Pleurodesis: The production of adhesions between the parietal and visceral pleura. The procedure is used in the treatment of bronchopleural fistulas, malignant pleural effusions, and pneumothorax and often involves instillation of chemicals or other agents into the pleural space causing, in effect, a pleuritis that seals the air leak. (From Fishman, Pulmonary Diseases, 2d ed, p2233 & Dorland, 27th ed)Pleural Effusion, Malignant: Presence of fluid in the PLEURAL CAVITY as a complication of malignant disease. Malignant pleural effusions often contain actual malignant cells.Pleural Effusion: Presence of fluid in the pleural cavity resulting from excessive transudation or exudation from the pleural surfaces. It is a sign of disease and not a diagnosis in itself.Talc: Finely powdered native hydrous magnesium silicate. It is used as a dusting powder, either alone or with starch or boric acid, for medicinal and toilet preparations. It is also an excipient and filler for pills, tablets, and for dusting tablet molds. (From Merck Index, 11th ed)Pleural Cavity: Paired but separate cavity within the THORACIC CAVITY. It consists of the space between the parietal and visceral PLEURA and normally contains a capillary layer of serous fluid that lubricates the pleural surfaces.Pleura: The thin serous membrane enveloping the lungs (LUNG) and lining the THORACIC CAVITY. Pleura consist of two layers, the inner visceral pleura lying next to the pulmonary parenchyma and the outer parietal pleura. Between the two layers is the PLEURAL CAVITY which contains a thin film of liquid.Drainage: The removal of fluids or discharges from the body, such as from a wound, sore, or cavity.Catheters, Indwelling: Catheters designed to be left within an organ or passage for an extended period of time.Pneumothorax: An accumulation of air or gas in the PLEURAL CAVITY, which may occur spontaneously or as a result of trauma or a pathological process. The gas may also be introduced deliberately during PNEUMOTHORAX, ARTIFICIAL.Thoracoscopy: Endoscopic examination, therapy or surgery of the pleural cavity.Picibanil: A lyophilized preparation of a low-virulence strain (SU) of Streptococcus pyogenes (S. hemolyticus), inactivated by heating with penicillin G. It has been proposed as a noncytotoxic antineoplastic agent because of its immune system-stimulating activity.Hydrothorax: A collection of watery fluid in the pleural cavity. (Dorland, 27th ed)Tuberculosis, Pleural: Tuberculosis of the serous membrane lining the thoracic cavity and surrounding the lungs.Sclerosing Solutions: Chemical agents injected into blood vessels and lymphatic sinuses to shrink or cause localized THROMBOSIS; FIBROSIS, and obliteration of the vessels. This treatment is applied in a number of conditions such as VARICOSE VEINS; HEMORRHOIDS; GASTRIC VARICES; ESOPHAGEAL VARICES; PEPTIC ULCER HEMORRHAGE.Chylothorax: The presence of chyle in the thoracic cavity. (Dorland, 27th ed)Chest Tubes: Plastic tubes used for drainage of air or fluid from the pleural space. Their surgical insertion is called tube thoracostomy.Thoracostomy: Surgical procedure involving the creation of an opening (stoma) into the chest cavity for drainage; used in the treatment of PLEURAL EFFUSION; PNEUMOTHORAX; HEMOTHORAX; and EMPYEMA.Thoracic Surgery, Video-Assisted: Endoscopic surgery of the pleural cavity performed with visualization via video transmission.Povidone-Iodine: An iodinated polyvinyl polymer used as topical antiseptic in surgery and for skin and mucous membrane infections, also as aerosol. The iodine may be radiolabeled for research purposes.Pericardial Effusion: Fluid accumulation within the PERICARDIUM. Serous effusions are associated with pericardial diseases. Hemopericardium is associated with trauma. Lipid-containing effusion (chylopericardium) results from leakage of THORACIC DUCT. Severe cases can lead to CARDIAC TAMPONADE.Exudates and Transudates: Exudates are fluids, CELLS, or other cellular substances that are slowly discharged from BLOOD VESSELS usually from inflamed tissues. Transudates are fluids that pass through a membrane or squeeze through tissue or into the EXTRACELLULAR SPACE of TISSUES. Transudates are thin and watery and contain few cells or PROTEINS.Pleurisy: INFLAMMATION of PLEURA, the lining of the LUNG. When PARIETAL PLEURA is involved, there is pleuritic CHEST PAIN.Pleural DiseasesSilver Nitrate: A silver salt with powerful germicidal activity. It has been used topically to prevent OPHTHALMIA NEONATORUM.Lung Neoplasms: Tumors or cancer of the LUNG.Pleural Neoplasms: Neoplasms of the thin serous membrane that envelopes the lungs and lines the thoracic cavity. Pleural neoplasms are exceedingly rare and are usually not diagnosed until they are advanced because in the early stages they produce no symptoms.Thoracic Surgical Procedures: Surgery performed on the thoracic organs, most commonly the lungs and the heart.Mesothelioma: A tumor derived from