Related Experiment Video
Updated: Apr 19, 2026
07:40
A Model of Self-limited Acute Lung Injury by Unilateral Intra-bronchial Acid Instillation
Published on: August 30, 2019
9.6K
Intrapleural Epinephrine Irrigation for Massive Malignant Hemothorax.
Pei-Ming Huang1, Nai-Kuan Chou1, Tzu-Hsin Lin2
1Department of Surgery, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan.
The Thoracic and Cardiovascular Surgeon
|December 19, 2014
Summary
Massive malignant hemothorax (MMH) is a rare oncologic emergency. Continuous intrapleural epinephrine irrigation offers a safe, effective, and inexpensive alternative to surgery for managing this condition.
Area of Science:
- Oncology
- Thoracic Surgery
- Critical Care Medicine
Background:
- Massive malignant hemothorax (MMH) is a rare but life-threatening oncologic complication.
- Management of MMH is often complex and challenging, typically requiring surgical intervention.
Observation:
- This study presents four cases of patients experiencing MMH.
- A novel approach involving continuous intrapleural irrigation with epinephrine was employed.
Findings:
- The epinephrine irrigation successfully controlled bleeding in all four patients.
- This method proved to be a convenient, effective, and inexpensive alternative to conventional surgical drainage.
Implications:
- Continuous intrapleural epinephrine irrigation presents a viable non-surgical option for MMH management.
- Further research is warranted to validate these findings in larger patient cohorts.
Related Concept Videos
01:28Pleural Effusion II: Symptoms and Management
1.3K
Pleural Effusion Overview
A pleural effusion is the abnormal collection of fluid between the parietal and visceral pleura layers of tissue that form the lining of the lungs and chest cavity. It can occur independently or due to surrounding parenchymal diseases, such as infection, malignancy, or inflammatory conditions.
Clinical Manifestations:
A pleural effusion is the abnormal collection of fluid between the parietal and visceral pleura layers of tissue that form the lining of the lungs and chest cavity. It can occur independently or due to surrounding parenchymal diseases, such as infection, malignancy, or inflammatory conditions.
Clinical Manifestations:
1.3K
01:29Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care
721
Diagnosing Pulmonary EmbolismDiagnosing pulmonary embolism (PE) involves clinical assessment and advanced imaging tests. The preferred diagnostic tool is the spiral (helical) CT scan or CT angiography (CTA), which uses intravenous contrast media to visualize the pulmonary vasculature and identify emboli.A ventilation-perfusion (V/Q) scan is an alternative for patients unable to receive contrast media. This scan includes both perfusion and ventilation scanning. Perfusion scanning involves...
721
01:27Pneumothorax-II
1.5K
Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:
Clinical Manifestations:
1.5K
01:26Endoscopic Studies II: Thoracocentesis
2.4K
Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
2.4K
01:26Flail Chest-II
953
Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
Assessment:
1. Clinical Evaluation:
History:
953
01:25Pleural Effusion I: Introduction
6.0K
Pleural effusion is an abnormal fluid accumulation in the pleural cavity, a narrow space between the lungs and the chest wall. It is not a disease per se but rather a symptom or indication of an underlying disease. In normal circumstances, this space contains a small amount of fluid (5 to 15 mL), a lubricant facilitating the non-frictional movement of the pleural surfaces.
There are two main types of pleural effusion: transudative and exudative. They are differentiated using Light's...
There are two main types of pleural effusion: transudative and exudative. They are differentiated using Light's...
6.0K