Efficacy of short-term versus long-term chest tube drainage following talc slurry pleurodesis in patients with malignant pleural effusions: A randomised trial

Lung Cancer ◽  
2006 ◽  
Vol 54 (1) ◽  
pp. 51-55 ◽  
Author(s):  
Anna Goodman ◽  
Christopher W.H. Davies
Keyword(s):  
Chest Tube ◽  
Randomised Trial ◽  
Chest Tube Drainage ◽  
Pleural Effusions ◽  
Short Term ◽  
Tube Drainage ◽  
Malignant Pleural Effusions

Chest Tube Drainage of Transudative Pleural Effusions Hastens Liberation From Mechanical Ventilation

CHEST Journal ◽  
2011 ◽  
Vol 139 (3) ◽  
pp. 519-523 ◽  
Author(s):  
Yizhak Kupfer ◽  
Chanaka Seneviratne ◽  
Kabu Chawla ◽  
Kavan Ramachandran ◽  
Sidney Tessler
Keyword(s):  
Mechanical Ventilation ◽  
Chest Tube ◽  
Chest Tube Drainage ◽  
Pleural Effusions ◽  
Tube Drainage

Empyema in Children: Clinical Course and Long-Term Follow-up

PEDIATRICS ◽  
1984 ◽  
Vol 73 (5) ◽  
pp. 587-593 ◽  
Author(s):  
F. John McLaughlin ◽  
D. A. Goldmann ◽  
D. M. Rosenbaum ◽  
G. B. C. Harris ◽  
S. R. Schuster ◽  
...  
Keyword(s):  
Flow Rate ◽  
Chest Tube ◽  
Clinical Course ◽  
Chest Tube Drainage ◽  
Haemophilus Influenzae Type ◽  
Healthy Children ◽  
Long Term Outcome ◽  
Tube Drainage ◽  
Pleural Thickening

Sixteen patients, aged 1 month to 15 years, were studied to determine the clinical course and longterm outcome of empyema in previously healthy children. The pathogens responsible were Haemophilus influenzae type b (seven patients), Staphylococcus aureus (five patients), Streptococcus pneumoniae (three patients), and viridans group Streptococcus (one patient). All patients had loculated fluid showing on chest roentgenographs. Chest tube drainage yielded 20 to 1,495 mL (mean 293 mL) during the first three days, accounting for 83% of total drainage. Chest tubes were removed after three to 17 days (mean ten days). Only slight roentgenographic improvement showed during chest tube drainage. Three patients required an open thoracotomy because of an unsatisfactory clinical response. Hospitalization ranged from eight to 77 days (mean 25 days). All patients had residual pleural thickening shown on chest roentgenographs taken at discharge. Thirteen patients were seen 5 to 140 months (mean 66 months) after discharge. Findings from physical examination were normal in 12 of the 13 patients. Pulmonary function tests in ten of the 13 patients revealed (mean percent predicted ± 1 SD): vital capacity 92 ± 12, residual volume 85 ± 31, total lung capacity 92 ± 13, peak flow rate 96 ± 17, forced expiratory volume in 1 second 90 ± 13, and maximal mid-expiratory flow rate 93 ± 25. In all but one patient, findings on chest roentgenograms were normal or showed slight pleural thickening. Children with loculated empyema can be treated successfully with antibiotics and chest tube drainage. Few patients require open drainage, and further surgery is rarely required. The long-term outcome is excellent.

scholarly journals Pleural Effusion in Children: How often do we suspect Tubercular origin?

1970 ◽  
Vol 30 (3) ◽  
pp. 132-134
Author(s):  
PN Shrestha ◽  
A Rayamajhi
Keyword(s):  
Pleural Effusion ◽  
Chest Tube ◽  
Clinical History ◽  
Chest Tube Drainage ◽  
Pleural Effusions ◽  
Tube Drainage ◽  
Nephritic Syndrome ◽  
Study Results ◽  
Detailed Clinical History ◽  
Chest X Ray

Introduction: Pleural effusion is a common problem in children; mostly due to common causes like pyogenic or tubercular infections. Different studies have showed that about 30%-60% of pleural effusion have resulted into formation of empyema. Method: This was an observational study done in children aged 3 months to 14 years with a diagnosis of pleural effusion admitted at Kanti Children’s Hospital, Maharajgunj from August 2009 to March 2010. The aim of the study was done to find out different modalities of treatment for the same and their outcome. A detailed clinical history and physical examination, was done in all children. Chest x-ray, laboratory reports and treatment were recorded and all patients followed up until death or discharge. Any change of management was also noted. Pleural effusion caused by nephritic syndrome or congestive cardiac failure were excluded from the study. Results: During the study period of eight months, 64 patients were admitted with the diagnosis of pleural effusion. Boys to girls ratio was 2:1. Right-sided pleural effusions were more common than left sided pleural effusions (53% vs. 37%). Most of patients improved with parental antibiotics along with chest tube drainage (62%). One in three patients (31%) received anti-tubercular drugs. Three patients (4.6%) were referred to surgeon for decortications and one patient (1.6%) died. Conclusion: Though chest tube drainage with parental antibiotics was the mainstay of treatment of pleural effusion, however one-third of patients also received anti-tubercular drugs. Key words: Pleural effusion; pyogenic; decortication; adenosine deaminase (ADA). DOI: 10.3126/jnps.v30i3.3914J Nep Paedtr Soc 2010;30(3):132-134Introduction: Pleural effusion is a common problem in children; mostly due to common causes like pyogenic or tubercular infections. Different studies have showed that about 30%-60% of pleural effusion have resulted into formation of empyema. Method: This was an observational study done in children aged 3 months to 14 years with a diagnosis of pleural effusion admitted at Kanti Children’s Hospital, Maharajgunj from August 2009 to March 2010. The aim of the study was done to find out different modalities of treatment for the same and their outcome. A detailed clinical history and physical examination, was done in all children. Chest x-ray, laboratory reports and treatment were recorded and all patients followed up until death or discharge. Any change of management was also noted. Pleural effusion caused by nephritic syndrome or congestive cardiac failure were excluded from the study. Results: During the study period of eight months, 64 patients were admitted with the diagnosis of pleural effusion. Boys to girls ratio was 2:1. Right-sided pleural effusions were more common than left sided pleural effusions (53% vs. 37%). Most of patients improved with parental antibiotics along with chest tube drainage (62%). One in three patients (31%) received anti-tubercular drugs. Three patients (4.6%) were referred to surgeon for decortications and one patient (1.6%) died. Conclusion: Though chest tube drainage with parental antibiotics was the mainstay of treatment of pleural effusion, however one-third of patients also received anti- tubercular drugs. Key words: Pleural effusion, pyogenic, decortication, adenosine deaminase (ADA). DOI: 10.3126/jnps.v30i3.3914J Nep Paedtr Soc 2010;30(3):132-134

scholarly journals Efficacy of short term versus long term tube thoracostomy drainage before tetracycline pleurodesis in the treatment of malignant pleural effusions.

Thorax ◽  
1994 ◽  
Vol 49 (1) ◽  
pp. 23-25 ◽  
Author(s):  
A G Villanueva ◽  
A W Gray ◽  
D M Shahian ◽  
W A Williamson ◽  
J F Beamis
Keyword(s):  
Tube Thoracostomy ◽  
Pleural Effusions ◽  
Short Term ◽  
Malignant Pleural Effusions
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