1,719 results match your criteria Thoracentesis


Indwelling Pleural Catheter Placement for Nonmalignant Pleural Effusions.

Semin Respir Crit Care Med 2018 Dec 14;39(6):713-719. Epub 2019 Jan 14.

Division of Pulmonary, Critical Care and Sleep Medicine, Yale School of Medicine, Yale University, New Haven, Connecticut.

Pleural effusions account for significant symptoms and morbidity. Recent studies demonstrate a high mortality in patients with "benign" pleural effusions, now better characterized as nonmalignant pleural effusions (NMPEs) based on their prognosis. The most common nonmalignant clinical conditions with recurrent pleural effusions are congestive heart failure and hepatic hydrothorax, although many other diseases exist in isolation or as comorbid conditions. Read More

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http://dx.doi.org/10.1055/s-0038-1676648DOI Listing
December 2018

A Homemade, High-fidelity Ultrasound Model for Simulating Pneumonia with Parapneumonic Effusion and Empyema.

J Emerg Med 2019 Jan 9. Epub 2019 Jan 9.

Children's Emergency, KK Women's and Children's Hospital, Singapore, Singapore.

Background: Point-of-care ultrasonography (POCUS) is increasingly used for both diagnostic and guided procedures. Increasingly, POCUS has been used for identification of pneumonia and to assist in the differentiation of pleural effusions, as well as to guide thoracentesis. As such, there is a need for training with ideally high-fidelity lung ultrasound phantoms to ensure ultrasound proficiency and procedural competency. Read More

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http://dx.doi.org/10.1016/j.jemermed.2018.12.015DOI Listing
January 2019

Ensuring Basic Competence in Thoracentesis.

Respiration 2019 Jan 9:1-9. Epub 2019 Jan 9.

Copenhagen Academy for Medical Education and Simulation, The Capital Region of Denmark, Copenhagen, Denmark.

Background: Trocar pigtail catheter thoracentesis (TPCT) is a common procedure often performed by junior physicians. Simulation-based training may effectively train physicians in the procedure prior to performing it on patients. An assessment tool with solid validity evidence is necessary to ensure sufficient procedural competence. Read More

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https://www.karger.com/Article/FullText/495686
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http://dx.doi.org/10.1159/000495686DOI Listing
January 2019
1 Read

Is there any role for Thoracoscopy in the diagnosis of benign pleural Effusions.

Clin Respir J 2018 Dec 21. Epub 2018 Dec 21.

Department of Respiratory Medicine, University Hospital of Evros, Medical School, Democritus University of Thrace, Greece.

Thoracoscopy in the endoscopy suite, has a high diagnostic yield of undiagnosed pleural effusions with minimal and mild complications. Whereas relatively minimal invasive techniques, such as thoracentesis, image-guided pleural biopsy or blind pleural biopsy, can yield sufficient cell or tissue material to establish the diagnosis of the underlying condition, a more definite invasive diagnostic and therapeutic procedure, such as thoracoscopy, may be required for accurate sampling and diagnosis, and further provide real-time treatment options in same procedure. If thoracoscopy is considered the gold standard for the diagnosis is a fact in case. Read More

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http://doi.wiley.com/10.1111/crj.12983
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http://dx.doi.org/10.1111/crj.12983DOI Listing
December 2018
3 Reads

Impact of Time to Neonatal Transport on Outcomes of Transient Tachypnea of the Newborn.

Am J Perinatol 2018 Dec 14. Epub 2018 Dec 14.

Department of Neonatal Medicine, Osaka Women's and Children's Hospital, Izumi, Osaka, Japan.

Objective:  To assess effects of neonatal transport on transient tachypnea of the newborn (TTN) in outborn term neonates.

Study Design:  This retrospective cohort study included 66 term neonates diagnosed with TTN and transported to the Osaka Women's and Children's Hospital neonatal intensive care unit between January 2003 and March 2018. A multivariate logistic regression analysis identified perinatal and neonatal transport factors associated with adverse short-term outcomes defined as mechanical ventilation >48 hours, continuous positive airway pressure >72 hours, pulmonary hemorrhage, and requirement for inhaled nitric oxide, thoracentesis, or surfactant replacement therapy. Read More

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http://www.thieme-connect.de/DOI/DOI?10.1055/s-0038-1676490
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http://dx.doi.org/10.1055/s-0038-1676490DOI Listing
December 2018
3 Reads

The bacteriology in adult patients with pneumonia and parapneumonic effusions: increased yield with DNA sequencing method.

Eur J Clin Microbiol Infect Dis 2018 Dec 13. Epub 2018 Dec 13.

