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Related Concept Videos

Pleural Effusion I: Introduction01:25

Pleural Effusion I: Introduction

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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 Disorders: Types and Brief Description01:30

Pleural Disorders: Types and Brief Description

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The pleura is a vital part of the respiratory system. It's a double-layered membrane surrounding the lungs and lining the chest cavity. The two layers of the pleura are:
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Pleural Effusion II: Symptoms and Management01:28

Pleural Effusion II: Symptoms and Management

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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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Cavity Drainage and Flashings in Masonry walls01:20

Cavity Drainage and Flashings in Masonry walls

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Typically, a cavity wall consists of two wythes separated by a gap of at least 2 inches, which may contain insulation while still maintaining a minimum clear space of 1 inch to facilitate adequate drainage. Advanced methods like the insertion of a continuous drainage mat can further reduce this space while ensuring effective moisture expulsion.
Weep holes, strategically placed at the base of the cavity, are critical for draining accumulated water. These openings are created by leaving head...
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Lung Capacity01:47

Lung Capacity

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The air in the lungs is measured in volumes and capacities. Lung volume measures reflect the amount of air taken in, released, or left over after a lung function, like a single inhalation. Lung capacity measures are sums of two or more lung volume measures.
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Pleura of the Lungs01:13

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The lungs are nestled in a cavity, shielded by the pleura. The pleura, a form of serous membrane, wraps around each lung. This membrane arrangement consists of two layers: the visceral and parietal pleurae. The visceral pleura lines the surface of the lungIn contrast, the parietal pleura is the outer layer and contacts to the thoracic wall, the mediastinum, and the diaphragm. The hilum is the point of connection between the visceral and parietal layers. The space between the parietal and...
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Local Anesthetic Thoracoscopy for Undiagnosed Pleural Effusion
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Lung Bioposy Without Pleural Drainage.

Thomas Lesser1, Torsten Doenst, Thomas Lehmann

  • 1Department of Thoracic-and Vascular Surgery, Lung Cancer Center DKG, SRH Wald-Klinikum Gera, Germany; Department of Cardiothoracic Surgery, University Hospital Jena, Germany; Institute for Medical Statistics, Computer Science, and Data Science, University Hospital Jena, Germany.

Deutsches Arzteblatt International
|July 11, 2019
PubMed
Summary
This summary is machine-generated.

Omitting chest tubes after video-assisted thoracoscopic lung biopsy significantly reduces hospital stays and postoperative pain. Complication rates remain similar between groups, making it a viable option for lung nodule evaluation.

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Area of Science:

  • Thoracic Surgery
  • Pulmonary Medicine
  • Surgical Oncology

Background:

  • Video-assisted thoracoscopy with atypical lung resection is common for evaluating pulmonary nodules.
  • A pleural drain is typically inserted post-procedure.
  • This study investigates outcomes with and without pleural drainage.

Purpose of the Study:

  • To evaluate the impact of omitting a chest tube on postoperative outcomes after video-assisted thoracoscopic lung biopsy.
  • To compare hospital stay duration, complication rates, pain intensity, and analgesic consumption between groups.

Main Methods:

  • Prospective randomized trial involving 74 patients from June 2015 to January 2018.
  • Patients were assigned to either a chest-tube (CT) group (37) or a no-chest-tube (NCT) group (37).
  • Primary endpoint: postoperative hospital stay; secondary endpoints: pneumothorax, re-drainage, pain, and analgesic use.

Main Results:

  • Significantly shorter hospital stays in the NCT group (1.5 days) vs. CT group (2.5 days) (p<0.001).
  • No significant difference in complication rates between groups.
  • Markedly lower pain intensity and analgesic consumption in the NCT group (p<0.001).

Conclusions:

  • Not inserting a chest tube after video-assisted thoracoscopic lung biopsy shortens hospital stay.
  • Similar complication rates observed in both chest-tube and no-chest-tube groups.
  • Omission of chest tubes leads to reduced postoperative pain and analgesic requirements.