{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,16]],"date-time":"2025-10-16T20:22:37Z","timestamp":1760646157024},"reference-count":30,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2014,2,10]],"date-time":"2014-02-10T00:00:00Z","timestamp":1391990400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Respirology"],"published-print":{"date-parts":[[2014,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background and objective<\/jats:title><jats:p>Pleural procedures such as tube thoracostomy and chest aspirations are commonly performed and carry potential risks of visceral organ injury, pneumothorax and bleeding. In this context limited information exists on the complication rates when non\u2010pulmonologists perform ultrasound\u2010guided bedside pleural procedures. Bedside pleural procedures in our university hospital were audited to compare complication rates between pulmonologists and non\u2010pulmonologists.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A combined safety approach using standardized training, pleural safety checklists and ultrasound\u2010guidance was initially implemented in a \u223c1000\u2010bed academic medical centre. A prospective audit, over approximately 3.5 years, of all bedside pleural procedures excluding procedures done in operating theatres and radiological suites was then performed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Overall, 529 procedures (295 by pulmonologists; 234 by non\u2010pulmonologists) for 443 patients were assessed. There were 16 (3.0%) procedure\u2010related complications, all in separate patients. These included five iatrogenic pneumothoraces, four dry taps, four malpositioned chest tubes, two significant chest wall bleeds and one iatrogenic hemothorax. There were no differences in complication rates between pulmonologists and non\u2010pulmonologists. Presence of chronic obstructive pulmonary disease (<jats:styled-content style=\"fixed-case\">COPD<\/jats:styled-content>) independently increased the risk of complications by nearly sevenfold.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Results from this study support pleural procedural practice by both pulmonologists and non\u2010pulmonologists in an academic medical centre setting. This is possible with a standard training program, pleural safety checklists and relatively high utilization rates of ultrasound guidance for pleural effusions. Nonetheless, additional vigilance is needed when patients with <jats:styled-content style=\"fixed-case\">COPD<\/jats:styled-content> undergo pleural procedures.<\/jats:p><\/jats:sec>","DOI":"10.1111\/resp.12244","type":"journal-article","created":{"date-parts":[[2014,2,10]],"date-time":"2014-02-10T08:18:50Z","timestamp":1392020330000},"page":"396-402","source":"Crossref","is-referenced-by-count":9,"title":["Bedside pleural procedures by pulmonologists and non\u2010pulmonologists: a 3\u2010year safety audit"],"prefix":"10.1111","volume":"19","author":[{"given":"Kay Choong","family":"See","sequence":"first","affiliation":[{"name":"Division of Respiratory and Critical Care Medicine National University Health System University Medicine Cluster  Singapore"},{"name":"Department of Medicine Yong Loo Lin School of Medicine National University of Singapore  Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Venetia","family":"Ong","sequence":"additional","affiliation":[{"name":"Division of Respiratory and Critical Care Medicine National University Health System University Medicine Cluster  Singapore"},{"name":"Department of Medicine Yong Loo Lin School of Medicine National University of Singapore  Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chia Meng","family":"Teoh","sequence":"additional","affiliation":[{"name":"Division of Respiratory and Critical Care Medicine National University Health System University Medicine Cluster  Singapore"},{"name":"Department of Medicine Yong Loo Lin School of Medicine National University of Singapore  Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Oon Cheong","family":"Ooi","sequence":"additional","affiliation":[{"name":"Department of Surgery Yong Loo Lin School of Medicine National University of Singapore  Singapore"},{"name":"Department of Cardiac, Thoracic and Vascular Surgery National University Heart Centre  Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Louis Sutrisno","family":"Widjaja","sequence":"additional","affiliation":[{"name":"Department of Medical Affairs National University Hospital  Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sandhya","family":"Mujumdar","sequence":"additional","affiliation":[{"name":"Department of Medical Affairs National University Hospital  Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jason","family":"Phua","sequence":"additional","affiliation":[{"name":"Division of Respiratory and Critical Care Medicine National University Health System University Medicine Cluster  