Department of Medicine, Solna, Infectious Diseases Unit, Karolinska University Hospital, Karolinska Institutet, Stockholm, Sweden.

The aim of this study was to use a 16S rDNA sequencing method in combination with conventional culture in patients with parapneumonic effusions (PPE) to evaluate the methods, study the microbiological spectrum, and examine the presence of bacteria within the different stages of PPE. Adults with community-acquired pneumonia (CAP) and PPE (n = 197) admitted to the Departments of Infectious Diseases at four hospitals in Stockholm County during 2011-2014 were prospectively studied. All patients underwent thoracentesis. Read More

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http://dx.doi.org/10.1007/s10096-018-3426-0DOI Listing
December 2018

The diagnostic role of pentraxin-3 in the differential diagnosis of pleural effusions

Turk J Med Sci 2018 Dec 12;48(6):1167-1174. Epub 2018 Dec 12.

Department of Chest Disease, School of Medicine, Ankara University, Ankara, Turkey

Background/aim: Discrimination of pleural effusion etiology is not always easy in clinical practice. Pentraxin-3 (PTX-3) is a new acute- phase protein. The aim of this study was to investigate the role of PTX-3 in the differential diagnosis of pleural effusions. Read More

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http://dx.doi.org/10.3906/sag-1710-115DOI Listing
December 2018

Should thoracentesis be performed to diagnose pleural effusion of cardiac origin?

Arch Bronconeumol 2018 Dec 7. Epub 2018 Dec 7.

Servicio de Neumología, Complejo Hospitalario Universitario de Santiago, Santiago de Compostela, La Coruña, España; Grupo Interdisciplinar de Investigación en Neumología, Instituto de Investigaciones Sanitarias de Santiago (IDIS), Santiago de Compostela, La Coruña, España.

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http://dx.doi.org/10.1016/j.arbres.2018.10.017DOI Listing
December 2018
1 Read

Porous diaphragm syndrome with recurrent thymoma.

Respirol Case Rep 2019 Feb 28;7(2):e00391. Epub 2018 Nov 28.

Department of Medical Oncology Izumi City General Hospital Izumi Japan.

Porous diaphragm syndrome describes a defect in the diaphragm in which substances pass from the peritoneal cavity to the pleural space. Defects may be congenital or acquired. Acquired defects are caused by the thinning and eventual splitting of collagen fibres in the tendinous part of the diaphragm. Read More

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http://dx.doi.org/10.1002/rcr2.391DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6261833PMC
February 2019
1 Read

Treatment of chronic tuberculous empyema by intrapleural injection of anhydrous ethanol.

Respir Med Case Rep 2019 12;26:35-38. Epub 2018 Nov 12.

Department of Tuberculosis, Wuhan Jinyintan Hospital, NO.1 Yintan Road, Dongxihu District, Wuhan 430023, Hubei, China.

Background: Anhydrous ethanol, for its part, has been successfully used to treat renal cyst, hepatocellular carcinoma and ovarian chocolate cyst et al. However, in spite of the high frequency of tuberculous purulent pleural effusion, we found that only a few very early studies that attempted to assess the use of intrapleural anhydrous ethanol in tuberculous effusions with signs of empyema. We report a patient who was injected anhydrous ethanol into pleural cavity to treat chronic tuberculous empyema. Read More

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http://dx.doi.org/10.1016/j.rmcr.2018.11.001DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6250891PMC
November 2018
1 Read

An unusual complication of pigtail catheter insertion.

J Thorac Dis 2018 Oct;10(10):5964-5967

Department of Pulmonary/Critical Care, Staten Island University Hospital, Staten Island, New York, USA.

Thoracostomy tubes are indicated for management of air or fluid in the pleural cavity. Pigtail catheters have emerged as an effective and less morbid alternative to traditional large bore chest tubes for evacuation of pleural air or fluid. However, they do not come without complications which commonly include pneumothorax and hemothorax. Read More

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http://dx.doi.org/10.21037/jtd.2018.05.65DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6236147PMC
October 2018
1 Read

Malignant Pleural Effusion: Still A Long Way To Go.

Authors:
Fausto Meriggi

Rev Recent Clin Trials 2018 Dec 3. Epub 2018 Dec 3.

Oncology Department - Poliambulanza Foundation, Brescia. Italy.

Background: Malignant pleural effusion, which is a common clinical problem in patients with cancer, may be due to both primary thoracic tumours or to a metastatic spread in the chest and constitutes the first sign of disease in approximately 10% of patients. Almost all cancers can potentially produce a pleural effusion. The presence of malignant tumour cells in the pleural fluid is generally indicative of advanced disease and is associated with high morbidity and mortality with reduced therapeutic options. Read More

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http://dx.doi.org/10.2174/1574887114666181204105208DOI Listing
December 2018
1 Read

Pleuritis with pleural effusion due to a Bacillus megaterium infection.

