Skip to main content

Table 1 Assessment of fluid volume

From: Thoracic ultrasound for pleural effusion in the intensive care unit: a narrative review from diagnosis to treatment

Authors

Patients

Position

Derived formula

Results

Mean prediction errora/mean biasb

Limits of agreementsc/standard errord

Vignon et al. [29]

Mechanically ventilated and not ventilated patients

Supine

NA

Pleural effusion > 800 mL predicted when the distance is: > 45 mm (right; sensitivity 94%, specificity 76%); > 50 mm (left; sensitivity 100%, specificity 67%)

Positive linear correlation between distance and volume: r = 088; r2 = 0.72; p < 0.0001

28 ± 146 mLb

−286 mL and +343mLc

Roch et al. [30]

Mechanicall ventilated patients

Supine with arm abducted

NA

A distance between lung and posterior chest wall at the lung base > 5 cm predicted a drained volume > 500 mL (sensitivity 83%, specificity 90%, positive predictive value 91%, negative predictive value 82%)

NA

NA

Balik et al. [31]

Mechanically ventilated patients

Supine with mild trunk elevation at 15°

V(ml) = 20 × Sep (mm)

Positive linear correlation between distance (Sep) and volume: r = 0.72; r2 = 0.52; p < 0.001

158.4 ± 160.6a

NA

Usta et al. [32]

Spontaneous breathing patients after cardiac surgery

Sitting

V (ml) = 16 × D (mm)

Positive linear correlation between D and V: r = 0.89, r2 = 0.79; p < 0.001

−21.1 ± 97.78a

97.42d

Remérand et al. [33]

Critically ill patients

Supine

V (ml) = LUS × AUS

Positive linear correlation between ultrasound V and drained V (r = 0.84, p < 0.001) and with CT V (r = 0.90, p < 0.001).

−33b

−292 to + 227 mLc

  1. A US cross-sectional area, CT computed tomography, D distance, L US paravertebral length, NA not applicable, PLEFF pleural effusion, Sep maximal distance between parietal and visceral pleura, V pleural volume
  2. aMean prediction error
  3. bMean bias
  4. cLimits of agreements
  5. dStandard error