Lateral decubitus chest radiography or chest ultrasound to predict pleural adhesions before medical thoracoscopy: a prospective study

Thiam, K.; Guinde, Julien; Laroumagne, Sophie; Bourinet, Valerian; Berbis, Julie; Touré, N.O.; Dutau, Hervé; Astoul, Philippe

doi:10.21037/jtd.2019.09.54

Cited by 2 publications

(3 citation statements)

References 19 publications

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“…Empyema is usually caused by an infection related to pus in the pleural space. The infection may also be caused by trauma or invasive treatment of surrounding tissues [ 1 , 2 ]. Children are particularly vulnerable to empyema due to their weak immune systems.…”

Section: Introductionmentioning

confidence: 99%

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[Retracted] The Effect of CT‐Guided Artificial Pneumothorax plus Thoracoscopy and Central Venous Catheterization on the Drainage Effect of Pediatric Empyema and Pulmonary Function

Yang

et al. 2022

Contrast Media & Molecular Imaging

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The aim of the study is to investigate the effect of CT-guided artificial pneumothorax combined with a thoracoscopic and central venous catheter on empyema drainage effect and pulmonary function in children. A total of 82 pediatric patients with empyema admitted to our hospital from January 2020 to December 2021 were retrospectively analyzed. The control group was treated with artificial pneumothorax combined with thoracoscopy. The study group was treated with a CT-guided and central venous catheter. The operation time, intraoperative bleeding, surgical field exposure, WBC, C-reactive protein, and pulmonary function were compared between the two groups. The size of effusion and sonographic staging were compared between the two groups. All children underwent spirometry and a maximal incremental cardiopulmonary exercise test. The operation indicators (operation time, intraoperative blood loss, etc.) and adverse reactions were compared between the two groups. The differences in the operation time, intraoperative blood loss, postoperative hospital stay, postoperative drainage volume, and surgical field exposure between the two groups had a statistical significance ( P < 0.05 ); the differences in the body temperature, total peripheral white blood cell count, C-reactive protein, size of effusion, and sonographic staging between the two groups had no statistical significance ( P > 0.05 ); before operation, the differences in the expression levels of FVC (%), FEV1 (%), FEV1/FVC, and MVV (%) and indicators of cardiopulmonary function including VE/VO2, breathing reserve(%), VD/VT(%), and VO2/work between the two groups had no statistical significance, but at 6 months after operation, FVC (%), FEV1 (%), FEV1/FVC, and MVV (%) in the study group were significantly higher than those in the control group ( P < 0.05 ) and VE/VO2 and VD/VT(%) in the study group were obviously lower than those in the control group ( P < 0.05 ); the incidence rate of chest pain, pulmonary edema, and skin infection in the study group was lower than that in the control group ( P < 0.05 ). CT-guided artificial pneumothorax combined with thoracoscopic and central venous catheter drainage of empyema in children is more thorough, with less bleeding, less trauma, rapid recovery of pulmonary function, and is worthy of clinical promotion.

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Section: Introductionmentioning

confidence: 99%

“…e infection may also be caused by trauma or invasive treatment of surrounding tissues [1,2]. Children are particularly vulnerable to empyema due to their weak immune systems.…”

Section: Introductionmentioning

confidence: 99%

[Retracted] The Effect of CT‐Guided Artificial Pneumothorax plus Thoracoscopy and Central Venous Catheterization on the Drainage Effect of Pediatric Empyema and Pulmonary Function

Yang

et al. 2022

Contrast Media & Molecular Imaging

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“…TUS examination must be performed prior to the creation of artificial pneumothorax, to reduce the risk of complications and to facilitate the choice of the port of entry. 11 62 63 In this setting, pleural adhesions or symphysis are diagnosed before the MT allowing a safe access to the pleural cavity. Once this step is completed and after draining the pleural effusion ( Fig.…”

Section: Diagnosis Of Pleural Malignanciesmentioning

confidence: 99%

Management of Malignant Pleural Effusion: Where Are We Now?

Guinde¹,

Dutau²,

Astoul

2022

Semin Respir Crit Care Med

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Pleural malignancies are among the most common causes of pleural disease and form the basis of our daily pleural practice. There has been significant research and increase in both diagnostic and therapeutic management of malignant pleural diseases in the last decade. Good-quality data have led to a paradigm shift in the management options of pleural malignancies, and indwelling pleural catheter is now recommended and widely used as first-line intervention. Several trials compared different treatment modalities for pleural malignancies and continue to emphasize the need to reduce hospital length of stay and unnecessary pleural intervention, and the importance of patient choice in clinical decision making. This practical review aims to summarize the current knowledge for the management of pleural malignancies, and the understanding of the steps that we still have to climb to optimize management and reduce morbidity.

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Lateral decubitus chest radiography or chest ultrasound to predict pleural adhesions before medical thoracoscopy: a prospective study

Cited by 2 publications

References 19 publications

[Retracted] The Effect of CT‐Guided Artificial Pneumothorax plus Thoracoscopy and Central Venous Catheterization on the Drainage Effect of Pediatric Empyema and Pulmonary Function

[Retracted] The Effect of CT‐Guided Artificial Pneumothorax plus Thoracoscopy and Central Venous Catheterization on the Drainage Effect of Pediatric Empyema and Pulmonary Function

Management of Malignant Pleural Effusion: Where Are We Now?

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