Cincinnati Childrens Hosp, Med Ctr, Div Community Pediat, Cincinnati, OH 45229 USACincinnati Childrens Hosp, Med Ctr, Div Emergency Med, Cincinnati, OH 45229 USA
Hornung, Richard William
Ruddy, Richard Michael
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h-index: 0
机构:
Cincinnati Childrens Hosp, Med Ctr, Div Emergency Med, Cincinnati, OH 45229 USA
Univ Cincinnati, Coll Med, Cincinnati, OH USACincinnati Childrens Hosp, Med Ctr, Div Emergency Med, Cincinnati, OH 45229 USA
机构:
Harvard Univ, Div Pulm & Crit Care Med, Dept Internal Med, Beth Israel Deaconess Med Ctr,Sch Med, Boston, MA 02215 USAHarvard Univ, Div Pulm & Crit Care Med, Dept Internal Med, Beth Israel Deaconess Med Ctr,Sch Med, Boston, MA 02215 USA
Krivopal, M
Shlobin, OA
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机构:
Harvard Univ, Div Pulm & Crit Care Med, Dept Internal Med, Beth Israel Deaconess Med Ctr,Sch Med, Boston, MA 02215 USAHarvard Univ, Div Pulm & Crit Care Med, Dept Internal Med, Beth Israel Deaconess Med Ctr,Sch Med, Boston, MA 02215 USA
Shlobin, OA
Schwartzstein, RM
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h-index: 0
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Harvard Univ, Div Pulm & Crit Care Med, Dept Internal Med, Beth Israel Deaconess Med Ctr,Sch Med, Boston, MA 02215 USAHarvard Univ, Div Pulm & Crit Care Med, Dept Internal Med, Beth Israel Deaconess Med Ctr,Sch Med, Boston, MA 02215 USA
机构:
Cincinnati Childrens Hosp, Med Ctr, Div Emergency Med, Cincinnati, OH 45229 USA
Univ Cincinnati, Coll Med, Cincinnati, OH USACincinnati Childrens Hosp, Med Ctr, Div Emergency Med, Cincinnati, OH 45229 USA
Kerrey, Benjamin Thomas
Geis, Gary Lee
论文数: 0引用数: 0
h-index: 0
机构:
Cincinnati Childrens Hosp, Med Ctr, Div Emergency Med, Cincinnati, OH 45229 USA
Univ Cincinnati, Coll Med, Cincinnati, OH USACincinnati Childrens Hosp, Med Ctr, Div Emergency Med, Cincinnati, OH 45229 USA
Geis, Gary Lee
Quinn, Andrea Megan
论文数: 0引用数: 0
h-index: 0
机构:
Cincinnati Childrens Hosp, Med Ctr, Div Emergency Med, Cincinnati, OH 45229 USACincinnati Childrens Hosp, Med Ctr, Div Emergency Med, Cincinnati, OH 45229 USA
Quinn, Andrea Megan
Hornung, Richard William
论文数: 0引用数: 0
h-index: 0
机构:
Cincinnati Childrens Hosp, Med Ctr, Div Community Pediat, Cincinnati, OH 45229 USACincinnati Childrens Hosp, Med Ctr, Div Emergency Med, Cincinnati, OH 45229 USA
Hornung, Richard William
Ruddy, Richard Michael
论文数: 0引用数: 0
h-index: 0
机构:
Cincinnati Childrens Hosp, Med Ctr, Div Emergency Med, Cincinnati, OH 45229 USA
Univ Cincinnati, Coll Med, Cincinnati, OH USACincinnati Childrens Hosp, Med Ctr, Div Emergency Med, Cincinnati, OH 45229 USA
机构:
Harvard Univ, Div Pulm & Crit Care Med, Dept Internal Med, Beth Israel Deaconess Med Ctr,Sch Med, Boston, MA 02215 USAHarvard Univ, Div Pulm & Crit Care Med, Dept Internal Med, Beth Israel Deaconess Med Ctr,Sch Med, Boston, MA 02215 USA
Krivopal, M
Shlobin, OA
论文数: 0引用数: 0
h-index: 0
机构:
Harvard Univ, Div Pulm & Crit Care Med, Dept Internal Med, Beth Israel Deaconess Med Ctr,Sch Med, Boston, MA 02215 USAHarvard Univ, Div Pulm & Crit Care Med, Dept Internal Med, Beth Israel Deaconess Med Ctr,Sch Med, Boston, MA 02215 USA
Shlobin, OA
Schwartzstein, RM
论文数: 0引用数: 0
h-index: 0
机构:
Harvard Univ, Div Pulm & Crit Care Med, Dept Internal Med, Beth Israel Deaconess Med Ctr,Sch Med, Boston, MA 02215 USAHarvard Univ, Div Pulm & Crit Care Med, Dept Internal Med, Beth Israel Deaconess Med Ctr,Sch Med, Boston, MA 02215 USA