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Related Experiment Video

Updated: Feb 9, 2026

Monitoring Lung Function with Electrical Impedance Tomography in the Intensive Care Unit
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Bedside pleuroscopy in the Intensive Care Unit.

Hean Ooi1,2

  • 1Department of Preventive Medicine, Taichung Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Taichung, Taiwan.

Tzu Chi Medical Journal
|June 8, 2018
PubMed
Summary

Bedside pleuroscopy is a safe procedure for critically ill patients in the Intensive Care Unit (ICU). While complications like chest pain can occur, serious adverse events are rare, making it a viable option for diagnosis and treatment.

Keywords:
BedsideComplicationIntensive carePleural effusionPleuroscopy

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Area of Science:

  • Pulmonology
  • Critical Care Medicine
  • Interventional Pulmonology

Background:

  • Critically ill patients in the Intensive Care Unit (ICU) often require pleural procedures.
  • Transferring unstable patients for procedures like pleuroscopy poses risks.
  • Bedside procedures are essential for managing these patients.

Purpose of the Study:

  • To evaluate the safety and complication profile of performing pleuroscopy at the bedside in an ICU setting.
  • To determine the feasibility of pleuroscopy for patients unable to be transferred.

Main Methods:

  • Retrospective analysis of patients undergoing bedside pleuroscopy in the ICU.
  • Procedures performed by a chest physician with local analgesia and continuous monitoring.
  • Inclusion of patients with undiagnosed pleural effusions.

Main Results:

  • Twenty-five patients (mean age 74 years) were enrolled.
  • Common diagnoses included malignant effusions (60%), parapneumonic effusions (16%), empyema (12%), and tuberculosis (8%).
  • Complications occurred in 44% of patients, primarily transient chest pain (24%), with no major complications like bleeding or death.

Conclusions:

  • Bedside pleuroscopy is a simple and safe procedure for ICU patients.
  • The low rate of serious complications supports its use in critically ill individuals.
  • It offers a valuable diagnostic and therapeutic option for patients who cannot be moved.