Hemothorax medical therapy: Difference between revisions
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==Overview== | ==Overview== | ||
The mainstay of medical therapy for hemothorax is, fluid resuscitation and blood transfusion. All patients, regardless of causes, require attention for fluid resuscitation and blood transfusion. Prophylactic use of [[Antibiotic|antibiotics]] following haemothorax reduces the rate of infectious complications such as [[pneumonia]] and [[Pleural empyema|empyema]] during at least 24 hour after the start of chest tube drainage. Antibiotic treatment should be directed to [[Staphylococcus aureus]] and [[Streptococcus|Streptococcus species]] and the use of [[Cephalosporins|first generation cephalosporins]] during the first 24 hour in patients treated with chest tube drainage is recommended. Intrapleural [[Fibrinolytic agent|fibrinolytic]] therapy (IPFT) has been advocated as an alternative to evacuate residual blood clots and breakdown adhesions in low-resource settings where the relatively costly and sophisticated technique of VATS may not be available, feasible or applicable. Several studies report on IPFT with [[streptokinase]], [[urokinase]] or [[tissue plasminogen activator]] (TPA). Duration of treatment with IPFT can vary between 2 and 9 days for streptokinase and 2–15 days for urokinase. | |||
==Medical Therapy== | ==Medical Therapy== | ||
* Fluid resuscitation and blood transfusion | |||
* Prophylactic use of [[Antibiotic|antibiotics]] following haemothorax | |||
* Intrapleural [[Fibrinolytic agent|fibrinolytic]] therapy (IPFT) | |||
==References== | ==References== | ||
Revision as of 17:30, 16 March 2018
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Hemothorax Microchapters |
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Risk calculators and risk factors for Hemothorax medical therapy |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
The mainstay of medical therapy for hemothorax is, fluid resuscitation and blood transfusion. All patients, regardless of causes, require attention for fluid resuscitation and blood transfusion. Prophylactic use of antibiotics following haemothorax reduces the rate of infectious complications such as pneumonia and empyema during at least 24 hour after the start of chest tube drainage. Antibiotic treatment should be directed to Staphylococcus aureus and Streptococcus species and the use of first generation cephalosporins during the first 24 hour in patients treated with chest tube drainage is recommended. Intrapleural fibrinolytic therapy (IPFT) has been advocated as an alternative to evacuate residual blood clots and breakdown adhesions in low-resource settings where the relatively costly and sophisticated technique of VATS may not be available, feasible or applicable. Several studies report on IPFT with streptokinase, urokinase or tissue plasminogen activator (TPA). Duration of treatment with IPFT can vary between 2 and 9 days for streptokinase and 2–15 days for urokinase.
Medical Therapy
- Fluid resuscitation and blood transfusion
- Prophylactic use of antibiotics following haemothorax
- Intrapleural fibrinolytic therapy (IPFT)