Respirol Case Rep 2019 Jan 28;7(1):e00381. Epub 2018 Nov 28.

Respiratory Disease and Lung Function Unit, Department of Medicine and Surgery University of Parma Parma Italy.

Pleural effusions may be related to pleuro-pulmonary or systemic disorders, including malignancy. Thoracentesis and thoracoscopy may be useful to diagnosis. In some cases, the diagnosis may be difficult and uncommon. Read More

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http://doi.wiley.com/10.1002/rcr2.381
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http://dx.doi.org/10.1002/rcr2.381DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6260906PMC
January 2019
10 Reads

Sonographic Indicators for Treatment Choice and Follow-Up in Patients with Pleural Effusion.

Can Respir J 2018 30;2018:9761583. Epub 2018 Oct 30.

Faculty of Medicine, University of Belgrade, Serbia.

Aim: The aim of this study was to evaluate the role of thoracic sonography in treatment of pleural effusions and to identify sonographic indicators for surgical intervention.

Materials And Methods: This study included 378 patients with pleural effusions. US characteristics of effusions as the echo structure and pleural thickening were analyzed. Read More

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http://dx.doi.org/10.1155/2018/9761583DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6232814PMC
October 2018
1 Read

Safety and Tolerability of Vacuum Versus Manual Drainage During Thoracentesis: A Randomized Trial.

J Bronchology Interv Pulmonol 2018 Nov 14. Epub 2018 Nov 14.

Division of Pulmonary, Critical Care and Sleep Medicine, Yale University School of Medicine.

Background: Pleural effusions may be aspirated manually or via vacuum during thoracentesis. This study compares the safety, pain level, and time involved in these techniques.

Methods: We randomized 100 patients receiving ultrasound-guided unilateral thoracentesis in an academic medical center from December 2015 through September 2017 to either vacuum or manual drainage. Read More

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http://dx.doi.org/10.1097/LBR.0000000000000556DOI Listing
November 2018
5 Reads

Clinical characteristics and prognosis of serous body cavity effusions in patients with sepsis: a retrospective observational study.

BMC Anesthesiol 2018 Nov 14;18(1):169. Epub 2018 Nov 14.

Department of Emergency Medicine, Zhongshan Hospital, Fudan University, 180 Fenglin Road, Shanghai, 200032, People's Republic of China.

Background: Cavity effusion is common in patients with infectious diseases. However, the incidence rate and characteristics of serous cavity effusions (SCE) in septic patients are not clear to date. The objective of this study was to investigate the incidence and characteristics of SCE in septic patients and to explore the correlations between the bloody effusions and the illness severity/prognosis in septic patients. Read More

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https://bmcanesthesiol.biomedcentral.com/articles/10.1186/s1
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http://dx.doi.org/10.1186/s12871-018-0621-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6237031PMC
November 2018
10 Reads

Recurrent, late-onset pleural effusions in elderly patients receiving pacemaker therapy.

Medicine (Baltimore) 2018 Oct;97(43):e12915

Division of Respiratory Disease, Renmin Hospital of Wuhan University, Wuhan, China.

Late-onset pacemaker-related pleural effusions (PEs) are rare and are often misdiagnosed with other entities. Our study aimed to detail the clinical features and management of PEs long after pacemaker insertion.We conducted a review of 6 consecutive elderly patients with PEs, who had undergone a new pacemaker insertion from September 2014 to January 2017. Read More

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http://dx.doi.org/10.1097/MD.0000000000012915DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6221702PMC
October 2018
10 Reads

Massive Spontaneous Hemothorax as a Complication of Apixaban Treatment.

Case Rep Pulmonol 2018 16;2018:8735036. Epub 2018 Oct 16.

Lincoln Medical and Mental Health Center, USA.

Introduction: Hemothorax is usually related to chest or iatrogenic trauma from procedures such as central lines and thoracentesis. Spontaneous hemothorax is defined as pleural fluid hematocrit greater than 50% of serum hematocrit in absence of natural or iatrogenic trauma affecting the lung or pleural space. Coagulopathy secondary to anticoagulant use has been associated with spontaneous hemothorax. Read More

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https://www.hindawi.com/journals/cripu/2018/8735036/
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http://dx.doi.org/10.1155/2018/8735036DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6206516PMC
October 2018
15 Reads

An unusual case of chylothorax.

Respir Med Case Rep 2018 25;25:318-322. Epub 2018 Oct 25.

Division of Pulmonary, Critical Care and Sleep Medicine, University of Florida, College of Medicine, Gainesville, FL, United States.

