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  1. Tom Havelock1,
  2. Richard Teoh2,
  3. Diane Laws3,
  4. Nick Maskell4,
  5. Fergus Gleeson5
  1. 1Wellcome Trust Clinical Research Facility, Southampton General Hospital, Southampton, UK
  2. 2Department of Respiratory Medicine, Castle Hill Hospital, Cottingham, East Yorkshire, UK
  3. 3Department of Thoracic Medicine, Royal Bournemouth Hospital, Bournemouth, UK
  4. 4Department of Clinical Sciences, Southmead Hospital, University of Bristol, Bristol, UK
  5. 5Department of Radiology, Churchill Hospital, Oxford, UK
  1. Correspondence to Dr Tom Havelock, Wellcome Trust Clinical Research Facility, Southampton General Hospital, Tremona Road, Southampton. SO16 6YD, UK; t.havelock{at}soton.ac.uk

https://doi.org/10.1136/thx.2010.156398

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    We thank Agricola and colleagues1 for their compliments on our guideline2 and their contribution to the discussion on the role of ultrasound in the detection of pneumothorax, but we maintain that the medical community should proceed with caution when using ultrasound in the detection and management of pneumothoraces. If the reviews3–7 referenced are not considered (5 papers), 13 of the remaining 24 papers referenced are in two well-defined patient groups—trauma8–16 and postintervention.17–20 None of the papers published prospectively demonstrated improved outcomes and management change using ultrasound in comparison with chest x-ray (CXR), and perhaps more significantly only one prospective blinded study in …

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      Ultrasound performs better than radiographs
      Eustachio Agricola Charlotte Arbelot Michael Blaivas Belaid Bouhemad Roberto Copetti Anthony Dean Scott Dulchavsky Mahmoud Elbarbary Luna Gargani Richard Hoppmann Andrew W Kirkpatrick Daniel Lichtenstein Andrew Liteplo Gebhard Mathis Lawrence Melniker Luca Neri Vicki E Noble Tomislav Petrovic Angelika Reissig Jean Jacques Rouby Armin Seibel Gino Soldati Enrico Storti James W Tsung Gabriele Via Giovanni Volpicelli
      Thorax 2010; 66 828-829 Published Online First: 30 Dec 2010. doi: 10.1136/thx.2010.153239