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Pleural manometry: techniques, applications, and pitfalls.

Kurt Hu1, Amit Chopra2, John Terrill Huggins3

  • 1Division of Pulmonary and Critical Care Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.

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|July 10, 2020
PubMed
Summary
This summary is machine-generated.

Pleural manometry (PM) offers direct measurement of pleural space pressure for effusions and pneumothorax. Recent studies show renewed interest in its use for complex pleural disorders, despite limited robust data.

Keywords:
Pneumothoraxmalignant pleural effusion (MPE)pleural diseasepleural effusionspleural manometry (PM)pulmonary physiology

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Area of Science:

  • Pulmonology
  • Thoracic Medicine

Background:

  • Pleural manometry (PM) historically guided tuberculosis therapy before effective medications.
  • Its use declined but was revived for investigating pleural effusions in the 1980s.
  • Current evidence for routine PM use remains limited, though specialized applications are gaining traction.

Purpose of the Study:

  • To review current techniques, applications, and potential pitfalls of pleural manometry.
  • To highlight the renewed interest in PM for complex pleural disorders.

Main Methods:

  • Review of historical and recent published studies on pleural manometry.
  • Summary of different PM techniques and their clinical applications.
  • Discussion of challenges and limitations associated with PM.

Main Results:

  • Pleural manometry allows direct measurement of pleural space pressure.
  • Historically used for tuberculosis, PM is now considered for complex pleural conditions.
  • Lack of extensive data hinders routine adoption, but specialized use is supported by recent research.

Conclusions:

  • Pleural manometry is a valuable tool for assessing pleural space pressure in specific conditions.
  • Further robust data is needed to support its widespread routine use.
  • PM shows promise in managing complex pleural disorders when used judiciously.