mesothelial tissue (peritoneum, pleura, pericardium). It appears as broad sheets of cells, with some regions containing spindle-shaped, sarcoma-like cells and other regions showing adenomatous patterns. Pleural mesotheliomas have been linked to exposure to asbestos. (Dorland, 27th ed)Catheters: A flexible, tubular device that is used to carry fluids into or from a blood vessel, hollow organ, or body cavity.Treatment Outcome: Evaluation undertaken to assess the results or consequences of management and procedures used in combating disease in order to determine the efficacy, effectiveness, safety, and practicability of these interventions in individual cases or series.Antiperspirants: Agents that are put on the SKIN to reduce SWEATING or prevent excess sweating (HYPERHIDROSIS).Nursing Services: A general concept referring to the organization and administration of nursing activities.Instillation, Drug: The administration of therapeutic agents drop by drop, as eye drops, ear drops, or nose drops. It is also administered into a body space or cavity through a catheter. It differs from THERAPEUTIC IRRIGATION in that the irrigate is removed within minutes, but the instillate is left in place.Recurrence: The return of a sign, symptom, or disease after a remission.Iodophors: Complexes of iodine and non-ionic SURFACE-ACTIVE AGENTS acting as carrier and solubilizing agent for the iodine in water. Iodophors usually enhance bactericidal activity of iodine, reduce vapor pressure and odor, minimize staining, and allow wide dilution with water. (From Merck Index, 11th ed)Tetracycline: A naphthacene antibiotic that inhibits AMINO ACYL TRNA binding during protein synthesis.Thoracoscopes: Endoscopes for examining the pleural cavity.Catheterization: Use or insertion of a tubular device into a duct, blood vessel, hollow organ, or body cavity for injecting or withdrawing fluids for diagnostic or therapeutic purposes. It differs from INTUBATION in that the tube here is used to restore or maintain patency in obstructions.Otitis Media with Effusion: Inflammation of the middle ear with a clear pale yellow-colored transudate.Radiography, Thoracic: X-ray visualization of the chest and organs of the thoracic cavity. It is not restricted to visualization of the lungs.Prospective Studies: Observation of a population for a sufficient number of persons over a sufficient number of years to generate incidence or mortality rates subsequent to the selection of the study group.Choroid Plexus: A villous structure of tangled masses of BLOOD VESSELS contained within the third, lateral, and fourth ventricles of the BRAIN. It regulates part of the production and composition of CEREBROSPINAL FLUID.Outpatients: Persons who receive ambulatory care at an outpatient department or clinic without room and board being provided.Doxycycline: A synthetic tetracycline derivative with similar antimicrobial activity.Superior Vena Cava Syndrome: A condition that occurs when the obstruction of the thin-walled SUPERIOR VENA CAVA interrupts blood flow from the head, upper extremities, and thorax to the RIGHT ATRIUM. Obstruction can be caused by NEOPLASMS; THROMBOSIS; ANEURYSM; or external compression. The syndrome is characterized by swelling and/or CYANOSIS of the face, neck, and upper arms.Vena Cava, Superior: The venous trunk which returns blood from the head, neck, upper extremities and chest.Hantavirus Pulmonary Syndrome: Acute respiratory illness in humans caused by the Muerto Canyon virus whose primary rodent reservoir is the deer mouse Peromyscus maniculatus. First identified in the southwestern United States, this syndrome is characterized most commonly by fever, myalgias, headache, cough, and rapid respiratory failure.Hantavirus: A genus of the family BUNYAVIRIDAE causing HANTAVIRUS INFECTIONS, first identified during the Korean war. Infection is found primarily in rodents and humans. Transmission does not appear to involve arthropods. HANTAAN VIRUS is the type species.KansasPulmonary Disease, Chronic Obstructive: A disease of chronic diffuse irreversible airflow obstruction. Subcategories of COPD include CHRONIC BRONCHITIS and PULMONARY EMPHYSEMA.Sin Nombre virus: A species of HANTAVIRUS which emerged in the Four Corners area of the United States in 1993. It causes a serious, often fatal pulmonary illness (HANTAVIRUS PULMONARY SYNDROME) in humans. Transmission is by inhaling aerosolized rodent secretions that contain virus particles, carried especially by deer mice (PEROMYSCUS maniculatus) and pinyon mice (P. truei).Hantavirus Infections: Infections with viruses of the genus HANTAVIRUS. This is associated with at least four clinical syndromes: HEMORRHAGIC FEVER WITH RENAL SYNDROME caused by viruses of the Hantaan group; a milder form of HFRS caused by SEOUL VIRUS; nephropathia epidemica caused by PUUMALA VIRUS; and HANTAVIRUS PULMONARY SYNDROME caused by SIN NOMBRE VIRUS.Hospitals, Urban: Hospitals located in metropolitan areas.
