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Local Anesthetic Thoracoscopy for Undiagnosed Pleural Effusion
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Indwelling pleural catheters for malignancy related pleural effusions
1Respiratory and Acute Medicine Consultant, Northumbria HealthCare NHS Foundation Trust, Care of Tracy Groom, Cramlington, Northumberland, NE23 6NZ, UK. avinash.aujayeb@nhct.nhs.uk.
European Review for Medical and Pharmacological Sciences
|December 4, 2020
Summary
Indwelling pleural catheters (IPCs) offer a safe and effective treatment for malignant pleural effusion (MPE). This review of 168 patients found a low complication rate, supporting IPCs as a valuable management option.
Area of Science:
- Pulmonology
- Thoracic Surgery
- Oncology
Background:
- Malignant pleural effusion (MPE) is associated with significant patient morbidity and mortality.
- Indwelling pleural catheters (IPCs) are a recognized management strategy for MPE.
- Further evidence on the safety and efficacy of IPCs is crucial.
Purpose of the Study:
- To evaluate the safety and efficacy of indwelling pleural catheters (IPCs) in managing malignant pleural effusion (MPE).
- To assess the complication rates associated with IPC insertion and management.
- To contribute to the evidence base for IPCs in MPE treatment.
Main Methods:
- Retrospective case review of 168 patients who underwent IPC insertion.
- Data collection from patient records, including laboratory and radiographic findings.
- Descriptive statistical analysis of outcomes and complications.
Main Results:
- 168 IPCs were inserted in a predominantly male cohort.
- The overall complication rate was 13%.
- Individual complication rates (infection, seeding, displacement, loculation) were lower than previously reported.
Conclusions:
- Indwelling pleural catheters (IPCs) are safe and associated with minimal complications in MPE management.
- Pre-operative antibiotics, dedicated theatre space, and experienced operators contribute to favorable outcomes.
- This study reinforces the role of IPCs as a safe and effective treatment for malignant pleural effusion.
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