Approach to malignant pleural effusions: Role of pleural manometry exemplified by case scenarios
Autor: | Irfan Ismail Ayub |
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Jazyk: | angličtina |
Rok vydání: | 2019 |
Předmět: |
Pulmonary and Respiratory Medicine
medicine.medical_specialty Tuberculosis Malignant pleural effusion Pleural effusion medicine.medical_treatment Thoracentesis Malignancy pleural manometry 03 medical and health sciences 0302 clinical medicine thoracic ultrasound Medicine 030212 general & internal medicine lcsh:RC705-779 Lung Newer Techniques business.industry lcsh:Diseases of the respiratory system respiratory system Pulmonary edema medicine.disease respiratory tract diseases medicine.anatomical_structure 030228 respiratory system Radiology business Pleurodesis |
Zdroj: | Lung India, Vol 36, Iss 2, Pp 142-148 (2019) Lung India : Official Organ of Indian Chest Society |
ISSN: | 0970-2113 |
Popis: | Issues related to the management of pleural effusion in India are unique. With high incidence of tuberculosis and malignancy, managing patients with pleural effusion may not be the same between patients. Decisions on intercostal chest drain insertion, volume of fluid to be removed during therapeutic thoracentesis, and further diagnostic imaging and investigations are often taken with difficulty in low-resource settings. Pleural manometry can help resolve these issues and help in the management of such patients. Pleural manometry has been advocated as a valuable tool to characterize underlying lung behavior during thoracentesis and has been proposed to be useful in diagnosing unexpandable lung, predicting the success of pleurodesis, and preventing the development of excessively negative pleural pressures which in turn may lead to the development of reexpansion pulmonary edema. There is very little literature on pleural manometry from India and other developing countries. In this article, the utility of pleural manometry in managing patients with malignant pleural effusion is discussed. |
Databáze: | OpenAIRE |
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