A low pleural fluid pH is associated with poorer survival and reduced pleurodesis efficacy. Pleural fluid cytology is positive ... This has led to the development of tunneled pleural catheters (e.g., Pleurx Catheters), which allow outpatient treatment of ... "Echogenic swirling pattern as a predictor of malignant pleural effusions in patients with malignancies". Chest. 126 (1): 129-34 ... at distinguishing malignant pleural effusions from other causes of pleural effusion, based on the presence of visible pleural ...
"Identification of clinical factors predicting PleurX catheter removal in patients treated for malignant pleural effusion". ... "A study of comparison of efficacy and safety of talc and povidone iodine for pleurodesis of malignant pleural effusions". J ... Alternatively, tunneled pleural catheters (TPCs) may be placed in an outpatient setting and often result in auto-pleurodesis, ... is indicated as a sclerosing agent to decrease the recurrence of malignant pleural effusions in symptomatic patients. It is ...
Surgical pleurodesis may be performed via thoracotomy or thoracoscopy. This involves mechanically irritating the parietal pleura, often with a rough pad. Moreover, surgical removal of parietal pleura is an effective way of achieving stable pleurodesis. Alternatively, tunneled pleural catheters (TPCs) may be placed in an outpatient setting and often result in auto-pleurodesis, whereby portable vacuum bottles are used to evacuate the pleural fluid. Routine evacuation keeps the pleura together, resulting in physical agitation by the catheter, which slowly causes the pleura to scar together. This method, though the minimally invasive and minimal cost solution, takes an average of about 30 days to achieve pleurodesis and is therefore the slowest means of achieving ...
Pneumothorax (sometimes called "collapsed lung") is a health problem where air or gas is in the pleural space (the space between the lung and the pleura). The pleura is a slim membrane that covers the lungs. The two parts of the pleura usually touch. A hole might grow in the surface of the lung. Air then enters between the pleura and the lung. The lung will collapse.[1] If enough air gets into the pleural space, it can also push against other organs or parts in the chest, like the heart or the aorta. Pneumothorax is a medical emergency.. There are two main types of pneumothorax. These are a Closed Pneumothorax, and an Open Pneumothorax. These are also known as Simple Pneumothorax and Complex Pneumothorax.. ...
Ang Pneumothorax (mr. pneumothoraces) ay isang abnormal na pangongolekta ng hangin sa ispasyong pleural na naghihiwalay sa baga mula sa pader ng dibdib, at maaaring makasagabal sa normal na paghinga.. Isa na rito ang primaryang pneumothorax na nangyayari kahit na walang dahilan o kahit na malalang sakit sa baga, subalit nangyayari naman ang sekundaryang pneumothorax sa pagkakaroon ng dati nang patolohiya sa baga. Kadalasan, tumataas ang kabuoan ng hangin sa baga kapag nabuo ang isahang daan na balbula dahil sa pagkasira ng tisyu na maaaring magresulta sa tension pneumothorax. Isang emerhensiyang medikal ang kondiyong ito na maaaring magresulta sa pagkaubos ng oksiheno at mababang presyon ng dugo.[1][2] Kapag hindi pa tuluyang nagamot ang pasyente, maaaring magresulta ito ng kamatayan.[3]. Maaaring magkaroon ng Pneumothoraces sa pamamagitan ng pisikal na trauma sa dibdib (tulad na lamang ng sugat mula sa pagsabog), o isang komplikasyon ng pagsingit sa medikal o surhikal. ...
