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Pleurodesis.

Carla Lamb1, Andrew Li2, Dhaval Thakkar1

  • 1Department of Pulmonary and Critical Care Medicine, Lahey Hospital and Medical Center, Boston, Massachusetts.

Seminars in Respiratory and Critical Care Medicine
|September 17, 2019
PubMed
Summary
This summary is machine-generated.

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Managing symptomatic pleural diseases like malignant pleural effusion requires therapeutic interventions. Treatment options include chemical pleurodesis agents, indwelling pleural catheters, chest tubes, and minimally invasive thoracoscopic procedures.

Area of Science:

  • Pulmonology
  • Thoracic Surgery
  • Interventional Pulmonology

Background:

  • Symptomatic pleural diseases, including malignant pleural effusion, refractory benign pleural effusion, and pneumothoraces, are prevalent and necessitate therapeutic interventions.
  • Current management strategies involve chemical pleurodesis agents, indwelling pleural catheters, or chest tubes.

Purpose of the Study:

  • To review the spectrum of management strategies for symptomatic pleural diseases.
  • To highlight the role of minimally invasive techniques in managing these conditions.
  • To discuss evolving best practices in sclerosant agent selection and procedural approaches.

Main Methods:

  • Review of current therapeutic interventions for symptomatic pleural diseases.
  • Discussion of chemical pleurodesis, indwelling pleural catheters, chest tubes, medical thoracoscopy, and video-assisted thoracoscopic surgery.

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  • Consideration of ongoing clinical trials and evolving best practices.

    • Main Results:

    • Management strategies for symptomatic pleural diseases are diverse, ranging from conservative measures to invasive procedures.
    • Minimally invasive techniques, such as medical thoracoscopy and VATS, offer alternative approaches.
    • Optimal sclerosant agents and procedural techniques are subjects of ongoing research and clinical trials.

    Conclusions:

    • Effective management of symptomatic pleural diseases requires a tailored approach based on the specific condition and patient factors.
    • Minimally invasive procedures are increasingly important in the management of pleural diseases.
    • Continued research is essential to refine treatment protocols and improve patient outcomes.