Reliability of ultrasound for the diagnosis of pneumothorax
DOI:
https://doi.org/10.36314/cunori.v8i1.245Keywords:
ultrasound, chest x-ray, reliabilityAbstract
PROBLEM: the diagnosis of pneumothorax may be clinical but given the low sensitivity of the physical examination it is necessary to use imaging studies. Alternatives have been sought to help facilitate diagnosis reliably and quickly and ultrasound (US) has responded to this, yet chest X-ray (RXT) has been the diagnostic tool most used, although it has a low sensitivity. OBJECTIVE: to make known the reliability of the US in the diagnosis of pneumothorax. METHODS: a review of primary and secondary sources was performed where the main objective was to evaluate the usefulness of ultrasound in the diagnosis of pneumothorax. RESULTS: ultrasound has a sensitivity of 92-100% even when it is not performed by radiologists and a specificity between 89.5%-100%. RXT showed a sensitivity of 69% and specificity of 76%. In Guatemala, US has a sensitivity and specificity of 100% to diagnose pneumothorax in patients with chest trauma. US is sensitive and specific enough as a diagnostic method of pneumothorax in various environments. CONCLUSION: there is sufficient evidence that supports the reliability and superiority of ultrasound as a diagnostic method of pneumothorax so it should be considered before RXT in the settings where the equipment is available.
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