මධ්‍යවණ්ටනප්‍රදාහය යනු මධ්‍යවණ්ටනයේ පටකවල ඇතිවන ප්‍රදාහ තත්ත්වයයි. මෙය සාමාන්‍යයෙන් බැක්ටීරියා ආසාදනයන් වන අතර, මධ්‍යවණ්ටනයේ අවයව භේදනයට ලක්වීමේ සිදුවේ. ආසාදනය ඉතා ඉක්මණින් වර්ධනය විය හැකි බැවින් මෙය බරපතල තත්ත්වයක් ලෙස සැලකේ. නියුමොමධ්‍යවණ්ටනය යනු මධ්‍යවණ්ටනයේ වාතය පැවතීමයි. ඇතැම් අවස්ථාවල දී මෙයට ප්‍රතිකාර නොකළහොත් සමීරඋරස (pneumothorax), නියුමොඋදරච්ඡදය, සහ නියුමොපෙරිකාඩියම ...
... ("fluid around the heart") is an abnormal accumulation of fluid in the pericardial cavity. Because of the limited amount of space in the pericardial cavity, fluid accumulation leads to an increased intrapericardial pressure which can negatively affect heart function. A pericardial effusion with enough pressure to adversely affect heart function is called cardiac tamponade. Pericardial effusion usually results from a disturbed equilibrium between the production and re-absorption of pericardial fluid, or from a structural abnormality that allows fluid to enter the pericardial cavity. Normal levels of pericardial fluid are from 15 to 50 mL. Play media Chest pain or pressure are common symptoms. A small effusion may be asymptomatic. Larger effusions may cause cardiac tamponade, a life-threatening complication; signs of impending tamponade include dyspnea, low blood pressure, and distant heart sounds. The so-called "water-bottle heart" is a radiographic sign of pericardial ...
Surgical pleurodesis may be performed via thoracotomy or thoracoscopy. This involves mechanically irritating the parietal pleura, often with a rough pad. Moreover, surgical removal of parietal pleura is an effective way of achieving stable pleurodesis. Alternatively, tunneled pleural catheters (TPCs) may be placed in an outpatient setting and often result in auto-pleurodesis, whereby portable vacuum bottles are used to evacuate the pleural fluid. Routine evacuation keeps the pleura together, resulting in physical agitation by the catheter, which slowly causes the pleura to scar together. This method, though the minimally invasive and minimal cost solution, takes an average of about 30 days to achieve pleurodesis and is therefore the slowest means of achieving ...
Rivalta's test is used in order to differentiate a transudate from an exudate. It is a simple, inexpensive method that does not require special laboratory equipment and can be easily performed in private practice. The test was originally developed by the Italian researcher Rivalta around 1900 and was used to differentiate transudates and exudates in human patients. It is also useful in cats to differentiate between effusions due to FIP and effusions caused by other diseases. Not only the high protein content, but high concentrations of fibrinogen and inflammatory mediators lead to a positive reaction. A test tube is filled with distilled water and acetic acid is added. To this mixture one drop of the effusion to be tested is added. If the drop dissipates, the test is negative, indicating a transudate. If the drop precipitates, the test is positive, indicating an exudate. Using a pH 4.0 acetic acid solution, 8 types of proteins were identified in Rivalta ...
There is no single test for confirming that breathlessness is caused by pulmonary edema - there are many causes of shortness of breath. Low oxygen saturation and disturbed arterial blood gas readings support the proposed diagnosis by suggesting a pulmonary shunt. A chest X-ray will show fluid in the alveolar walls, Kerley B lines, increased vascular shadowing in a classical batwing peri-hilum pattern, upper lobe diversion (increased blood flow to the superior parts of the lung), and possibly pleural effusions. In contrast, patchy alveolar infiltrates are more typically associated with noncardiogenic edema[2] Lung ultrasound, employed by a healthcare provider at the point of care, is also a useful tool to diagnose pulmonary edema; not only is it accurate, but it may quantify the degree of lung water, track changes over time, and differentiate between cardiogenic and non-cardiogenic edema.[20] Especially in the case of cardiogenic pulmonary edema, urgent ...
Many articles of contraband are concealable in the body's cavities, via means such as insertion into the rectum. Illegal drugs are often found in condoms and temporarily stowed in the colon, and cylinders such as cigar tubes are used to hide money, intravenous syringes, and knives. Duplicate handcuff keys could be concealed in many body orifices, such as in the nasal passages or underneath the tongue. In a thorough visual body cavity search, a flashlight is used to illuminate common bodily areas, including the nostrils, ears, mouth, navel, penis (urethra and foreskin) or vulva, and buttocks. Generally, the detainee is required to cooperate with manipulating these body parts as they are examined. Squatting is sometimes instructed during the visual search, and prolonged holding of a squat can be demanded; squats are sometimes demanded while standing over a mirror (so that the observer has an improved view). The person may be asked to "squat and cough," with the aim of dislodging an object stored ...
