Related Experiment Video
Updated: Dec 21, 2025
03:22
Local Anesthetic Thoracoscopy for Undiagnosed Pleural Effusion
Published on: November 10, 2023
1.3K
Management of Malignant Pleural Effusions.
Majid Shafiq1, David Feller-Kopman2
1Division of Pulmonary and Critical Care Medicine, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115, USA.
Clinics in Chest Medicine
|May 14, 2020
Summary
Malignant pleural effusions cause significant patient distress and healthcare costs. Both pleurodesis and indwelling pleural catheters (IPCs) improve quality of life, with outpatient IPC pleurodesis showing promise for non-expandable lungs.
Area of Science:
- Oncology
- Pulmonology
- Palliative Care
Background:
- Malignant pleural effusion (MPE) is a common complication of advanced cancers, leading to significant morbidity, mortality, and healthcare expenses.
- Current treatments focus on symptom management and quality of life improvement, as no pleura-specific therapy is known to extend survival.
Purpose of the Study:
- To compare the efficacy and cost-effectiveness of different management strategies for malignant pleural effusion.
- To evaluate the role of indwelling pleural catheters (IPCs) and pleurodesis in managing MPE.
Main Methods:
- Review of existing literature on MPE management, including pleurodesis and IPC placement.
- Analysis of patient characteristics, preferences, and clinical outcomes to determine optimal therapeutic choices.
Main Results:
- Both pleurodesis and IPC placement effectively alleviate symptoms and enhance the quality of life for patients with MPE.
- The choice between therapies should be individualized based on factors like lung expansion, patient preferences, and life expectancy.
Conclusions:
- Outpatient chemical pleurodesis via an IPC presents a promising approach for MPE management, particularly when lung expansion is not compromised.
- Individualized treatment selection is crucial for optimizing both efficacy and cost-effectiveness in MPE care.
Related Concept Videos
01:28Pleural Effusion II: Symptoms and Management
502
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:
502
01:25Pleural Effusion I: Introduction
3.5K
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...
3.5K
01:27Pneumothorax-II
741
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:
741
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
502
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:
502
01:13Pleura of the Lungs
5.6K
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...
5.6K