Do we always need computed tomography to detect and treat parapneumonic pleural effusion?
نویسندگان
چکیده
منابع مشابه
Do we always need computed tomography to detect and treat parapneumonic pleural effusion?
We read with interest the article by MOFFETT et al. [1] that was recently published in the European Respiratory Journal. In this retrospective analysis, conducted using two databases of 1,460 pneumonia patients enrolled from one single centre, the investigators studied the parapneumonic pleural effusion (PPE) linear cut-off by chest computed tomography (CCT) that indicates the need for thoracen...
متن کاملTreatment of complicated parapneumonic pleural effusion and pleural parapneumonic empyema
BACKGROUND We performed this observational prospective study to evaluate the results of the application of a diagnostic and therapeutic algorithm for complicated parapneumonic pleural effusion (CPPE) and pleural parapneumonic empyema (PPE). MATERIAL/METHODS From 2001 to 2007, 210 patients with CPPE and PPE were confirmed through thoracocentesis and treated with pleural drainage tubes (PD), fi...
متن کاملParapneumonic pleural effusion and empyema.
At least 40% of all patients with pneumonia will have an associated pleural effusion, although a minority will require an intervention for a complicated parapneumonic effusion or empyema. All patients require medical management with antibiotics. Empyema and large or loculated effusions need to be formally drained, as well as parapneumonic effusions with a pH <7.20, glucose <3.4 mmol/l (60 mg/dl...
متن کاملPathogenesis of parapneumonic pleural effusion
Pneumonia is the second most common cause of pleural effusion. The presence of pleural fluid makes the prognosis in patients with pneumonia worse and causes a higher mortality rate. This is why it is very important to undertake suitable treatment as soon as possible. Most parapneumonic pleural effusions resolve with antibiotic alone, but sometimes more invasive treatment is necessary. Therapeut...
متن کاملComputed tomography measurements of parapneumonic effusion indicative of thoracentesis.
Patients with parapneumonic effusions (PPE) measuring <1 cm by lateral decubitus radiograph (LDR) or <5 cm by lateral erect radiograph (LER) do not require thoracentesis. No such data exist for chest computed tomography (CCT). The objective of this study was to identify a PPE measurement by CCT that indicates the need for thoracentesis. A secondary data analysis of two pneumonia databases was c...
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ژورنال
عنوان ژورنال: European Respiratory Journal
سال: 2012
ISSN: 0903-1936,1399-3003
DOI: 10.1183/09031936.00224011