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Semin Respir Crit Care Med 2019; 40(03): 375-385
DOI: 10.1055/s-0039-1693997
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Pleurodesis

Carla Lamb
1   Department of Pulmonary and Critical Care Medicine, Lahey Hospital and Medical Center, Boston, Massachusetts
,
Andrew Li
2   Division of Respiratory and Critical Care Medicine, National University Hospital, Singapore
,
Dhaval Thakkar
1   Department of Pulmonary and Critical Care Medicine, Lahey Hospital and Medical Center, Boston, Massachusetts
,
Pyng Lee
2   Division of Respiratory and Critical Care Medicine, National University Hospital, Singapore
› Author Affiliations
Further Information

Publication History

Publication Date:
16 September 2019 (online)

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Abstract

Symptomatic pleural disease, specifically malignant pleural effusion, refractory benign pleural effusion, and pneumothoraces are common diseases that often require therapeutic interventions. The spectrum of management strategies often includes selection of a chemical pleurodesis agent administered in combination with an indwelling pleural catheter or chest tube.

Additionally, there is a role for minimally invasive techniques which include medical thoracoscopy or more advanced video-assisted thoracoscopic approaches. Ongoing clinical trials continue to evolve best practices regarding the optimal sclerosant agents and procedural approaches in the management of these diseases.

Keywords

pleural effusion - malignant pleural effusion - pneumothorax - pleurodesis - talc - indwelling pleural catheter - chest tube - medical thoracoscopy - video-assisted thoracoscopic surgery
 

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