間皮瘤(mesothelioma)是發生在胸腔或腹腔內壁上的腫瘤,可分為良性或惡性。發生在胸腔的間皮瘤與石棉纖維的接觸有極大的相關性[1],普遍與塵肺病(肺塵埃沉着病)同源。也因為如此目前世界各國都逐漸禁止使用石棉,以保障人民的健康。. 例如香港於2008年修訂了《肺塵埃沉着病(補償)條例》(正名爲《肺塵埃沉着病及間皮瘤(補償)條例》),給予間皮瘤患者相當于塵肺病患者的補償待遇,理據是兩者同是暴露于石棉環境的後遺症。. ...
... ("fluid around the heart") is an abnormal accumulation of fluid in the pericardial cavity. Because of the limited amount of space in the pericardial cavity, fluid accumulation leads to an increased intrapericardial pressure which can negatively affect heart function. A pericardial effusion with enough pressure to adversely affect heart function is called cardiac tamponade. Pericardial effusion usually results from a disturbed equilibrium between the production and re-absorption of pericardial fluid, or from a structural abnormality that allows fluid to enter the pericardial cavity. Normal levels of pericardial fluid are from 15 to 50 mL. Play media Chest pain or pressure are common symptoms. A small effusion may be asymptomatic. Larger effusions may cause cardiac tamponade, a life-threatening complication; signs of impending tamponade include dyspnea, low blood pressure, and distant heart sounds. The so-called "water-bottle heart" is a radiographic sign of pericardial ...
Pleuritis (ek wol pleuris [1]) is in ûntstekking oan it boarstflues dat de longen en de binnenkant fan de boarstkas (thorax) beklaaid, de pleura. It kin troch in firale- of in baktearjele ynfeksje (ek by in longûntstekking) komme of troch yrritaasje fan de pleura. Der bestiet ek in reumatyske foarm fan pleutitis. At der focht tusken de longfluezen ûntstiet wurdt sprutsen fan pleurafocht (in eksudaat). Dy foarm fan pleuritis hiet pleuritis exsudativa (wiete pleuris); by pleuritis sicca (drûge pleuris) wurdt gjin of mar in bytsje eksudaat foarme. Pleurafocht kin ynfektearre reitsje (ettter), sadat in empyeem ûntstiet. By trochgroei as útsiedzjen fan kankersellen tusken de pleurabladen wurdt praat fan pleuritis carcinomatosa. Yn de 20e iuw waard pleuritis wol as in eufemisme foar tuberkuloaze brûkt, ek at der gjin sprake fan in tuberkuleuze pleuritis wie. ...
Rivalta's test is used in order to differentiate a transudate from an exudate. It is a simple, inexpensive method that does not require special laboratory equipment and can be easily performed in private practice. The test was originally developed by the Italian researcher Rivalta around 1900 and was used to differentiate transudates and exudates in human patients. It is also useful in cats to differentiate between effusions due to FIP and effusions caused by other diseases. Not only the high protein content, but high concentrations of fibrinogen and inflammatory mediators lead to a positive reaction. A test tube is filled with distilled water and acetic acid is added. To this mixture one drop of the effusion to be tested is added. If the drop dissipates, the test is negative, indicating a transudate. If the drop precipitates, the test is positive, indicating an exudate. Using a pH 4.0 acetic acid solution, 8 types of proteins were identified in Rivalta ...
... also known as pleural sclerosis) involves instilling an irritant into the pleural space to cause inflammatory changes that ... Efficacy and safety of tunneled pleural catheters in adults with malignant pleural effusions: a systematic review. J Gen Intern ... pleural catheter vs chest tube and talc pleurodesis for relieving dyspnea in patients with malignant pleural effusion: the ... Indwelling Pleural Catheters Reduce Inpatient Days over Pleurodesis for Malignant Pleural Effusion. Chest. 2012 Mar 8. [Medline ...
... of pleural effusions and is not correlated with peripheral blood eosinophilia... more ... Pleural fluid eosinophilia (PFE), with eosinophil values greater than 10% of nucleated cells, is seen in approximately 10% ... Efficacy and safety of tunneled pleural catheters in adults with malignant pleural effusions: a systematic review. J Gen Intern ... pleural catheter vs chest tube and talc pleurodesis for relieving dyspnea in patients with malignant pleural effusion: the ...
