Related Experiment Video
Updated: Jan 4, 2026
03:22
Local Anesthetic Thoracoscopy for Undiagnosed Pleural Effusion
Published on: November 10, 2023
1.4K
Malignant pleural effusion management: keeping the flood gates shut
Steven Walker1, Rachel Mercer2, Nick Maskell1
1Academic Respiratory Unit, University of Bristol, Bristol, UK.
The Lancet. Respiratory Medicine
|November 1, 2019
Summary
Malignant pleural effusion management has evolved from sclerotherapy to indwelling pleural catheters. Research now focuses on personalized patient care and innovative treatments for this palliative condition.
Area of Science:
- Pulmonology
- Palliative Care
- Medical Technology
Background:
- Malignant pleural effusion lacks a cure, necessitating symptomatic management.
- Historically, pleurodesis via sclerosant instillation was the primary approach.
- The advent of tunnelled indwelling pleural catheters and ambulatory pleural drainage has transformed patient care.
Purpose of the Study:
- To review current and emerging research in malignant pleural effusion management over the past decade.
- To highlight the shift in treatment paradigms and the importance of personalized care.
- To provide an overview of ground-breaking research in the field.
Main Methods:
- Comprehensive review of scientific literature.
- Analysis of clinical trial registries.
- Synthesis of research published within the last 10 years.
Main Results:
- The management of malignant pleural effusion has shifted towards less invasive, patient-centered approaches.
- Indwelling pleural catheters offer an alternative to traditional pleurodesis, improving quality of life.
- There is a growing emphasis on patient characterization for tailored treatment strategies.
Conclusions:
- Modern management of malignant pleural effusion prioritizes patient well-being and personalized care.
- Indwelling pleural catheters represent a significant advancement in palliative care for this condition.
- Future research should focus on refining patient selection and optimizing treatment outcomes.
Related Concept Videos
01:28Pleural Effusion II: Symptoms and Management
572
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:
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:
572
01:25Pleural Effusion I: Introduction
3.7K
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.
There are two main types of pleural effusion: transudative and exudative. They are differentiated using Light's...
There are two main types of pleural effusion: transudative and exudative. They are differentiated using Light's...
3.7K
01:27Pneumothorax-II
807
Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:
Clinical Manifestations:
807
01:30Pneumonia V: Nursing management and Prevention
3.3K
Nursing management of pneumonia involves promoting airway patency, facilitating rest and conserving energy, encouraging fluid intake, maintaining nutrition, and educating patients.
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed....
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed....
3.3K
01:30Pleural Disorders: Types and Brief Description
542
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:
542
01:29Acute Respiratory Failure-V
401
The treatment for acute respiratory failure varies based on factors like the underlying cause, overall health, and severity. A collaborative healthcare team is essential for early detection, often through arterial blood gas analysis. Identifying the cause is the primary goal, with treatment strategies adjusted for ventilation/perfusion (V/Q) mismatch, shunting, or diffusion impairment.
Ensure that patients are monitored continuously for their response to therapy, including changes in...
Ensure that patients are monitored continuously for their response to therapy, including changes in...
401