Pleural effusion surgery: Difference between revisions
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*Therapeutic [[thoracentesis]]. | *Therapeutic [[thoracentesis]]. | ||
Therapeutic [[aspiration]] may be sufficient; larger effusions may require insertion of an [[intercostal]] drain | Therapeutic [[aspiration]] may be sufficient; larger effusions may require insertion of an [[intercostal]] drain as seen in the video below. Therapeutic thoracentesis are done if the fluid collection is large and causing chest pressure, shortness of breath, or other breathing problems, such as hypoxia. Removing the fluid allows the lung to expand, making breathing easier. Treating the cause of the effusion then becomes the goal. | ||
For example, pleural effusions caused by congestive heart failure are treated with diuretics | For example, pleural effusions caused by congestive heart failure are treated with diuretics and other medications needed in [[heart failure treatment]]. Pleural effusions caused by infection are treated with appropriate antibiotics. In people with cancer or infections, the effusion is often treated by using a chest tube for several days to drain the fluid. | ||
Sometimes, small tubes can be left in the pleural cavity for a long time to drain the fluid.Repeated effusions may require chemical ([[talc]], [[bleomycin]], [[tetracycline]]/[[doxycycline]]) or surgical [[pleurodesis]], in which the two pleural surfaces are attached to each other so that no fluid can accumulate between them. | Sometimes, small tubes can be left in the pleural cavity for a long time to drain the fluid.Repeated effusions may require chemical ([[talc]], [[bleomycin]], [[tetracycline]]/[[doxycycline]]) or surgical [[pleurodesis]], in which the two pleural surfaces are attached to each other so that no fluid can accumulate between them. | ||
Revision as of 15:03, 14 October 2016
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Pleural effusion Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Pleural effusion surgery On the Web |
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American Roentgen Ray Society Images of Pleural effusion surgery |
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Risk calculators and risk factors for Pleural effusion surgery |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Prince Tano Djan, BSc, MBChB [2]
Overview
Surgery
Treatment aims to:
- Remove the fluid.
- Prevent fluid from building up again.
- Treating the cause of the fluid buildup.
- Therapeutic thoracentesis.
Therapeutic aspiration may be sufficient; larger effusions may require insertion of an intercostal drain as seen in the video below. Therapeutic thoracentesis are done if the fluid collection is large and causing chest pressure, shortness of breath, or other breathing problems, such as hypoxia. Removing the fluid allows the lung to expand, making breathing easier. Treating the cause of the effusion then becomes the goal.
For example, pleural effusions caused by congestive heart failure are treated with diuretics and other medications needed in heart failure treatment. Pleural effusions caused by infection are treated with appropriate antibiotics. In people with cancer or infections, the effusion is often treated by using a chest tube for several days to drain the fluid.
Sometimes, small tubes can be left in the pleural cavity for a long time to drain the fluid.Repeated effusions may require chemical (talc, bleomycin, tetracycline/doxycycline) or surgical pleurodesis, in which the two pleural surfaces are attached to each other so that no fluid can accumulate between them. {{#ev:youtube|ivTyH09BcHg}}
References