... with etiologies ranging from cardiopulmonary disorders to symptomatic inflammatory or malignant diseases requiring urgent ... It is the most common manifestation of pleural disease, ... effusion is an abnormal collection of fluid in the pleural ... A propensity-matched comparison of pleurodesis or tunneled pleural catheter in patients undergoing diagnostic thoracoscopy for ... Efficacy and safety of tunneled pleural catheters in adults with malignant pleural effusions: a systematic review. J Gen Intern ...
... with etiologies ranging from cardiopulmonary disorders to symptomatic inflammatory or malignant diseases requiring urgent ... It is the most common manifestation of pleural disease, ... effusion is an abnormal collection of fluid in the pleural ... A propensity-matched comparison of pleurodesis or tunneled pleural catheter in patients undergoing diagnostic thoracoscopy for ... Efficacy and safety of tunneled pleural catheters in adults with malignant pleural effusions: a systematic review. J Gen Intern ...
Thoracoscopic talc versus tunneled pleural catheters for palliation of malignant pleural effusions. Ann Thorac Surg 2012; 94: ... In comparing the success and recurrence rates in patients with malignant pleural effusions by group and method of pleurodesis ... In chemical pleurodesis, the ideal sclerosing agent should have a high level of efficacy, be inexpensive, not cause serious ... Indwelling pleural catheters reduce inpatient days over pleurodesis for malignant pleural effusion. Chest 2012; 142: 394-400. ...
Efficacy and safety of tunneled pleural catheters in adults with malignant pleural effusions: a systematic review. ... Pleurodesis. Control of pleural effusion is a priority in most patients with malignant pleural mesothelioma, and a good option ... pleural catheter vs chest tube and talc pleurodesis for relieving dyspnea in patients with malignant pleural effusion. The ... with pleurodesis or a tunneled pleural drainage catheter, if control of pleural effusion is required, can be considered. ...
Tunneled pleural catheter procedure can be combined with pleurosocopy and talc pleurodesis to enhance the efficacy. Efficacy of ... tunneled pleural catheter to achieve pleurodesis is slightly lower than thoracoscopic pleurodesis. However, if a patients ... Fysh, ET.. "Indwelling pleural catheters reduce inpatient days over pleurodesis for malignant pleural effusion". Chest. vol. ... Malignant Pleural Effusions. I. Problem/Condition.. The main symptom of malignant pleural effusions (MPE) is shortness of ...
Effectiveness and safety of tunneled pleural catheter placement in patients with malignant pleural effusions. F. Leon Roman ( ... Talc pleurodesis by thoracoscopy in patients with primary spontaneous pneumothorax: a 10-year experience.. E. dos Santos Vieira ... Efficacy evaluation, time estimates for method of bronchial valve closure (BVC) in the treatment of patients with double ... Thoracoscopic talc poudrage (TTP) in malignant (M) pleural effusion (PE): when to perform it?. V. Pinelli (La Spezia, Italy), A ...
This will be a randomized clinical trial comparing the time to pleurodesis in patients with malignant pleural effusion ... it is tunnelled under the skin for approximately 5 cm before entering the pleural space. These indwelling catheters can provide ... Pleurx has been compared to inpatient doxycycline pleurodesis via chest tube with no difference in survival, safety or efficacy ... Pleural Effusion. Pleural Effusion, Malignant. Pleural Diseases. Respiratory Tract Diseases. Pleural Neoplasms. Respiratory ...
A low pleural fluid pH is associated with poorer survival and reduced pleurodesis efficacy. Pleural fluid cytology is positive ... This has led to the development of tunneled pleural catheters (e.g., Pleurx Catheters), which allow outpatient treatment of ... "Echogenic swirling pattern as a predictor of malignant pleural effusions in patients with malignancies". Chest. 126 (1): 129-34 ... at distinguishing malignant pleural effusions from other causes of pleural effusion, based on the presence of visible pleural ...
... malignant pleural effusion, pericardial effusion, and superior vena cava syndrome. ... These tunneled pleural catheters allow up to 96% of patients to achieve symptom improvement, with spontaneous pleurodesis ... randomised study comparing the efficacy of talc slurry and bleomycin in the treatment of malignant pleural effusions. Acta Clin ... Indwelling pleural catheters (IPCs) represent an alternative to pleurodesis for patients with malignant pleural effusion whose ...
