The effect of iodopovidone versus bleomycin in chemical pleurodesis

Bagheri, Reza; Noori, Meysam; Rajayi, Maryam; Attaran, Davood; Ashari, Amir Mohammad Hashem Asna; Lari, Shahrzad M.; Basiri, Reza; Rezaeetalab, Fariba; Afghani, Reza; Salehi, Maryam

doi:10.1177/0218492318778485

Cited by 15 publications

(15 citation statements)

References 18 publications

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“…The important components and findings of final included articles are presented in Table 2 . Results of the study showed that included studies had a focus on different patients/participants including cancer,[ 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 ] hemodialysis,[ 45 ] heart failure,[ 46 47 ] chronic disease,[ 48 ] chronic pain,[ 49 ] and with anonymous groups. [ 50 51 52 53 54 55 ] Several provinces/cities were engaged in the studies including Tehran,[ 12 13 14 15 17 20 21 24 25 26 29 30 31 32 33 34 35 37 39 40 41 42 43 48 , 51 , 52 Isfahan,[ 22 27 28 …”

Section: Resultsmentioning

confidence: 99%

“…[ 50 51 52 53 54 55 ] Several provinces/cities were engaged in the studies including Tehran,[ 12 13 14 15 17 20 21 24 25 26 29 30 31 32 33 34 35 37 39 40 41 42 43 48 , 51 , 52 Isfahan,[ 22 27 28 38 55 ] Kerman,[ 45 53 ] Tabriz,[ 16 36 ] Mashhad,[ 18 19 ] Yasouj,[ 44 ] Gorgan,[ 49 ] Neyshabour,[ 50 ] Jiroft,[ 46 47 ] Meybod/Ardakan,[ 54 ] Gorgan/Gonabad. [ 23 ] Majority of studies had quantitative approach, including interventional,[ 17 18 19 22 23 29 31 33 35 44 47 49 54 ] descriptive,[ 20 39 41 42 50 53 ] and correlational-analytical. [ 37 45 46 51 ] This was then followed by qualitative[ 12…”

Section: Resultsmentioning

confidence: 99%

“…[ 37 45 46 51 ] This was then followed by qualitative[ 12 13 14 15 16 21 24 25 26 27 30 32 34 36 40 43 48 52 ] and mixed methods. [ 28 38 55 ] In quantitative interventional PC studies, a range of medical-surgical,[ 17 18 19 23 29 31 33 37 ] educational,[ 44 49 54 ] and psycho-spiritual[ 22 35 ] managements were used as an independent variable.…”

Section: Resultsmentioning

confidence: 99%

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Current State of Palliative Care in Iran and Related Issues

Bagheri

Hashemi

Bahrami

2021

Iranian Journal of Nursing and Midwifery Research

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Background: Palliative research studies seem to be limited and disperse in Iran. The present study was therefore conducted to review and categorize the Palliative Care (PC) studies performed in Iran in terms of the research type, the type/focus of PC, the measured outcomes in interventional palliative studies and their related results, the disease type, and their geographical distribution. Materials and Methods: This narrative review was conducted in 2021 in which both Iranian and international databases including PubMed, Scopus, Web of science, CINAHL, ProQuest, Magiran, SID, Noormags, ISC were searched. The inclusion criteria were original articles conducted in Iran and results published in Persian or English journals ab initio in which PC was assessed as a variable (dependent or independent) or the main concept. Results: A total of 1096 articles were identified from which only 44 articles were reviewed. The research studies were mainly focused on cancer and majority conducted in Tehran. Majority of studies were quantitative-interventional leading to a variety of positive changes in dependent variables, including reduce in pain severity, change in life pattern, a good response to therapy, increase life expectancy, improve in dysphagia, improve quality of life, reduce patients' metastasis, and increase in nurses' self-efficacy. Conclusions: The PC studies distributed across different fields and cities in Iran resulted to a number of positive outcomes for patients. More focused and robust research studies with different patients need to be conducted in this emerging field in Iran.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Current State of Palliative Care in Iran and Related Issues

Bagheri

Hashemi

Bahrami

2021

Iranian Journal of Nursing and Midwifery Research

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“…Cuando la LK se localizada a nivel torácico, se puede considerar la indicación de un acceso quirúrgico (idealmente por videotoracoscopía), especialmente si existen síntomas de ocupación pleural (Luisi et al;Ozeki et al, 2019a). Para reducir el derrame pleural recurrente, esta indicado la pleurectomía parietal, ligadura del conducto torácico o la pleurodesis con 15 a 120 U de bleomicina intracavitario diluida en 100 cc de solusión salina y removida 6 a 24 horas después (Bagheri et al, 2018).…”