Pleural effusions occur in up to 70% of cases of malignant pleural mesothelioma (MPM). However, MPM rarely presents as a chylous effusion making it a diagnostic challenge. There are only six reported cases to date. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S22130071183027
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http://dx.doi.org/10.1016/j.rmcr.2018.10.020DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6205929PMC
October 2018
8 Reads

Supracostal Upper Pole Endoscopic-Guided Prone Tubeless "Maxi-Percutaneous Nephrolithotomy": A Contemporary Evaluation of Complications.

J Endourol 2019 Jan 2. Epub 2019 Jan 2.

2 Glickman Urological and Kidney Institute , Cleveland Clinic Foundation, Cleveland, Ohio.

Objective: To develop a contemporary complication profile for supracostal upper pole endoscopic-guided prone tubeless "maxi-PCNL" to evaluate the need for change.

Materials/methods: We identified patients undergoing supracostal upper pole percutaneous nephrolithotomy (PCNL) by a single surgeon at a high volume tertiary care stone center between October 2010 and April 2017. Access was obtained with ureteroscopic guidance. Read More

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https://www.liebertpub.com/doi/10.1089/end.2018.0502
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http://dx.doi.org/10.1089/end.2018.0502DOI Listing
January 2019
8 Reads

Competence in pleural procedures.

Panminerva Med 2018 Oct 31. Epub 2018 Oct 31.

Divisione di Pneumologia, Spedali Civili di Brescia, Brescia, Italy.

Diseases of the pleura and pleural space are common and present a significant contribution to the workload of respiratory physicians, accounting for an annual incidence of more than 1.5 million cases in the US with the majority of cases resulting from congestive heart failure, pneumonia, and cancer 1. Although the radiographic and ultrasonographic detection of pleural abnormalities may be obvious, the determination of a specific diagnosis can often represent a challenge. Read More

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https://www.minervamedica.it/index2.php?show=R41Y9999N00A181
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http://dx.doi.org/10.23736/S0031-0808.18.03564-4DOI Listing
October 2018
14 Reads

Pleural cerebrospinal fluid shunting causing trapped lung: A respiratory physician's approach to management and prevention.

Respir Med Case Rep 2018 4;25:303-305. Epub 2018 Oct 4.

Division of Respiratory Medicine, Grand River Hospital, 835 King St W, Kitchener, Ontario, N2G 1G3, Canada.

Cerebrospinal fluid (CSF) shunting into the pleural space can cause complications such as long-standing pleural effusions and trapped lung. These complications can be difficult to manage due to the propensity of effusions to recur, and the irreversible nature of trapped lung. This report describes the case of a woman with a pleural CSF shunt who developed chronic pleural effusions and trapped lung over two years, following a 24-year period without any respiratory shunt complications. Read More

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http://dx.doi.org/10.1016/j.rmcr.2018.10.003DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6199769PMC
October 2018
1 Read

[The occurrence and clinical significance of contrast agent spillover on immediate enhanced CT reexamination after radiofrequency ablation of liver cancer].

Zhonghua Gan Zang Bing Za Zhi 2018 Jul;26(7):503-507

Department of Radiology, Peking Union Medical College Hospital; Peking Union Medical College & Chinese Academy of Medical Sciences, Beijing 100730, China.

To investigate the relationship between radiofrequency ablation immediately after enhanced CT scanning and the occurrence of contrast agent spillover and postoperative severe bleeding, and analyze the risk factors for hepatocellular carcinoma (HCC). A retrospective analysis of 199 patients with hepatocellular carcinoma who underwent radiofrequency ablation of liver cancer in our hospital from January 2016 to January 2017 was reviewed. A total of 232 cases were treated with ablation. Read More

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http://dx.doi.org/10.3760/cma.j.issn.1007-3418.2018.07.005DOI Listing
July 2018
2 Reads

Ultrasound-Guided versus Thoracoscopic Pleural Biopsy for Diagnosing Tuberculous Pleurisy Following Inconclusive Thoracentesis: A Randomized, Controlled Trial.

Med Sci Monit 2018 Oct 10;24:7238-7248. Epub 2018 Oct 10.

Department of Epidemiology, Bengbu Medical College, Bengbu, Anhui, China (mainland).

BACKGROUND Traditional diagnostic methods for tuberculosis (TB) cannot be reliably applied to tuberculous pleurisy. Therefore, this prospective, randomized, controlled trial was performed to compare the diagnostic sensitivity and safety of ultrasound-guided cutting-needle pleural biopsy versus thoracoscopic pleural biopsy in patients suspected of tuberculous pleurisy following inconclusive thoracentesis. MATERIAL AND METHODS A total of 196 adult patients with acid-fast bacillus (AFB)-negative exudative pleural effusions clinically suspected of tuberculous pleurisy were recruited. Read More

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https://www.medscimonit.com/abstract/index/idArt/912506
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http://dx.doi.org/10.12659/MSM.912506DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6192452PMC
October 2018
2 Reads

Interventional pulmonology techniques in elderly patients with comorbidities.

