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State of the art thoracic ultrasound: intervention and therapeutics
  1. John P Corcoran1,2,
  2. Rachid Tazi-Mezalek3,
  3. Fabien Maldonado4,
  4. Lonny B Yarmus5,
  5. Jouke T Annema6,
  6. Coenraad F N Koegelenberg7,8,
  7. Victoria St Noble9,
  8. Najib M Rahman1,2,10
  1. 1Oxford Centre for Respiratory Medicine, Oxford University Hospitals NHS Foundation Trust, Oxford, UK
  2. 2University of Oxford Respiratory Trials Unit, Churchill Hospital, Oxford, UK
  3. 3Department of Thoracic Oncology, Pleural Diseases and Interventional Pulmonology, Hôpital Nord, Aix-Marseille University, Marseille, France
  4. 4Division of Allergy, Pulmonary and Critical Care Medicine, Vanderbilt-Ingram Cancer Center, Vanderbilt University School of Medicine, Nashville, Tennessee, USA
  5. 5Division of Pulmonary and Critical Care Medicine, John Hopkins University, Baltimore, Maryland, USA
  6. 6Department of Pulmonology, Academic Medical Centre, University of Amsterdam, Amsterdam, The Netherlands
  7. 7Division of Pulmonology, Department of Medicine, Stellenbosch University, Cape Town, South Africa
  8. 8Tygerberg Academic Hospital, Cape Town, South Africa
  9. 9Department of Radiology, Oxford University Hospitals NHS Foundation Trust, Oxford, UK
  10. 10NIHR Oxford Biomedical Research Centre, University of Oxford, Oxford, UK
  1. Correspondence to Dr John P Corcoran, University of Oxford Respiratory Trials Unit, Churchill Hospital, Oxford OX3 7LE, UK; jpcorcoran{at}doctors.org.uk

Abstract

The use of thoracic ultrasound outside the radiology department and in everyday clinical practice is becoming increasingly common, having been incorporated into standards of care for many specialties. For the majority of practitioners, their experience of, and exposure to, thoracic ultrasound will be in its use as an adjunct to pleural and thoracic interventions, owing to the widely recognised benefits for patient safety and risk reduction. However, as clinicians become increasingly familiar with the capabilities of thoracic ultrasound, new directions for its use are being sought which might enhance practice and patient care. This article reviews the ways in which the advent of thoracic ultrasound is changing the approach to the investigation and treatment of respiratory disease from an interventional perspective. This will include the impact of thoracic ultrasound on areas including patient safety, diagnostic and therapeutic procedures, and outcome prediction; and will also consider potential future research and clinical directions.

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Footnotes

  • Contributors The article was conceived by JPC, RT-M, VSN and NMR. JPC was responsible for the initial draft preparation and revision. All authors were involved in reviewing each draft and approving the final manuscript. JPC and NMR are responsible for the overall content as guarantors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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