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Related Concept Videos

Pleural Effusion I: Introduction01:25

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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.
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Pleural Effusion II: Symptoms and Management01:28

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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:
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Blind Procedures02:07

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Ideally, the people who observe and record the children’s behavior are unaware of who was assigned to the experimental or control group, in order to control for experimenter bias. Experimenter bias refers to the possibility that a researcher’s expectations might skew the results of the study. Remember, conducting an experiment requires a lot of planning, and the people involved in the research project have a vested interest in supporting their hypotheses. If the observers knew which...
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The pre-procedure steps of handwashing include removing jewelry and rolling up sleeves. However, many organizations allow staff to wear wedding rings.
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To wash hands properly, follow these steps:
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Local Anesthetic Thoracoscopy for Undiagnosed Pleural Effusion
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Competence in pleural procedures.

Paolo Carlucci1, Marco Trigiani2, Pier A Mori3

  • 1Respiratory Unit, Department of Health Sciences, ASST Santi Paolo e Carlo, San Paolo Hospital, Università degli Studi di Milano, Milan, Italy - paolo.carlucci@asst-santipaolocarlo.it.

Panminerva Medica
|November 6, 2018
PubMed
Summary
This summary is machine-generated.

Diagnosing pleural diseases can be challenging, but procedures like medical thoracoscopy (MT) offer high diagnostic yields for conditions such as pleural malignancies and tuberculosis. MT is crucial for interventional pulmonology training.

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Area of Science:

  • Pulmonology
  • Thoracic Medicine
  • Interventional Pulmonology

Background:

  • Pleural diseases are common, often stemming from heart failure, pneumonia, or cancer.
  • Diagnosing pleural abnormalities detected via imaging remains a challenge.
  • Invasive procedures are often necessary for definitive diagnosis and management.

Purpose of the Study:

  • To highlight the diagnostic and therapeutic utility of medical thoracoscopy (MT) in pleural diseases.
  • To emphasize the importance of MT training within interventional pulmonology programs.
  • To discuss the role of pleural drainage and MT in managing pneumothorax and effusions.

Main Methods:

  • Review of diagnostic and therapeutic procedures for pleural diseases.
  • Focus on medical thoracoscopy (MT) for pleural effusion diagnosis and treatment.
  • Discussion of pleural drainage techniques for pneumothorax and effusions.

Main Results:

  • Medical thoracoscopy (MT) provides a high diagnostic yield (95% for malignancies, higher for tuberculosis).
  • MT can obviate surgery in complex parapneumonic effusions.
  • Pleural drainage is both a diagnostic and therapeutic tool for various pleural conditions.

Conclusions:

  • Medical thoracoscopy (MT) is a valuable minimally invasive tool for diagnosing and treating pleural diseases.
  • MT training is essential for interventional pulmonology, alongside ultrasonography and chest tube skills.
  • Effective management of pleural diseases requires a combination of diagnostic and therapeutic interventional techniques.