Tunneled Pleural Catheter: Treatment for Recurrent Pleural Effusion.
AACN Adv Crit Care
; 29(4): 432-441, 2018.
Article
in En
| MEDLINE
| ID: mdl-30523014
ABSTRACT
Recurrent pleural effusion is a symptom of several end-stage diseases and is associated with limited life expectancy. Patients with this condition have disabling symptoms resulting in reduced quality of life and often receive inconsistent treatment due to delayed recognition of pleural effusion, repeat procedures, and lengthy hospitalizations. Placement of a tunneled pleural catheter allows the patient to manage his or her symptoms at home, yet this treatment remains underused because of provider misconceptions and unfamiliarity with the intervention. This article provides an overview of the indications for placement of a tunneled pleural catheter, possible complications, and management strategies, and introduces evidence-based clinical decision support tools to enhance provider knowledge. In addition, the article describes the implementation and evaluation of a performance improvement initiative on the use of tunneled pleural catheters in a multifaceted health care system.
Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Pleural Effusion
/
Catheterization
/
Drainage
/
Practice Guidelines as Topic
/
Pleurodesis
/
Critical Care
/
Heart Failure
Type of study:
Etiology_studies
/
Guideline
/
Prognostic_studies
Aspects:
Patient_preference
Limits:
Humans
Language:
En
Journal:
AACN Adv Crit Care
Journal subject:
ENFERMAGEM
/
TERAPIA INTENSIVA
Year:
2018
Document type:
Article