Section: Discussionunclassified

Linfangiomatosis Kaposiforme: Reporte de un Caso y Revisión de la Literatura

et al. 2020

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RESUMEN: La linfangiomatosis es una patología benigna, de etiología desconocida, que afecta especialmente a población pediátrica, caracterizándose por desarrollo de masas subcutáneas que involucran uno o más órganos. Cuando se asocia con coagulopatía y derrames quilosos, recibe el nombre de linfangiomatosis kaposiforme (LK), cuya evidencia disponible es escasa. El objetivo de este manuscrito es reportar un caso de LK pediátrico atendido en el Instituto del Cáncer SOLCA, Cuenca, Ecuador. Paciente femenina de 1 año 7 meses, con hernia inguinal bilaterales y alteración de los tiempos de coagulación. En los estudios de imagen se evidenció una masa mediastínica asociada a presencia de líquido en espacio pleural y cavidad abdomino-pélvica. Además, se evidenció la existencia de múltiples imágenes hipogénicas en el bazo. Se practicó timectomía mínima, toma de biopsia de linfonodos mediastínicos para establecer el diagnóstico, y se instaló un dren en el tórax para tratar el derrame pleural antes señalado. Se descartaron patologías similares (linfomas, lupus, inmunológicas, etc.). Dado el continúo deterioro respiratorio, coagulopatía, lesiones hipogénicas esplénicas y drenaje abundante del quilotórax por el tubo torácico, se planteó el diagnóstico de LK. Se inició apoyo nutricional vía parenteral (sin lípidos); se indicó vincristina, y se realizó una pleurodesis con bleomicina sin buena respuesta. La paciente falleció a los 16 días de su ingreso. Se trata de un caso de mal pronóstico, con evolución rápidamente progresiva hacia un desenlace fatal.

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“…In these studies, it was highlighted that the incidence of chest pain after CP was as high as 55% and 31% respectively, and attention should be paid to possible allergic reactions, cardiopulmonary insufficiency, thyrotoxicosis, nephrotoxicity, and visual impairment. However, other studies have shown that the above adverse reactions are usually rare, as long as the dosage, concentration, and time of PI are well controlled to avoid excessive absorption by the pleura during the treatment process (18).…”

Section: A B Cmentioning

confidence: 99%

Povidone-iodine chemical pleurodesis in treating spontaneous chylothorax in pediatric patients

Long¹,

Cai²,

Liu³

et al. 2020

Ann Palliat Med

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Background: Chylothorax is a rare disease with a high mortality rate in pediatric patients like newborns and infants. As one of the minimally invasive treatments, chemical pleural pleurodesis has been gradually used in treating pediatric chylothorax patients in recent years. This study explored the feasibility, safety and effect of povidone-iodine chemical pleurodesis (CP) for spontaneous chylothorax in young pediatric patients.Methods: From January 2009 to December 2019 the clinical data of 22 children treated for spontaneous chylothorax at Guangdong Second Provincial General Hospital were retrospectively analyzed. The data included the patients' medical history, clinical manifestations, pleural effusion examinations, treatment methods, and effects and complications. On the basis of conventional conservative treatment and closed thoracic drainage, all the children were treated by CP with povidone-iodine until the pleural effusion was absorbed and the thoracic tube was removed. After discharge from the hospital, each patient was followed up for 1-10 years.Results: Of the 22 children (16 males and 6 females), 3 cases were diagnosed with pleural effusion at prenatal examination, 5 cases had acute respiratory distress at birth, and 6 case had experienced pneumonia repeatedly since birth. All of the children had different degrees of cyanosis and dyspnea. Pleural effusion was diagnosed in all patients by chest X-ray and chest ultrasound after admission (12 cases on the left side, 5 cases on the right side, and 5 cases on both sides). The results of all chyle tests during pleural effusion examination were positive. The mean leukocyte count was (9,278.8±9,504.6)×10 6 /L, the lymphocyte ratio was (83.9±6.1)%, and the mean triglyceride content was (7.18±6.10) mmol/L. All patients were treated with thoracic drainage, diet control, nutritional support, and povidone-iodine CP, among 6 of them with pneumonia on admission received antibiotics. The mean length of stay (LOS) was (36.0±18.2) days. The patients received thoracic drainage for (23.0±15.6) days and pleurodesis (3.0±2.0) times. No serious side effects occurred after pleurodesis, although some patients experienced mild chest pain and low fever. All the patients successfully achieved a clinical cure.Conclusions: Povidone-iodine CP is a safe, effective, and minimally invasive treatment, with high success rate and few complications in young pediatric patients with spontaneous chylothorax.

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The effect of iodopovidone versus bleomycin in chemical pleurodesis

Cited by 15 publications

References 18 publications

Current State of Palliative Care in Iran and Related Issues

Current State of Palliative Care in Iran and Related Issues

Linfangiomatosis Kaposiforme: Reporte de un Caso y Revisión de la Literatura

Povidone-iodine chemical pleurodesis in treating spontaneous chylothorax in pediatric patients

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