Indwelling Pleural Catheters A Clinical Option in Trapped Lung

被引:5
|
作者
Bertolaccini, Luca [1 ]
Viti, Andrea [1 ]
Paiano, Simona [2 ]
Pomari, Carlo [2 ]
Assante, Luca Rosario [2 ]
Terzi, Alberto [1 ]
机构
[1] Sacro Cuore Don Calabria Res Hosp, Canc Care Ctr, Thorac Surg Unit, Via Don Angelo Sempreboni 5, I-37024 Verona, Italy
[2] Sacro Cuore Don Calabria Res Hosp, Thorac Endoscopy Unit, Canc Care Ctr, Via Don Angelo Sempreboni 5, I-37024 Verona, Italy
关键词
Indwelling pleural catheter; Lung cancer; Malignant pleural effusion; Palliative treatments; TALC PLEURODESIS; MANAGEMENT; EFFUSIONS; SAFETY;
D O I
10.1016/j.thorsurg.2016.08.008
中图分类号
R56 [呼吸系及胸部疾病];
学科分类号
摘要
Malignant pleural effusion (MPE) symptoms have a real impact on quality of life. Surgical approach through video-assisted thoracic surgery provides a first step in palliation. In patients unfit for general anesthesia, awake pleuroscopy represents an alternative. Sclerosing agents can be administered at the bedside through a chest tube. Ideal treatment of MPE should include adequate long-term symptom relief, minimize hospitalization, and reduce adverse effects. Indwelling pleural catheter (IPC) allows outpatient management of MPE through periodic ambulatory fluid drainage. IPC offers advantages over pleurodesis in patients with poor functional status who cannot tolerate pleurodesis or in patients with trapped lungs.
引用
收藏
页码:47 / +
页数:10
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