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The technique of pleurodesis
E H Elpern1, J Krueger, J Kimsey
1Illinois Masonic Medical Center, Chicago, USA.
The Journal of Critical Illness
|November 4, 1994
Summary
Pleurodesis is a procedure to manage pleural effusions and recurrent pneumothoraces. It involves introducing sclerosants via a chest tube to adhere the pleura, often requiring pain management.
Area of Science:
- Pulmonology
- Thoracic Surgery
Background:
- Pleural effusions and recurrent pneumothoraces necessitate interventions like pleurodesis.
- Careful patient selection is crucial for successful pleurodesis.
Purpose of the Study:
- To outline the indications and contraindications for pleurodesis.
- To describe the methodology and common agents used in pleurodesis.
Main Methods:
- Pleurodesis is typically performed via an indwelling chest tube.
- Alternative methods include thoracoscopy and thoracotomy.
- Sclerosants such as talc, doxycycline, minocycline, and bleomycin are commonly used.
Main Results:
- Successful pleurodesis requires adequate lung reexpansion after chest tube insertion.
- Pain management during pleurodesis often necessitates analgesics like morphine or meperidine.
Conclusions:
- Pleurodesis is a viable option for specific pleural conditions.
- Contraindications include failed lung reexpansion and potential lung transplant candidacy or heart failure.