Eur J Intern Med 2018 Sep 29. Epub 2018 Sep 29.

Department of Biomedical and Clinical Sciences (DIBIC), University of Milan, Milan, Italy; Division of Respiratory Diseases, "Luigi Sacco" University Hospital; ASST Fatebenefratelli-Sacco, Milan, Italy.

Respiratory diseases are common cause of disability in the elderly and are often concomitant with other non-respiratory medical conditions. Interventional pulmonology includes advanced diagnostic and therapeutic techniques, successfully employed for benign and malignant pulmonary diseases with a good safety profile. A few studies are available on the efficacy and the safety of these procedures (both bronchoscopic and pleural techniques) in the elderly. Read More

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http://dx.doi.org/10.1016/j.ejim.2018.09.015DOI Listing
September 2018
8 Reads

Management of Malignant Pleural Effusions. An Official ATS/STS/STR Clinical Practice Guideline.

Am J Respir Crit Care Med 2018 Oct;198(7):839-849

Background: This Guideline, a collaborative effort from the American Thoracic Society, Society of Thoracic Surgeons, and Society of Thoracic Radiology, aims to provide evidence-based recommendations to guide contemporary management of patients with a malignant pleural effusion (MPE).

Methods: A multidisciplinary panel developed seven questions using the PICO (Population, Intervention, Comparator, and Outcomes) format. The GRADE (Grading of Recommendations, Assessment, Development and Evaluation) approach and the Evidence to Decision framework was applied to each question. Read More

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https://www.atsjournals.org/doi/10.1164/rccm.201807-1415ST
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http://dx.doi.org/10.1164/rccm.201807-1415STDOI Listing
October 2018
19 Reads

Investigating unilateral pleural effusions: the role of cytology.

Eur Respir J 2018 Nov 8;52(5). Epub 2018 Nov 8.

Academic Respiratory Unit, Bristol Medical School, Translational Health Sciences, Bristol, UK.

The vast majority of undiagnosed unilateral pleural effusions have fluid sent for cytological analysis. Despite widespread use, there is uncertainty about its sensitivity to diagnose malignant pleural effusions (MPEs). Our aim was to ascertain the utility of cytology using a large prospective cohort. Read More

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http://dx.doi.org/10.1183/13993003.01254-2018DOI Listing
November 2018
8 Reads

Recent developments in pleurodesis for malignant pleural disease.

Clin Respir J 2018 Oct;12(10):2463-2468

Department of Thoracic Oncology, Pleural Diseases and Interventional Pulmonology, Hôpital Nord, Marseille, France.

Objective: Metastatic pleural effusion (MPE) is one of the most frequent causes of pleural effusion. The aims of the therapeutic management are palliation of symptoms and improvement in patient's quality of life. The first step is a therapeutic thoracentesis. Read More

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http://dx.doi.org/10.1111/crj.12958DOI Listing
October 2018
12 Reads

Point of care ultrasound training for internal medicine: a Canadian multi-centre learner needs assessment study.

BMC Med Educ 2018 Sep 20;18(1):217. Epub 2018 Sep 20.

Department of Medicine, University of Calgary, Calgary, AB, Canada.

Background: Significant gaps currently exist in the Canadian internal medicine point-of-care ultrasound (POCUS) curriculum. From a learner's perspective, it remains unknown what key POCUS skills should be prioritized. This needs assessment study seeks to establish educational priorities for POCUS for internal medicine residents at five Canadian residency training programs. Read More

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http://dx.doi.org/10.1186/s12909-018-1326-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6149066PMC
September 2018
8 Reads

Percutaneous pleural drainage in patients taking clopidogrel: real danger or phantom fear?

J Thorac Dis 2018 Aug;10(8):5162-5169

Division of Pulmonary, Critical Care, and Sleep Medicine, Westchester Medical Center, Valhalla, NY, USA.

Despite being categorized as a procedure associated with a low risk of iatrogenic hemorrhage, percutaneous pleural drainage in patients taking the ubiquitous antiplatelet agent clopidogrel is still commonly perceived as a risky proposition. There is mounting evidence, however, in support of the safety of percutaneous needle procedures in persons receiving this medication. Establishing that these pleural interventions can be performed safely without clopidogrel interruption would be of great clinical significance, especially in those taking it for recent cardiac stenting and therefore in danger of stent thrombosis should antiplatelet therapy (APT) be withheld. Read More

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http://dx.doi.org/10.21037/jtd.2018.04.161DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6129939PMC
August 2018
3 Reads

Adenocarcinoma of Lung and Bronchial Carcinoid Presenting as Double Synchronous Primary Lung Cancer: A Case Report and Review of Literature.

