Bedside endosonography and endosonography-guided fine-needle aspiration in critically III patients: A way out of the deadlock?

A. Fritscher-Ravens, Sreeram Parupudi, W. P. Pothman, B. Füllekrug, S. Jäckle, F. Thonke, N. Soehendra

Research output: Contribution to journalArticle

19 Citations (Scopus)

Abstract

Endosonography and endosonography-guided fine-needle aspiration (EUS-FNA) are now established diagnostic techniques, which are performed electively in endoscopy suites. We report here the bedside use of EUS-FNA in three critically ill patients in an intensive-care unit,with a significant impact on the outcome. A mediastinal abscess after percutaneous dilational tracheotomy was aspirated in one patient, leading to appropriate antibiotic therapy and complete recovery. A paratracheal hematoma compressing the right main bronchus was aspirated in a patient with polytrauma, relieving the pressure effects. The third patient, who had end-stage dilated cardiomyopathy and was being evaluated for cardiac transplantation, was found to have an apical lung lesion suspicions for bronchogenic carcinoma. EUS was performed to exclude mediastinal metastasis and allow simultaneous resection at the time of transplantation. Although a metastasis was excluded by EUS-FNA, the patient died while awaiting surgery. We conclude that bedside EUS-FNA is a feasible procedure, and in experienced hands it can offer an alternative in life-threatening situations.

Original languageEnglish (US)
Pages (from-to)425-427
Number of pages3
JournalEndoscopy
Volume32
Issue number5
DOIs
StatePublished - 2000
Externally publishedYes

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Endosonography
Endoscopic Ultrasound-Guided Fine Needle Aspiration
Fine Needle Biopsy
Neoplasm Metastasis
Tracheotomy
Bronchogenic Carcinoma
Multiple Trauma
Dilated Cardiomyopathy
Bronchi
Heart Transplantation
Critical Illness
Hematoma
Abscess
Endoscopy
Intensive Care Units
Transplantation
Anti-Bacterial Agents
Pressure
Lung

ASJC Scopus subject areas

  • Medicine (miscellaneous)

Cite this

Bedside endosonography and endosonography-guided fine-needle aspiration in critically III patients : A way out of the deadlock? / Fritscher-Ravens, A.; Parupudi, Sreeram; Pothman, W. P.; Füllekrug, B.; Jäckle, S.; Thonke, F.; Soehendra, N.

In: Endoscopy, Vol. 32, No. 5, 2000, p. 425-427.

Research output: Contribution to journalArticle

Fritscher-Ravens, A, Parupudi, S, Pothman, WP, Füllekrug, B, Jäckle, S, Thonke, F & Soehendra, N 2000, 'Bedside endosonography and endosonography-guided fine-needle aspiration in critically III patients: A way out of the deadlock?', Endoscopy, vol. 32, no. 5, pp. 425-427. https://doi.org/10.1055/s-2000-9001
Fritscher-Ravens, A. ; Parupudi, Sreeram ; Pothman, W. P. ; Füllekrug, B. ; Jäckle, S. ; Thonke, F. ; Soehendra, N. / Bedside endosonography and endosonography-guided fine-needle aspiration in critically III patients : A way out of the deadlock?. In: Endoscopy. 2000 ; Vol. 32, No. 5. pp. 425-427.
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