Rapid pleurodesis in symptomatic malignant pleural effusion

Abstract

This new pleurodesis method provided shorter hospital stay resulting in superior cost-effectiveness and palliation without sacrificing the efficacy of pleurodesis.

Pleural drainage and pleurodesis: implementation of guidelines in four hospitals

“…The participating centres followed a local strategy ranging from drain removal within 24 h to drainage for o53 days following pleurodesis. These different strategies did not result in better outcome, which supports data suggesting that early drain removal is safe and efficient [15,16]. Longer drainage extends the period of hospitalisation, which is undesirable for patients with a limited life expectancy.…”

Feasibility of Chemical Pleurodesis with Small Bore Catheter in Patients with Symptomatic Malignant Pleural Effusions

“…More recently, small bore catheters (10-14 F) have been placed with or without radiologic guidance with no noticeable difference in the response rates [2,[5][6][7]. Additionally, small bore catheters are well tolerated and suitable for ambulatory, outpatient treatment [8].…”

“…Other invasive methods such as video assisted thoracoscopic surgery (VATS) have also been used successfully for pleurodesis. More recently, small-bore catheters were placed with no notable difference in results of pleurodesis via large-bore catheters [2,[5][6][7]. Small bore catheters were well tolerated by the patients, and were decreased the hospitalization days.…”

“…Several palliative treatment options include repeated needle thoracocentesis, tube thoracostomy with chemical or biologic sclerotherapy, pleurectomy, and pleuroperitoneal shunt [2]. Among these options, chemical pleurodesis is the most common and useful method.…”

“…Patients with pleural effusions experience dyspnea, cough or pleuretic chest pain which can negatively affect their quality of life [2].…”