World J Oncol 2018 Aug 6;9(4):110-114. Epub 2018 Sep 6.

Division of Pulmonary and Critical Care Medicine, Department of Medicine, Bronx Care Health System, Bronx, NY 10457, USA.

Recent advances in imaging techniques led to an increase in the incidence of synchronous and metachronous primary lung cancers due to early detection. Management of these patients is challenging and prognosis depends on the stage of the tumor at initial diagnosis and histological type. A 68-year-old African American male patient with medical history of hypertension and diabetes mellitus presented to our emergency department with right sided chest pain, worsening dyspnea and dry cough of 2-week duration. Read More

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http://dx.doi.org/10.14740/wjon1129wDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6134993PMC
August 2018
1 Read

Efficacy and safety of Viscum album extract (Helixor-M) to treat malignant pleural effusion in patients with lung cancer.

Support Care Cancer 2018 Sep 14. Epub 2018 Sep 14.

Department of Internal Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea.

Purpose: Manifestations of malignant pleural effusions (MPEs) are alleviated by local therapies as well as by systemic treatment. After 2009, when commercial use of talc was discontinued in Korea, we have used Helixor-M, which is derived from the European mistletoe (Viscum album), as an alternative sclerosing agent for pleurodesis. We aimed to evaluate the efficacy and safety of Helixor-M for controlling MPE. Read More

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http://dx.doi.org/10.1007/s00520-018-4455-zDOI Listing
September 2018
2 Reads

A Rare Case of Cyclical Hemothorax: Thoracic Endometriosis Syndrome.

Case Rep Pulmonol 2018 19;2018:9830797. Epub 2018 Aug 19.

Department of Medicine, Charleston Area Medical Center, Charleston, WV, USA.

Endometriosis is a common condition in which endometrial cells and stroma are deposited in extrauterine sites. Its prevalence has been estimated to be 10% of reproductive age females. It is commonly found in the pelvis; however, it may be found in the abdomen, thorax, brain, or skin. Read More

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http://dx.doi.org/10.1155/2018/9830797DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6120274PMC
August 2018
2 Reads

Pancreaticopleural Fistula: A Review of Imaging Diagnosis and Early Endoscopic Intervention.

Case Rep Gastrointest Med 2018 19;2018:7589451. Epub 2018 Aug 19.

Department of Radiology, University of Illinois at Chicago, USA.

A 49-year-old male with history of chronic alcohol-induced pancreatitis presented with one month of worsening left pleuritic chest pain and shortness of breath. Chest radiograph demonstrated bilateral pleural effusions. Thoracentesis revealed increased amylase in the pleural fluid. Read More

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http://dx.doi.org/10.1155/2018/7589451DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6120288PMC
August 2018
3 Reads

Spontaneous bacterial empyema: an elusive diagnosis in a patient with cirrhosis.

BMJ Case Rep 2018 Aug 29;2018. Epub 2018 Aug 29.

Internal Medicine, Presence Saint Joseph Hospital Chicago, Chicago, Illinois, USA.

Hepatic hydrothorax refers to the presence of a pleural effusion (usually >500 mL) in a patient with cirrhosis in whom other causes of pleural effusion, such as cardiopulmonary causes, pleural disease or malignancy have been excluded. It is seen in 5%-10% of patients with end-stage liver disease. A subset of these patients can develop infection of the hepatic hydrothorax, called spontaneous bacterial empyema. Read More

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http://dx.doi.org/10.1136/bcr-2018-224810DOI Listing
August 2018
3 Reads

Routine Chest Radiographs after Uncomplicated Thoracentesis.

J Hosp Med 2018 11 29;13(11):787-789. Epub 2018 Aug 29.

Division of General Internal Medicine, University of Washington, Seattle, Washington, USA.

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http://dx.doi.org/10.12788/jhm.3042DOI Listing
November 2018
8 Reads

[Undergraduate student's perception of clinical simulation workshops: assessment of an instrument].

Rev Med Chil 2018 Jun;146(6):786-795

Departamento de Ciencias de la Salud, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile.

Background: Simulation is a useful training tool for undergraduate medical students. A valid instrument is needed to assess students' perception of simulation workshops.

