Effect of continuous positive airway pressure on fluid absorption among patients with pleural effusion due to tuberculosis

Oliveira, José Santos; Mello, Fernanda C. Q.; Rodrigues, Rosana Souza; Boechat, Ana Luiza; Conde, Marcus Barreto; Menezes, Sara L. S.

doi:10.1590/s1413-35552010005000001

Cited by 7 publications

(2 citation statements)

References 22 publications

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“…The study demonstrated a statistically significant reduction in the pleural effusions after 4 weeks, in patients who received CPAP. 30 Therefore, there might be a place for positive pressure ventilation in the prevention of re-accumulation of pleural effusions after therapeutic thoracocentesis.…”

Section: Discussionmentioning

confidence: 99%

Positive pressure–assisted pleural aspiration: A case report of a novel procedure and a review of literature

Ruwanpathirana

Karunatillake

Jayasinghe

2022

SAGE Open Medical Case Reports

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Drainage of a pleural effusion is done either by inserting an intercostal tube or by aspirating pleural fluid using a syringe. The latter is a time-consuming and labour-intensive procedure. The serious complications of pleural aspiration are the development of a pneumothorax and re-expansion pulmonary oedema. We describe an observation made during a pleural aspiration in a patient who was on positive pressure ventilation. We explain the physiological basis for the observation, the safety of the procedure and its potential to reduce complications by reviewing the literature. A 56-year-old Sri Lankan female patient with end-stage kidney disease presented with fluid overload and bilateral pleural effusions. She was found to have concurrent COVID pneumonia. The patient was on bilevel positive airway pressure, non-invasive ventilation when pleural aspiration was done. The pleural fluid drained completely without the need for aspiration, once the cannula was inserted into the pleural space. One litre of fluid drained in 15 min without the patient developing symptoms or complications. Positive pressure ventilation leads to a supra-atmospheric (positive) pressure in the pleural cavity. This leads to a persistent positive pressure gradient throughout the procedure, leading to complete drainage of pleural fluid. Pleural fluid drainage in mechanically ventilated patients has been proven to be safe, implying the safety of positive pressure ventilation in pleural fluid aspiration and drainage. It further has the potential to reduce the incidence of post-aspiration pneumothorax by reducing the pressure fluctuations at the visceral pleura. Re-expansion pulmonary oedema is associated with a higher negative pleural pressure during aspiration, and the use of positive pressure ventilation can theoretically prevent re-expansion pulmonary oedema. Positive pressure ventilation can reduce the re-accumulation of the effusion as well. We suggest utilizing positive pressure ventilation to assist pleural aspiration in suitable patients.

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Section: Discussionmentioning

confidence: 99%

Positive pressure–assisted pleural aspiration: A case report of a novel procedure and a review of literature

Ruwanpathirana

Karunatillake

Jayasinghe

2022

SAGE Open Medical Case Reports

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“…Our findings revealed a significant difference in the incidence of pleural effusion between the test and control groups and the incidence rate was lower among the patients of the control group. Results of the study completed by Oliveira et al demonstrated that CPAP mask usage led to the diminished pleural effusion in tuberculosis patients (24). Furthermore, Marti et al reported that CPAP imposed a positive effect in individuals with heart failure due to pleural effusion (16).…”

Section: Discussionmentioning

confidence: 99%

Impact of Continuous Positive Airway Pressure (CPAP) Masks on Arterial Blood Gas Parameters and Pulmonary Side Effects after Open-heart Surgery

2020

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Background and Aim: Pulmonary side effects are one of the most prevalent and critical sequels following open-heart surgery. A preventive measure for pulmonary side effects after open-heart surgery is to apply continuous positive airway pressure (CPAP) masks. However, studies regarding the usage of these masks have demonstrated contradictory results. Therefore, the present investigation aimed to evaluate the influence of CPAP masks on reducing pulmonary side effects following open-heart surgery. Materials and Methods: This clinical trial was performed on 72 subjects selected through the continuous sampling method out of the patients with open-heart surgery and assigned to two groups of 36 in 2015 in Kashan, Iran. The participants in the test group went under CPAP with 5 cmH2O pressure immediately post-extubation for five times of 30 min with the intervals of 8 h (a total of 150 min during 40 h). On the other hand, the subjects of the control group only received the routine care of the department. Pulmonary sequels, including pleural effusion, pneumothorax, and atelectasis, in addition to some other variables, namely PO2, PCO2, oxygen saturation (O2 Sat), and respiratory rate (RR) were assessed. All the data were analyzed by the Chi-square test and independent t-test. Results: Our findings demonstrated that CPAP application can significantly diminish the occurrence of atelectasis and pleural effusion after open-heart surgery (P<0.05). Moreover, the results revealed that CPAP mask usage leads to a significant reduction in RR and arterial PCO2, while elevates PO2 and O2 Sat significantly (P<0.05). Conclusion:Results of the current study showed that the non-invasive application of CPAP mask immediately post-extubation in patients who undergo open-heart surgery can effectively improve pulmonary function and decrease the incidence of pulmonary side effects, such as atelectasis.

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Use of continuous positive airway pressure in drainage of pleural effusion: Educational intervention for evidence-based practice

Santos,

Mendes,

Ohara

et al. 2024

Clinics

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Effect of continuous positive airway pressure on fluid absorption among patients with pleural effusion due to tuberculosis

Cited by 7 publications

References 22 publications

Positive pressure–assisted pleural aspiration: A case report of a novel procedure and a review of literature

Positive pressure–assisted pleural aspiration: A case report of a novel procedure and a review of literature

Impact of Continuous Positive Airway Pressure (CPAP) Masks on Arterial Blood Gas Parameters and Pulmonary Side Effects after Open-heart Surgery

Use of continuous positive airway pressure in drainage of pleural effusion: Educational intervention for evidence-based practice

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