Singapore"},{"name":"Department of Medicine Yong Loo Lin School of Medicine National University of Singapore  Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kay Leong","family":"Khoo","sequence":"additional","affiliation":[{"name":"Division of Respiratory and Critical Care Medicine National University Health System University Medicine Cluster  Singapore"},{"name":"Department of Medicine Yong Loo Lin School of Medicine National University of Singapore  Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pyng","family":"Lee","sequence":"additional","affiliation":[{"name":"Division of Respiratory and Critical Care Medicine National University Health System University Medicine Cluster  Singapore"},{"name":"Department of Medicine Yong Loo Lin School of Medicine National University of Singapore  Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tow Keang","family":"Lim","sequence":"additional","affiliation":[{"name":"Division of Respiratory and Critical Care Medicine National University Health System University Medicine Cluster  Singapore"},{"name":"Department of Medicine Yong Loo Lin School of Medicine National University of Singapore  Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2014,2,10]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1136\/pgmj.2009.087759"},{"key":"e_1_2_6_3_1","doi-asserted-by":"crossref","first-page":"667","DOI":"10.1136\/thx.2010.140236","article-title":"British Thoracic Society Pleural Disease Guidelines\u20142010 update","volume":"65","author":"Maskell N","journal-title":"Thorax"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/archinternmed.2009.548"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.123.2.436"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/jcu.20163"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/MCP.0b013e32833a233b"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra0909487"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMsa0810119"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMsa0911535"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/resp.12033"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.112.3.709"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.08-1227"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.4300\/JGME-D-11-00136.1"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1197\/aemj.9.8.835"},{"key":"e_1_2_6_16_1","first-page":"314","article-title":"Variability in ultrasound education among emergency medicine residencies","volume":"11","author":"Ahern M","year":"2010","journal-title":"West. J. Emerg. Med."},{"key":"e_1_2_6_17_1","first-page":"26","article-title":"Chest tube drainage of pleural effusions\u2014an audit of current practice and complications at Hutt Hospital","volume":"125","author":"Epstein E","year":"2012","journal-title":"N. Z. Med. J."},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.123.5.1693"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.119.2.590"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-1843.2012.02253.x"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.1136\/thx.2010.137026"},{"key":"e_1_2_6_22_1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.08-2305"},{"key":"e_1_2_6_23_1","first-page":"1124","article-title":"Value of chest ultrasonography versus decubitus roentgenography for thoracentesis","volume":"133","author":"Kohan JM","year":"1986","journal-title":"Am. Rev. Respir. Dis."},{"key":"e_1_2_6_24_1","doi-asserted-by":"publisher","DOI":"10.1186\/cc10009"},{"key":"e_1_2_6_25_1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.123.2.418"},{"key":"e_1_2_6_26_1","doi-asserted-by":"publisher","DOI":"10.1136\/thoraxjnl-2011-200077"},{"key":"e_1_2_6_27_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjqs.2009.040022"},{"key":"e_1_2_6_28_1","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0b013e3181a96379"},{"key":"e_1_2_6_29_1","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0b013e3181c4526f"},{"key":"e_1_2_6_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1553-7250(08)34081-1"},{"key":"e_1_2_6_31_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrc.2006.06.002"}],"container-title":["Respirology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fresp.12244","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/resp.12244","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,1]],"date-time":"2023-10-01T16:51:14Z","timestamp":1696179074000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/resp.12244"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,2,10]]},"references-count":30,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2014,4]]}},"alternative-id":["10.1111\/resp.12244"],"URL":"https:\/\/doi.org\/10.1111\/resp.12244","archive":["Portico"],"relation":{},"ISSN":["1323-7799","1440-1843"],"issn-type":[{"value":"1323-7799","type":"print"},{"value":"1440-1843","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,2,10]]}}}