Aim: To adapt and validate an instrument to assess the undergraduate medical student's perception of simulation workshops of clinical procedures. Read More

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http://dx.doi.org/10.4067/s0034-98872018000600786DOI Listing
June 2018
2 Reads

The use of a virtual patient to follow changes in arterial blood gases associated with therapeutic thoracentesis.

Int J Artif Organs 2018 Nov 24;41(11):690-697. Epub 2018 Aug 24.

2 Department of Internal Medicine, Pulmonary Diseases & Allergy, Medical University of Warsaw, Warsaw, Poland.

Purposes:: Some controversies exist on the effect of therapeutic thoracentesis (TT) on arterial blood oxygen tension. The aim of this study was to evaluate this issue using a previously developed virtual patient.

Methods:: The analysis was based and supported by clinical data collected during 36 TT. Read More

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http://dx.doi.org/10.1177/0391398818793354DOI Listing
November 2018
2 Reads

[Outcomes of severe primary fetal hydrothorax treated by prenatal intervention].

Zhonghua Fu Chan Ke Za Zhi 2018 Aug;53(8):522-527

Department of Fetal Medicine, Guangdong Women and Children Hospital, Guangzhou 511440, China.

To investigate the effect of intrauterine intervention on severe primary fetal hydrothorax. Twelve cases with severe fetal primary hydrothorax who underwent prenatal intervention from January 2014 to December 2017 in Guangdong Women and Children Hospital were retrospectively reviewed. The median gestational age of prenatal diagnosis was 30. Read More

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http://dx.doi.org/10.3760/cma.j.issn.0529-567x.2018.08.003DOI Listing
August 2018
19 Reads

Video-Thoracoscopic Management of Postpneumonectomy Empyema.

Thorac Cardiovasc Surg 2018 11 7;66(8):701-706. Epub 2018 Aug 7.

Division of Thoracic Surgery, European Institute of Oncology, Milan, Italy.

Background: Postpneumonectomy empyema (PPE) is a serious complication even when it is not associated with bronchopleural fistula (BPF). Besides irrigation, an aggressive treatment is usually applied for removing infected material. However, a minimally invasive approach might achieve satisfactory results in selected patients. Read More

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http://dx.doi.org/10.1055/s-0038-1667008DOI Listing
November 2018
15 Reads

[Thoracentesis - Step by Step].

Dtsch Med Wochenschr 2018 Aug 7;143(16):1186-1192. Epub 2018 Aug 7.

Pleural effusions of unknown origin and parapneumonic effusions almost invariably require thoracentesis. Fluid analysis is fundamental and guides further diagnostic and therapeutic decisions. Thoracentesis yields high diagnostic value and is a generally safe procedure - given that some basic principles are considered. Read More

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http://dx.doi.org/10.1055/s-0044-102082DOI Listing
August 2018
4 Reads

Successful rescue therapy with venovenous extracorporeal membrane oxygenation for re-expansion pulmonary oedema in a patient with one lung.

Eur J Cardiothorac Surg 2018 Aug 3. Epub 2018 Aug 3.

Division of Cardiac Surgery, Department of Surgery, Keck School of Medicine of the University of Southern California, Los Angeles, CA, USA.

Re-expansion pulmonary oedema following the drainage of pleural fluid is rare. We report a patient with 1 lung who developed life-threatening re-expansion pulmonary oedema following thoracentesis and was rescued with venovenous (VV) extracorporeal membrane oxygenation (ECMO), surviving to discharge 28 days later. An aggressive early rescue therapy with VV ECMO should be pursued for all types of acute lung injury regardless of patient age, comorbidities or transplant candidacy, given the likelihood of native lung recovery following ECMO support. Read More

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http://dx.doi.org/10.1093/ejcts/ezy262DOI Listing
August 2018
8 Reads

Confocal Laser Endomicroscopy for Diagnosing Malignant Pleural Effusions.

Med Sci Monit 2018 Aug 5;24:5437-5447. Epub 2018 Aug 5.

Department of Medicine 1, University of Erlangen-Nuremberg, Erlangen, Germany.

BACKGROUND Confocal laser endomicroscopy (CLE) enables "in vivo" microscopic tissue diagnosis based on tissue reflectance or tissue fluorescence upon application of fluorescence agents. The aim of the present study was to evaluate CLE as a new diagnostic approach for differentiation between malignant versus non-malignant pleural effusions. MATERIAL AND METHODS In 100 patients with pleural effusions, thoracentesis was performed. Read More

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https://www.medscimonit.com/abstract/index/idArt/909989
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http://dx.doi.org/10.12659/MSM.909989DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6091162PMC
August 2018
13 Reads

Pleural coccidioidomycosis presenting as spontaneous pneumothorax.

BMJ Case Rep 2018 Jul 30;2018. Epub 2018 Jul 30.

