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Updated: May 22, 2026

Local Anesthetic Thoracoscopy for Undiagnosed Pleural Effusion
Published on: November 10, 2023
Management of infectious processes of the pleural space: a review
Ankur Girdhar1, Adil Shujaat, Abubakr Bajwa
1Division of Pulmonary and Critical Care Medicine, UF College of Medicine at Jacksonville, 655, 8th Street west, Jacksonville, FL 32209, USA.
Abstract:
Pleural effusions can present in 40% of patients with pneumonia. Presence of an effusion can complicate the diagnosis as well as the management of infection in lungs and pleural space. There has been an increase in the morbidity and mortality associated with parapneumonic effusions and empyema. This calls for employment of advanced treatment modalities and development of a standardized protocol to manage pleural sepsis early. There has been an increased understanding about the indications and appropriate usage of procedural options at clinicians' disposal.
Insights
Pleural effusions complicate pneumonia treatment, increasing risks. Early management protocols and advanced therapies are crucial for better outcomes in patients with parapneumonic effusions and empyema.
Area of Science:
- Pulmonology
- Infectious Diseases
- Thoracic Surgery
Background:
- Pleural effusions affect 40% of pneumonia patients.
- Effusions complicate diagnosis and management of lung and pleural space infections.
- Rising morbidity and mortality linked to parapneumonic effusions and empyema.
Purpose of the Study:
- To highlight the challenges in managing pneumonia with pleural effusions.
- To emphasize the need for advanced treatment modalities.
- To advocate for standardized protocols in managing pleural sepsis.
Main Methods:
- Review of current clinical practices.
- Analysis of trends in morbidity and mortality.
- Discussion of available procedural options.
Main Results:
- Increased understanding of indications for procedural interventions.
- Recognition of the need for advanced treatment modalities.
- Growing awareness of the complexity of parapneumonic effusions and empyema.
Conclusions:
- Standardized protocols are essential for early management of pleural sepsis.
- Advanced treatment modalities are increasingly important.
- Improved understanding of procedural options aids clinical decision-making.
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