[Use of indwelling pleural catheter in the outpatient management of recurrent malignant pleural effusion]. / Uso del drenaje pleural permanente en el manejo ambulatorio del derrame pleural maligno recidivante.
Arch Bronconeumol
; 45(12): 591-6, 2009 Dec.
Article
em Es
| MEDLINE
| ID: mdl-19879036
ABSTRACT
BACKGROUND AND OBJECTIVE:
To analyse the effectiveness and safety of the indwelling pleural catheter in the management of recurrent malignant pleural effusion. PATIENTS ANDMETHODS:
A prospective multicentre study was performed in 63 consecutive outpatients from four Spanish hospitals. A total of 43 men and 20 women were included, with a median age of 67 years. In seven of the cases treatment with pleurodesis had failed; in five other cases their lung was trapped; in another five cases after repeat therapeutic thoracocentesis, and the rest of them as a preference choice to pleurodesis. All patients had an indwelling pleural catheter inserted (PleurX), Denver Biomedical).RESULTS:
Most of patients (94.5%) reported an improvement in their respiratory symptoms (cough and dyspnoea) and their ability to function independently. Average length of the catheterisation was 45 days (6-222). Average amount of drained pleural effusion was 75ml, with a frequency of drainage of between 3 and 4 times per week and once fortnightly. Spontaneous pleurodesis was achieved following 34.9% of procedures. No complications occurred during the insertion of the catheter. The post-catheterisation complications were empyema (3 cases), chest pain (2 cases), and tumour metastasis (3 cases).CONCLUSIONS:
The use of an indwelling pleural catheter is an effective palliative treatment in the outpatient management for patients suffering malignant pleural effusion. It is also a simple treatment that can be easily applied, does not require hospitalisation and can be easily managed by the patient at home, with a low rate of complications.
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Base de dados:
MEDLINE
Assunto principal:
Cateteres de Demora
/
Derrame Pleural Maligno
/
Assistência Ambulatorial
Idioma:
Es
Ano de publicação:
2009
Tipo de documento:
Article