Brazilian Journal of Anesthesiology
https://bjan-sba.org/article/doi/10.1016/j.bjane.2021.01.006
Brazilian Journal of Anesthesiology
Clinical Research

Assessment of lung ultrasound for early detection of respiratory complications in thoracic surgery

Laetitia Bosch, Olivier Mathe, Jean-Jacques Robin, Isabelle Serres, Franc¸ois Labaste, Pierre Masqu`ere, Maxime Grigoli, Laurent Brouchet, Jean-Marie Conil, Vincent Minville

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Abstract

Background and objectives
To assess lung ultrasound for the diagnosis and monitoring of respiratory complications in thoracic surgery.

Methods
Prospective observational study in a University hospital, single institution. Adult patients scheduled for pulmonary resection surgery excluding pneumonectomy. An ultrasound follow-up was performed from the day before the surgery to the third day after surgery with calculation of B-line and lung score (reaeration and loss of aeration scores). Respiratory complications were collected throughout the hospitalization period.

Results
Fifty-six patients were included. Eighteen patients presented a respiratory complication (32%), and they presented significantly higher BMI and ASA scores. Patients operated by videothoracoscopy were less at risk of complications. At day 3, a reaeration score ≤ 2 on the ventilated side or ≤ -2 on the operated side, and a B-line score > 6 on the operated side were in favor of a complication.

Conclusion
Lung ultrasound can help in the diagnosis of respiratory complications following pulmonary resection surgery.

Keywords

Ultrasound;  Thoracic surgery;  Complications;  Bedside

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