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miércoles, 18 de noviembre de 2015

Neumotórax: Us vs Rx

Brown Emergency Medicine - November 16, 2015 - By Edward Ruhland
"Three articles are at the core of the US for pneumothorax evidence. 
  1. Gentry Wilkerson, R. and Stone, M. B. (2010), Sensitivity of Bedside Ultrasound and Supine Anteroposterior Chest Radiographs for the Identification of Pneumothorax After Blunt Trauma. Academic Emergency Medicine, 17: 11–17. doi: 10.1111/j.1553-2712.2009.00628.x 
  2. Blaivas, M., Lyon, M. and Duggal, S. (2005), A Prospective Comparison of Supine Chest Radiography and Bedside Ultrasound for the Diagnosis of Traumatic Pneumothorax. Academic Emergency Medicine, 12: 844–849. doi: 10.1197/j.aem.2005.05.005 
  3. Hyacinthe AC, Broux C, Francony G, et al. Diagnostic accuracy of ultrasonography in the acute assessment of common thoracic lesions after trauma.Chest. 2012;141(5):1177–83 
These articles make a strong case for the increased use of ultrasound in trauma. In the hands of an experienced user, a bilateral thoracic ultrasound takes 2-4 minutes, is arguably shorter than the time to call an x-ray tech, shoot the x-ray, develop the images and walk down the hall to view them, not to mention the test is overwhelmingly more sensitive." 
http://blogs.brown.edu/emergency-medicine-residency/rockstarsultrasound-vs-chest-x-ray-in-the-detection-of-traumatic-pneumothorax/