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Abstract

Interventional ultrasound is increasing in popularity over the past decade as ultrasound technology has significantly improved. Many articles have come out about the use of ultrasound in diagnosis and therapeutic drainage of fluid collections throughout the body. In this chapter, we describe the various locations for collection of fluid, along with an approach to drainage, and avoiding potential pitfalls and preventing complications. We highlight patient preparation and technical considerations for each type of collection.

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References

  1. Men S, Akhan O, Köroğlu M. Percutaneous drainage of abdominal abcess. Eur J Radiol. 2002;43:204–18.

    Article  PubMed  Google Scholar 

  2. Hogan MJ, Hoffer FA. Biopsy and drainage techniques in children. Tech Vasc Interv Radiol. 2010;13:206–13.

    Article  PubMed  Google Scholar 

  3. Röthlin MA, Schöb O, Klotz H, Candinas D, Largiadèr F. Percutaneous drainage of abdominal abscesses: are large-bore catheters necessary? Eur J Surg Acta Chir. 1998;164:419–24.

    Article  Google Scholar 

  4. Ganguli S, Brennan D. Transanorectal interventions. Semin Ultrasound CT MR. 2008;29:483–91.

    Article  PubMed  Google Scholar 

  5. Sudakoff GS, Lundeen SJ, Otterson MF. Transrectal and transvaginal sonographic intervention of infected pelvic fluid collections: a complete approach. Ultrasound Q. 2005;21:175–85.

    Article  PubMed  Google Scholar 

  6. Arrabal-Polo MA, Jimenez-Pacheco A, Arrabal-Martin M. Percutaneous drainage of prostatic abscess: case report and literature review. Urol Int. 2012;88:118–20.

    Article  PubMed  Google Scholar 

  7. Smith RB. Ultrasound-guided procedures for the office. Otolaryngol Clin North Am. 2010;43:1241–54.

    Article  PubMed  Google Scholar 

  8. Chang K-P, Chen Y-L, Hao S-P, Chen S-M. Ultrasound-guided closed drainage for abscesses of the head and neck. Otolaryngol Head Neck Surg. 2005;132:119–24.

    Article  PubMed  Google Scholar 

  9. Ramirez-Schrempp D, Dorfman DH, Baker WE, Liteplo AS. Ultrasound soft-tissue applications in the pediatric emergency department: to drain or not to drain? Pediatr Emerg Care. 2009;25:44–8.

    Article  PubMed  Google Scholar 

  10. Lyon M, Blaivas M. Intraoral ultrasound in the diagnosis and treatment of suspected peritonsillar abscess in the emergency department. Acad Emerg Med. 2005;12:85–8.

    Article  PubMed  Google Scholar 

  11. Lohela P. Ultrasound-guided drainages and sclerotherapy. Eur Radiol. 2002;12:288–95.

    Article  CAS  PubMed  Google Scholar 

  12. Light RW. Parapneumonic effusions and empyema. Clin Chest Med. 1985;6:55–62.

    CAS  PubMed  Google Scholar 

  13. Padman R, King KA, Iqbal S, Wolfson PJ. Parapneumonic effusion and empyema in children: retrospective review of the duPont experience. Clin Pediatr (Phila). 2007;46:518–22.

    Article  Google Scholar 

  14. Picard E, et al. Predictive factors of morbidity in childhood parapneumonic effusion-associated pneumonia: a retrospective study. Pediatr Infect Dis J. 2010;29:840–3.

    Article  PubMed  Google Scholar 

  15. Wong KS, Lin TY, Huang YC, Chang LY, Lai SH. Scoring system for empyema thoracis and help in management. Indian J Pediatr. 2005;72:1025–8.

    Article  CAS  PubMed  Google Scholar 

  16. St Peter SD, et al. Thoracoscopic decortication vs tube thoracostomy with fibrinolysis for empyema in children: a prospective, randomized trial. J Pediatr Surg. 2009;44:106–111; discussion 111.

    Article  PubMed  PubMed Central  Google Scholar 

  17. Goligher EC, et al. Utility and safety of draining pleural effusions in mechanically ventilated patients: a systematic review and meta-analysis. Crit Care Lond Engl. 2011;15:R46.

    Article  Google Scholar 

  18. Mattison LE, Coppage L, Alderman DF, Herlong JO, Sahn SA. Pleural effusions in the medical ICU: prevalence, causes, and clinical implications. Chest. 1997;111:1018–23.

    Article  CAS  PubMed  Google Scholar 

  19. Soni N, Williams P. Positive pressure ventilation: what is the real cost? Br J Anaesth. 2008;101:446–57.

    Article  CAS  PubMed  Google Scholar 

  20. Bennett R, Maskell N. Management of malignant pleural effusions. Curr Opin Pulm Med. 2005;11:296–300.

    PubMed  Google Scholar 

  21. Kastelik JA. Management of malignant pleural effusion. Lung. 2013;191:165–75.

    Article  PubMed  Google Scholar 

  22. Jones PW, et al. Ultrasound-guided thoracentesis: is it a safer method? Chest. 2003;123:418–23.

    Article  PubMed  Google Scholar 

  23. Chandraratna PA, Mohar DS, Sidarous PF. Role of echocardiography in the treatment of cardiac tamponade. Echocardiography. 2014;31:899–910.

    CAS  PubMed  Google Scholar 

  24. Fulcher AS, Turner MA. Percutaneous drainage of enteric-related abscesses. Gastroenterologist. 1996;4:276–85.

    CAS  PubMed  Google Scholar 

  25. Lorentzen T, Nolsøe C, Skjoldbye B. Ultrasound-guided drainage of deep pelvic abscesses: experience with 33 cases. Ultrasound Med Biol. 2011;37:723–8.

    Article  PubMed  Google Scholar 

  26. Gazelle GS, Mueller PR. Abdominal abscess. Imaging and intervention. Radiol Clin North Am. 1994;32:913–32.

    CAS  PubMed  Google Scholar 

  27. Derchi LE, Serafini G, Gandolfo N, Gandolfo NG, Martinoli C. Ultrasound in gynecology. Eur Radiol. 2001;11:2137–55.

    Article  CAS  PubMed  Google Scholar 

  28. Hayes-Jordan A. Surgical management of the incidentally identified ovarian mass. Semin Pediatr Surg. 2005;14:106–10.

    Article  PubMed  Google Scholar 

  29. Saad WEA, Moorthy M, Ginat D. Percutaneous nephrostomy: native and transplanted kidneys. Tech Vasc Interv Radiol. 2009;12:172–92.

    Article  PubMed  Google Scholar 

  30. Jacob P, Rai BP, Todd AW. Suprapubic catheter insertion using an ultrasound-guided technique and literature review. BJU Int. 2012;110:779–84.

    Article  PubMed  Google Scholar 

  31. Karstrup S, et al. Acute puerperal breast abscesses: US-guided drainage. Radiology. 1993;188:807–9.

    Article  CAS  PubMed  Google Scholar 

  32. Hadduck TA, et al. Value of ultrasound before joint aspiration. AJR Am J Roentgenol. 2013;201:W453–9.

    Article  PubMed  Google Scholar 

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Correspondence to Samir K. Gadepalli MS, MD, MBA .

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Gadepalli, S. (2016). Diagnostic and Therapeutic Drainage. In: Scholz, S., Jarboe, M. (eds) Diagnostic and Interventional Ultrasound in Pediatrics and Pediatric Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-21699-7_21

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  • DOI: https://doi.org/10.1007/978-3-319-21699-7_21

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