Chemical pleurodesis for the prevention of recurrent pleural effusion
2024年1月18日 · The techniques of tube thoracostomy and pleural abrasion during thoracoscopy are discussed separately. (See "Thoracostomy tubes and catheters: Indications and tube selection in adults and children" and "Pneumothorax: …
Approach to thrombolytic (fibrinolytic) therapy in acute
2023年12月15日 · INTRODUCTION. Thrombolytic agents activate plasminogen to form plasmin, which accelerates lysis of thromboemboli. Thrombolytic therapy is used in patients with acute pulmonary embolism (PE) to rapidly dissolve the embolic burden and …
Medline - UpToDate
Objective To determine if intrapleural tissue plasminogen activator (tPA) and DNase is more effective than tPA and placebo at reducing hospital length of stay in children with pleural empyema.
Thoracostomy tubes and catheters: Indications and tube
2024年11月7日 · Placement of a thoracostomy tube (diameter ≥16 French) or thoracostomy catheter (diameter ≤14 French) through the chest wall into the pleural cavity is a common procedure to drain air (ie, pneumothorax), simple fluid (ie, effusion), pus (ie, empyema), or blood (ie, hemothorax), or to instill medications into the pleural space (eg ...
Treatment, prognosis, and follow-up of acute pulmonary …
2024年2月16日 · The approach to treatment outlined in this topic is, in general, consistent with strategies outlined by several international societies including the American College of Chest Physicians, the American College of Physicians, the European Society of Cardiology, the European Respiratory Society, the American Society of hematology, and others .
UpToDate
The primary outcome was the change in pleural opacity, measured as the percentage of the hemithorax occupied by effusion, on chest radiography on day 7 as compared with day 1. Secondary outcomes included referral for surgery, duration of hospital stay, and adverse events.
Management of persistent air leaks in patients on mechanical ...
2023年12月7日 · Persistent (prolonged) air leaks (PALs) via a chest tube thoracostomy can occur in mechanically ventilated patients, often indicating the development of an alveolopleural fistula (APF). An overview of the management of air leaks from APF in the setting of mechanical ventilation is reviewed here.
Management and prognosis of parapneumonic pleural effusion
2024年5月16日 · - Initial drainage (tube or catheter thoracostomy) - Assessment of response - Discontinuing drainage - Treatment failure. Assess adequate antibiotic coverage and drainage; Drainage options - Choosing among drainage options - Intrapleural tPA +/- additional drainage - Video-assisted thoracic surgery (VATS) REFRACTORY CASES; SPECIAL POPULATIONS
Initial evaluation and management of blunt thoracic trauma in adults
Initial evaluation and management of blunt thoracic trauma in adults
Patient education: Ischemic stroke treatment (Beyond the Basics)
2023年9月13日 · Thrombolytic therapy – This involves giving a medication called alteplase (also known as tPA, for "tissue plasminogen activator"), or a similar medication called tenecteplase, by IV (through a vein). It works by breaking up the clot that is blocking blood flow to the brain.