Management of malignant pleural effusions

Autor: Alexandra Dipper, Rahul Bhatnagar, Nick Maskell
Rok vydání: 2020
Předmět:
Zdroj: Dipper, A, Bhatnagar, R & Maskell, N 2020, ' Management of malignant pleural effusions ', Current Opinion in Pulmonary Medicine, vol. 26, no. 4, pp. 341-345 . https://doi.org/10.1097/MCP.0000000000000685
ISSN: 1531-6971
DOI: 10.1097/MCP.0000000000000685
Popis: PURPOSE OF REVIEW: Malignant pleural effusion (MPE) is a common cause of breathlessness indicative of advanced disease. Treatment approaches focus on relief of breathlessness and optimizing quality of life. A number of recent, high-impact publications give further insight into the advantages of different treatment options. This article provides a summary of the most up-to-date evidence in this area.RECENT FINDINGS: Recent publications have demonstrated comparable pleurodesis outcomes of talc slurry to talc poudrage and explore strategies to combine the advantages of indwelling pleural catheters (IPCs) with a chemical pleurodesis. A daily IPC drainage regime improves the chances of pleurodesis success and early IPC removal in patients without significant trapped lung.SUMMARY: MPE is a diverse condition, with no one strategy representing the 'best' approach for all. Management decisions should be made in conjunction with the patient, taking their views and preferences into consideration.
Databáze: OpenAIRE