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Published on: November 4, 2015
Pleural procedural complications: prevention and management.
John P Corcoran1, Ioannis Psallidas1, John M Wrightson1
11 Oxford Centre for Respiratory Medicine, Oxford University Hospitals NHS Trust, Oxford, UK ; 2 University of Oxford Respiratory Trials Unit, Churchill Hospital, Oxford, UK ; 3 NIHR Oxford Biomedical Research Centre, University of Oxford, Oxford, UK.
Pleural disease management requires skilled clinicians. Thoracic ultrasound (TUS) improves patient safety during pleural procedures, reducing complications and the need for repeat interventions.
Area of Science:
- Pulmonology
- Thoracic Surgery
- Medical Procedures
Background:
- Pleural disease is increasingly common, necessitating diagnostic and therapeutic interventions.
- Clinicians across various specialties require practical knowledge of pleural procedures.
- Morbidity and mortality associated with pleural interventions are often underestimated, impacting patient safety and informed consent.
Purpose of the Study:
- To review the causes of complications in pleural procedures.
- To outline strategies for managing and preventing these complications.
- To highlight the role of thoracic ultrasound (TUS) and specialist input in improving outcomes.
Main Methods:
- Literature review focusing on pleural interventions and their complications.
- Analysis of factors influencing patient safety and procedural success.
- Discussion of the impact of thoracic ultrasound (TUS) and early specialist consultation.
Main Results:
- Thoracic ultrasound (TUS) has significantly enhanced patient safety in pleural procedures.
- Underestimation of procedural risks can lead to adverse patient outcomes.
- Early specialist involvement can decrease complication rates and the number of procedures required.
Conclusions:
- Improving clinician skill sets and utilizing TUS are crucial for safer pleural interventions.
- Preventing complications through better understanding and management is essential.
- Specialist input is key to optimizing patient care and reducing procedural burden.
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