Related Experiment Video
Updated: Jun 23, 2025

A Retrospective Study on Endoscopic Surgery for the Treatment of Paravertebral Abscess in Spinal Tuberculosis Patients
Published on: October 25, 2024
Lung abscess: the non-conservative management: a narrative review
Walid Hadid1,2, Giulia Maria Stella3,4, Ashish P Maskey1
1Division of Pulmonary, Critical Care, Sleep Medicine and Interventional Pulmonary, University of Kentucky, Lexington, KY, USA.
For lung abscesses unresponsive to antibiotics, endoscopic catheter drainage (ECD) and percutaneous transthoracic tube drainage (PTTD) are safe interventions. ECD demonstrates a lower complication rate and appears safer than PTTD.
Area of Science:
- Pulmonology
- Interventional Radiology
- Thoracic Surgery
Background:
- Systemic antibiotics are the primary treatment for lung abscesses.
- A significant percentage of lung abscesses (up to 37%) do not respond to antibiotic therapy.
- Alternative interventions are necessary for refractory lung abscess cases.
Purpose of the Study:
- To review interventional procedures for lung abscesses.
- To summarize techniques, safety, complications, and contraindications of drainage methods.
- To compare percutaneous transthoracic tube drainage (PTTD) and endoscopic catheter drainage (ECD).
Main Methods:
- A comprehensive literature search was conducted using Medline/PubMed.
- The search covered publications from January 1980 to October 2023.
- Keywords included "lung abscess", "pulmonary abscess", "endoscopic drainage", "percutaneous drainage", and "tube drainage" (excluding pediatric patients).
Main Results:
- Percutaneous transthoracic tube drainage (PTTD) and endoscopic catheter drainage (ECD) are generally safe procedures.
- Early intervention with PTTD or ECD can reduce hospital stay and healthcare burden.
- Endoscopic catheter drainage (ECD) shows a lower complication rate and mortality compared to PTTD, with similar success rates.
Conclusions:
- Both PTTD and ECD are safe and effective interventions for lung abscesses.
- Endoscopic catheter drainage (ECD) offers a lower complication rate and enhanced safety profile compared to PTTD.
- Abscess location and bronchial airway access are key factors in selecting ECD over PTTD.
More Related Videos
05:50International Expert Consensus and Recommendations for Neonatal Pneumothorax Ultrasound Diagnosis and Ultrasound-guided Thoracentesis Procedure
Published on: March 12, 2020
05:40Preparation of Agar Bead Embedded Mycobacterium abscessus to Inoculate Immunocompetent Mice Intratracheally
Published on: April 25, 2025
Related Concept Videos
Pneumonia V: Nursing management and Prevention
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....
Pneumonia IV: Management
Bacterial Pneumonia Treatment
For bacterial pneumonia, antibiotics serve as the cornerstone of therapy. Initial treatment often begins with empirical antibiotics, tailored to the anticipated causative organism and adjusted based on culture results. Key antibiotic choices include:
Pneumothorax-II
Clinical Manifestations:
Pleural Effusion II: Symptoms and Management
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:
Chronic Obstructive Pulmonary Disease-V: Nursing Management
Assessment
Acute Respiratory Failure-V
Ensure that patients are monitored continuously for their response to therapy, including changes in...