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Ann Thorac Surg 2009;87:1577-1581. doi:10.1016/j.athoracsur.2008.12.024
© 2009 The Society of Thoracic Surgeons
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Aman S. Coonar
Thomas K. Waddell
Andrew F. Pierre
Gail E. Darling
Michael R. Johnston
Shaf Keshavjee
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Right arrow Lung - other

New Technology

Implementation of Real-Time Ultrasound in a Thoracic Surgery Practice

Aman S. Coonar, FRCS(CTh)a,c,*, Jacqueline A. Hughes, FRCRa,d, Susan Walker, RNa, Marc dePerrot, MDa, Thomas K. Waddell, MD, PhDa, Andrew F. Pierre, MDa, Gail E. Darling, MDa, Michael R. Johnston, MDb, Shaf Keshavjee, MDa

a Thoracic Surgery & Lung Transplant, Department of Surgery, Toronto General Hospital, Toronto, Canada
b Thoracic Surgery, Dalhouise University, Halifax, Canada
c Thoracic Surgery, Papworth Hospital, Cambridge, United Kingdom
d Radiology, Addenbrookes Hospital, Cambridge, United Kingdom

Accepted for publication December 1, 2008.

* Address correspondence to Dr Coonar, Thoracic Surgery, Papworth Hospital, Cambridge, CB23 3RE, United Kingdom (Email: aman.coonar{at}papworth.nhs.uk).

Purpose: The purpose of this study was to implement real-time transthoracic ultrasound in a thoracic surgery and lung transplant practice.

Description: Ultrasound units that are light, small, robust, and portable are now available. Obstacles to use include demarcation issues between specialties, training, and a perception that basic ultrasound may be difficult to use. The experience of implementing this is described.

Evaluation: After a training period, 62 studies were performed in 4 months. Patients and clinicians gave positive feedback. The learning time was short, and with ultrasonic guidance, all interventional procedures were successful at the first attempt, without any complications.

Conclusions: Basic transthoracic ultrasound was found to be easy to learn and use by thoracic surgeons, fellows, and specialist nurses. Patients were appreciative. Real-time use may have genuine advantages to patient care.






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Copyright © 2009 by The Society of Thoracic Surgeons.