Pleural effusion medical therapy: Difference between revisions
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*Prevent fluid from building up again especially in recurring pleural effusion by way of [[Pleurodesis]]<ref name="pmid26484756">{{cite journal| author=Koegelenberg CF, Vorster MJ| title=Chemical Pleurodesis for Malignant Pleural Effusion: How Far Have We Come in 80 Years? | journal=Respiration | year= 2015 | volume= 90 | issue= 5 | pages= 355-6 | pmid=26484756 | doi=10.1159/000441308 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26484756 }} </ref><ref name="pmid27277376">{{cite journal| author=Hasan R, Khan OS, Aftabuddin M, Razzaque AM, Chowdhury GA| title=A Case of Massive Pleural Effusion: Pleurodesis by Bleomycin. | journal=Mymensingh Med J | year= 2016 | volume= 25 | issue= 2 | pages= 374-8 | pmid=27277376 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=27277376 }} </ref> | *Prevent fluid from building up again especially in recurring pleural effusion by way of [[Pleurodesis]]<ref name="pmid26484756">{{cite journal| author=Koegelenberg CF, Vorster MJ| title=Chemical Pleurodesis for Malignant Pleural Effusion: How Far Have We Come in 80 Years? | journal=Respiration | year= 2015 | volume= 90 | issue= 5 | pages= 355-6 | pmid=26484756 | doi=10.1159/000441308 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26484756 }} </ref><ref name="pmid27277376">{{cite journal| author=Hasan R, Khan OS, Aftabuddin M, Razzaque AM, Chowdhury GA| title=A Case of Massive Pleural Effusion: Pleurodesis by Bleomycin. | journal=Mymensingh Med J | year= 2016 | volume= 25 | issue= 2 | pages= 374-8 | pmid=27277376 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=27277376 }} </ref> | ||
*Treating the underlying cause of the fluid buildup. | *Treating the underlying cause of the fluid buildup. | ||
For example, pleural effusions caused by congestive heart failure are treated with diuretics and other medications needed in [[congestive 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. | |||
*Therapeutic [[thoracentesis]]. | *Therapeutic [[thoracentesis]]. | ||
In some malignant causes, the following may be done: | In some malignant causes, the following may be done: | ||
*[[Chemotherapy]]. | *[[Chemotherapy]]. |
Revision as of 00:49, 26 October 2016
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Prince Tano Djan, BSc, MBChB [2]
Overview
Treatment aims to remove the fluid(therapeutic thoracentesis), prevent fluid re-accumulation by way of Pleurodesis[1][2], and treat the underlying cause example antibiotic therapy in infectious causes.[3] In some malignant causes, chemotherapy may be needed.
Medical Therapy
Treatment aims to[3]:
- Remove the fluid.
- Prevent fluid from building up again especially in recurring pleural effusion by way of Pleurodesis[1][2]
- Treating the underlying cause of the fluid buildup.
For example, pleural effusions caused by congestive heart failure are treated with diuretics and other medications needed in congestive 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.
- Therapeutic thoracentesis.
In some malignant causes, the following may be done:
References
- ↑ 1.0 1.1 Koegelenberg CF, Vorster MJ (2015). "Chemical Pleurodesis for Malignant Pleural Effusion: How Far Have We Come in 80 Years?". Respiration. 90 (5): 355–6. doi:10.1159/000441308. PMID 26484756.
- ↑ 2.0 2.1 Hasan R, Khan OS, Aftabuddin M, Razzaque AM, Chowdhury GA (2016). "A Case of Massive Pleural Effusion: Pleurodesis by Bleomycin". Mymensingh Med J. 25 (2): 374–8. PMID 27277376.
- ↑ 3.0 3.1 Porcel JM, Azzopardi M, Koegelenberg CF, Maldonado F, Rahman NM, Lee YC (2015). "The diagnosis of pleural effusions". Expert Rev Respir Med. 9 (6): 801–15. doi:10.1586/17476348.2015.1098535. PMID 26449328.