... and Larger vs Smaller Chest Tube Size on Pain Control and Pleurodesis Efficacy Among Patients With Malignant Pleural Effusion: ... Malignant pleural effusion in the presence of trapped lung. Five-year experience of PleurX tunnelled catheters. Interact ... Pleurx Catheter. Indications. *Malignant Pleural Effusion without Trapped Lung. *Malignant Pleural Effusion with Trapped Lung * ... Pleural Effusion-Malignant. Epidemiology. *Pleural Metastases are the Second Most Common Cause of Pleural Effusion ...
In fact, patients older than 65 years bear a disproportionate burden of cancer as well as increased prevalence of medical ... Cancer patients often have comorbid medical problems in addition to their underlying malignant disorders. ... Indwelling pleural catheters (IPCs) represent an alternative to pleurodesis for patients with malignant pleural effusion whose ... Tremblay A, Michaud G: Single-center experience with 250 tunnelled pleural catheter insertions for malignant pleural effusion. ...
Presence of fluid in the PLEURAL CAVITY as a complication of malignant disease. Malignant pleural effusions often contain ... rates and efficacy in patients with a wide range of performance status support the use of tunneled pleural catheters as a first ... 10/01/2011 - "Although pleurodesis is an effective treatment for malignant pleural effusion, we hesitate to use in patients ... Pleural Effusion, Malignant; Effusion, Malignant Pleural; Effusions, Malignant Pleural; Malignant Pleural Effusions; Pleural ...
"Identification of clinical factors predicting PleurX catheter removal in patients treated for malignant pleural effusion". ... "A study of comparison of efficacy and safety of talc and povidone iodine for pleurodesis of malignant pleural effusions". J ... Alternatively, tunneled pleural catheters (TPCs) may be placed in an outpatient setting and often result in auto-pleurodesis, ... is indicated as a sclerosing agent to decrease the recurrence of malignant pleural effusions in symptomatic patients. It is ...
For patients undergoing talc pleurodesis, there is no difference in efficacy between talc slurry and thoracoscopic talc ... Some data suggest that solid organ transplant recipients may, however, benefit from tunneled catheters on selective basis. ... The prognosis for patients with pleural effusions depends on the underlying cause. Patients with malignant pleural effusions ... In such patients, chest imaging is required to detect pleural fluid. Chronic pleural fibrosis may mimic a pleural effusion on ...
The pleural effusion is usually caused by a disturbance of the normal Starling forces regulating reabsorption of fluid in the ... Malignant pleural effusion complicates the care of approximately 150,000 people in the United States each year. ... pleural space, secondary to obstruction of mediastinal lymph nodes draining the parietal pleura. ... Use of tunnelled pleural catheters for malignant pleural effusions in patients fit for pleurodesis. Eur Respir J 30:759â 762, ...
Doxycycline Pleurodesis to Continued Drainage With the Pleurx Catheter System in the Treatment of Malignant Pleural Effusions ... comparing the time to pleurodesis in patients with malignant pleural effusion receiving doxycycline + Pleurx catheter versus ... Pleurx has been compared to inpatient doxycycline pleurodesis via chest tube with no difference in survival, safety or efficacy ... In order to reduce the chance of dislodgement and minimize infection rates, it is tunnelled under the skin for approximately 5 ...
Tremblay A, Mason C, Michaud G. Use of tunnelled catheters for malignant pleural effusions in patients fit for pleurodesis. Eur ... Crnjac A, Sok M, Kamenik M. Impact of pleural effusion pH on the efficacy of thoracoscopic mechanical pleurodesis in patients ... Use of an implantable pleural catheter for trapped lung syndrome in patients with malignant pleural effusion. Chest. 2001;119: ... Tremblay A, Michaud G. Single-center experience with 250 tunnelled pleural catheter insertions for malignant pleural effusion. ...
Efficacy and safety of tunneled pleural catheters in adults with malignant pleural effusions: a systematic review. J Gen Intern ... pleural catheter vs chest tube and talc pleurodesis for relieving dyspnea in patients with malignant pleural effusion: the ... The efficacy of indwelling pleural catheter placement versus placement plus talc sclerosant in patients with malignant pleural ... Efficacy and safety of talc pleurodesis for malignant pleural effusion: a meta-analysis. PLoS One. 2014;9(1):e87060. doi: ...
