48 studies were included to answer the first question, while 37 studies were used to approach question number 2.
– Light’s criteria, pleural fluid cholesterol (<55 mg/dl) and pleural fluid LDH (>200 U/L) levels, and the pleural fluid cholesterol to serum cholesterol ratio (> 0.3) are the best diagnostic indicators for pleural exsudates
– Pneumothorax was the most common complication of thoracocetesis (incidence 6%). Chest tube placement was needed in 2% of all procedures. And most impressive: Ultrasound skin marking by a radiologist or ultrasound-guided thoracocentesis were not associated with a decrease in pneumothorax events.
… would you abandon the ultrasound?