Department of Internal Medicine, Methodist Health System, Dallas, Texas, USA.

is a fungus endemic to Southwestern USA and Northern Mexico which can be asymptomatic or result in a well-defined clinical syndrome of community-acquired pneumonia. On rare occasion, coccidioidomycosis may have atypical presentations as in our patient, a 25-year-old man admitted with a 2-month history of progressive dyspnoea and cough. He was found to have a large right-sided pneumothorax with exudative pleural effusion which did not resolve following thoracentesis. Read More

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http://casereports.bmj.com/lookup/doi/10.1136/bcr-2018-22585
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http://dx.doi.org/10.1136/bcr-2018-225854DOI Listing
July 2018
14 Reads

Optimizing the Approach to Patients With Pleural Effusion and Radiologic Findings Suspect for Cancer.

J Bronchology Interv Pulmonol 2018 Jul 25. Epub 2018 Jul 25.

Division of Pulmonary and Critical Care Medicine, University of Arkansas for Medical Sciences, Little Rock, AR.

Background: When patients present with pleural effusion and structural abnormalities consistent with malignancy on imaging, the traditional approach has been to perform a thoracentesis and await the results before proceeding to more invasive diagnostic procedures. The objective of this study was to evaluate whether concurrent thoracentesis and tissue biopsy is superior to sequential sampling.

Methods: Retrospective chart review was performed for patients who had a pleural cytology from May 2014 until January 2017. Read More

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http://dx.doi.org/10.1097/LBR.0000000000000537DOI Listing
July 2018
4 Reads

Postoperative pulmonary complications and thoracocentesis associated with early versus late chest tube removal after thoracic esophagectomy with three-field dissection: a propensity score matching analysis.

Surg Today 2018 Nov 17;48(11):1020-1030. Epub 2018 Jul 17.

Division of Esophageal Surgery, National Cancer Center Hospital East, 6-5-1 Kashiwanoha, Kashiwa, 277-8577, Japan.

Purpose: To evaluate the safety of early chest tube removal after thoracic esophagectomy with three-field dissection.

Methods: This prospective cohort study evaluated patients who underwent thoracic esophagectomy with three-field dissection during 2013-2015. Patients were divided into two groups according to whether they underwent early or late chest tube removal. Read More

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http://dx.doi.org/10.1007/s00595-018-1694-zDOI Listing
November 2018
1 Read

Lightly Embalmed Cadavers as a Training Tool for Ultrasound-Guided Procedures Commonly Used in Interventional Radiology.

Acad Radiol 2018 Nov 17;25(11):1503-1509. Epub 2018 Jul 17.

Department of Neurobiology and Developmental Sciences, University of Arkansas for Medical Sciences, Little Rock, Arkansas. Electronic address:

Rationale And Objectives: Competency in ultrasound (US) imaging and US-guided procedures is often difficult for medical students and residents to master. The use of simulation training has been strongly encouraged but the quality of phantom models available for US-guided procedures is limited. As a feasible alternative, we describe the innovative use of a lightly embalmed cadaver for realistic practice of common interventional radiology (IR) procedures prior to direct patient care. Read More

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http://dx.doi.org/10.1016/j.acra.2018.05.019DOI Listing
November 2018
3 Reads

Sensitivity of Initial Thoracentesis for Malignant Pleural Effusion Stratified by Tumor Type in Patients with Strong Evidence of Metastatic Disease.

Respiration 2018 17;96(4):363-369. Epub 2018 Jul 17.

Department of Pulmonary Medicine, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.

Background: Thoracentesis with cytological examination of pleural fluid is the initial test of choice for evaluation of pleural effusions in patients with suspected malignant pleural effusion (MPE). There is limited data on the sensitivity of thoracentesis stratified by tumor type. A better understanding of stratified sensitivities is of clinical interest, and may guide early and appropriate referral for pleural biopsy. Read More

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http://dx.doi.org/10.1159/000490732DOI Listing
July 2018
3 Reads

Nontyphi Salmonella Empyema with Bronchopleural Fistula in a Patient with Human Immunodeficiency Virus.

Case Rep Pulmonol 2018 12;2018:4761725. Epub 2018 Jun 12.

Scott & White Healthcare and Texas A&M Health Science Center, College of Medicine, Texas, USA.

Patients with human immunodeficiency virus (HIV) have an increased risk of inoculation with nontyphoid compared to the general population. While nontyphoid commonly manifests as gastroenteritis, bacteremia can be seen in patients with HIV. We present a case of disseminated in a patient with HIV complicated by bronchopleural fistula and secondary empyema. Read More

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http://dx.doi.org/10.1155/2018/4761725DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6020493PMC
June 2018
10 Reads