X-ray indices of chest drain malposition after insertion for drainage of pneumothorax in mechanically ventilated critically ill patients

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00216208%3A11110%2F18%3A10382782" target="_blank" >RIV/00216208:11110/18:10382782 - isvavai.cz</a>

Alternative codes found

RIV/00064165:_____/18:10382782

Result on the web

<a href="https://doi.org/10.21037/jtd.2018.09.64" target="_blank" >https://doi.org/10.21037/jtd.2018.09.64</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.21037/jtd.2018.09.64" target="_blank" >10.21037/jtd.2018.09.64</a>

Result language

angličtina

Original language name

X-ray indices of chest drain malposition after insertion for drainage of pneumothorax in mechanically ventilated critically ill patients

Original language description

Background: Chest drain (CD) migration in the pleural cavity may result in inadequate drainage of pneumothorax. The aim of this study was to assess several parameters that might help in diagnosing CD migration on chest X-ray (CXR). Methods: Patients with a CD inserted from the safe triangle with a subsequent supine CXR and CT scan performed less than 24 hours apart were assessed for CD foreshortening, angle of inclination of the CD, and CD tortuosity. CD foreshortening was expressed as a ratio between CD length measured in coronal plane only and CD length inside the pleural cavity measured on CT The angle of inclination of the CD was measured as the angle between the horizontal line and CD at the pleural space entry on CXR. CD tortuosity was calculated as a ratio between the distance from CD pleural space entry to the tip of the CD and the length of CD from the pleural space entry to its tip On CXR. Results: Altogether 28 patients were included in the study. The median time between the CXR and CT examinations was 5.4 hours (IQR, 3.8-6.9 hours). CD foreshortening was the best clue of a misplaced CD with AUC of 0.93, 1(X)% sensitivity and 88% specificity for a cut-off value of 82%. The angle of CD inclination was greater in patients with misplaced CD with AUC of 0.83, 75% sensitivity and 92% specificity for a cut-off of 50 degrees. The performance of CD tortuosity was poor. Conclusions: Greater foreshortening of the CD and a steep angle of inclination of the CD above the horizontal at chest entry should raise suspicion of CD migration and mandate further investigation by chest ultrasound to rule out residual pneumothorax occult on CXR.

Czech name

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Czech description

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Type

J_imp - Article in a specialist periodical, which is included in the Web of Science database

CEP classification

—

OECD FORD branch

30203 - Respiratory systems

Project

—

Continuities

O - Projekt operacniho programu

Publication year

2018

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

Journal of Thoracic Disease

ISSN

2072-1439

e-ISSN

—

Volume of the periodical

10

Issue of the periodical within the volume

10

Country of publishing house

CN - CHINA

Number of pages

7

Pages from-to

5695-5701

UT code for WoS article

000448440500024

EID of the result in the Scopus database

2-s2.0-85055891921