Tremblay A, Mason C, Michaud G. Use of tunnelled catheters for malignant pleural effusions in patients fit for pleurodesis. Eur ... Efficacy and safety of tunneled pleural catheters in adults with malignant pleural effusions: a systematic review. J Gen Intern ... The efficacy of indwelling pleural catheter placement versus placement plus talc sclerosant in patients with malignant pleural ... Indwelling pleural catheters reduce inpatient days over pleurodesis for malignant pleural effusion. Chest 2012;142:394-400. ...
Indwelling pleural catheter and talc pleurodesis are established treatments for malignant pleural effusions among patients with ... Efficacy of sonographic and biological pleurodesis indicators of malignant pleural effusion (SIMPLE): protocol of a randomised ... BACKGROUND: Indwelling tunneled pleural catheters (TPCs) are increasingly being used to treat recurrent pleural effusions. ... of-an-indwelling-pleural-catheter-vs-talc-pleurodesis-on-hospitalization-days-in-patients-with-malignant-pleural-effusion-the- ...
MANAGEMENT OF MALIGNANT PLEURAL EFFUSION Effective Date: October, 2014 The recommendations contained in this guideline are a ... Tunnelled indwelling pleural catheter (TIPC) A patient s guide 1 What is a tunnelled indwelling pleural catheter? A tunnelled ... between talc pleurodesis via thoracoscopy or chest tube is more dependent on medical circumstances rather than the efficacy of ... Efficacy and safety of tunneled pleural catheters in adults with malignant pleural effusions: a systematic review. J Gen Intern ...
Pleurodesis with a sclerosing agent is another common strategy for recurrent malignant pleural effusions. A sclerosing agent ( ... Given this patients tumor burden and recurrent large-volume effusions, an indwelling pleural catheter is preferable to ... Cost, limited efficacy, and frequent malfunctions all limit the shunts usefulness. The shunt also places the patient at risk ... There is surrounding erythema, exposed muscle, undermining of the edges, and a tunneling tract that extends another 2 cm. ...
Efficacy of short-term versus long-term chest tube drainage following talc slurry pleurodesis in patients with malignant ... Single-center experience with 250 tunnelled pleural catheter insertions for malignant pleural effusion. Chest 2006;129:362-8. ( ... Use of an implantable pleural catheter for trapped lung syndrome in patients with malignant pleural effusion. Chest 2001;119: ... for diagnosis of suspected malignant pleural effusion and for drainage and pleurodesis of a known malignant pleural effusion. ( ...
  • Use of pleural fluid N-terminal-pro-brain natriuretic peptide and brain natriuretic peptide in diagnosing pleural effusion due to congestive heart failure. (medscape.com)
  • For example, medical management includes nitrates and diuretics for congestive heart failure and pulmonary edema, antibiotics for parapneumonic effusion and empyema, and anticoagulation for pulmonary embolism. (medscape.com)
  • Patients with transudates generally present with dyspnea if the effusion is moderate to large in volume, more so if bilateral, as in congestive heart failure. (renalandurologynews.com)
  • Brain natriuretic protein levels are markedly elevated in effusions secondary to congestive heart failure. (cancernetwork.com)
  • In some circumstances, pleural fluid sampling may not be warranted, such as when there is a small pleural fluid volume with a secure clinical diagnosis, as in viral pleurisy, or the presence of congestive heart failure with symmetric bilateral effusions. (infectiousdiseaseadvisor.com)
  • In the setting of congestive heart failure, sampling pleural effusions should be considered when clinical circumstances include the presence of fever, pleurisy, asymmetric effusion size, greater than expected alveolar-arterial oxygen gradient, or findings that do not clearly substantiate congestive heart failure (e.g., normal echocardiogram, normal brain natriuretic peptide [BNP], no resolution with heart failure therapy). (infectiousdiseaseadvisor.com)
  • MPE can cause shortness of breath during activity and at rest leaving patients feeling as though they cannot catch their breath enough to be comfortable. (clinicaltrials.gov)
  • Pleural effusion restricts ventilation and causes progressive shortness of breath by compression of lung tissue as well as paradoxical movement of the inverted diaphragm. (cancernetwork.com)
  • The normal pleural space contains approximately 10 mL of fluid, representing the balance between (1) hydrostatic and oncotic forces in the visceral and parietal pleural capillaries and (2) persistent sulcal lymphatic drainage. (medscape.com)
  • Moderate and high-risk effusions are characterized by large size, presence of septation or loculation on sonography or CT, pH less than 7.2, LDH greater than 1000 IU/ml, glucose less than 40 mg/ml, positive gram stain, positive pleural fluid culture or frank pus. (infectiousdiseaseadvisor.com)