Respiratory failure & ventilation

Pleural effusion and thoracentesis in intensive care unit (ICU) patients: A longitudinal observational cross‐sectional study

Acta Anaesthesiol ScandPublished Prospective observational study

Authors' conclusion

Pleural effusion was common in the ICU, but less than half of all patients with ultrasonographically significant pleural effusion underwent thoracentesis. Progression of pleural effusion without thoracentesis showed reduced volumes on subsequent days.

Study context

Population
All adult patients admitted to the four ICUs of a Danish university hospital throughout a 14-day period
Participants
81 patients
Outcome
Proportion of patients with ultrasonographically significant pleural effusion (separation between parietal and visceral pleurae >20 mm) in either pleural cavity on any ICU day
Methodological detailslongitudinal, repeated daily ultrasonographic assessments, 4 ICUs, single university hospital, protocol published before study initiation
  • Longitudinal
  • Repeated daily ultrasonographic assessments
  • 4 ICUs, single university hospital
  • Protocol published before study initiation

Main finding

As reported in the abstract

Ultrasonographically significant pleural effusion

Patients who had or developed ultrasonographically significant pleural effusion

25

31%

Observational data: associations, not effects.

Secondary outcomes

Thoracentesis in patients with ultrasonographically significant pleural effusion

Thoracentesis performed
10 of these 25 patients (40%)

Progression of pleural effusion without drainage

Overall decrease in estimated pleural effusion volume on subsequent days

Original publication

Pleural effusion and thoracentesis in ICU patients: A longitudinal observational cross‐sectional study. Acta Anaesthesiol Scand. Published 8 May 2023. doi:10.1111/aas.14258

Composed by AI from the published abstract and checked against it. How Briefs are made →

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.