Evaluation and management of pleural sepsis

被引：3

作者：

Lui, Justin K. ^{[1
]}

Billatos, Ehab ^{[1
]}

Schembri, Frank ^{[1
,2
]}

机构：

[1] Boston Univ, Pulm Ctr, Sch Med, 72 East Concord St,R-304, Boston, MA 02118 USA

[2] South Shore Hosp, South Weymouth, MA USA

来源：

RESPIRATORY MEDICINE | 2021年 / 187卷

关键词：

Pleural effusions; Empyema; Pleural disease; Sepsis; Sepsis syndrome; TISSUE-PLASMINOGEN ACTIVATOR; ACUTE RESPIRATORY-FAILURE; FUNGAL EMPYEMA-THORACIS; END-EXPIRATORY PRESSURE; INTENSIVE-CARE-UNIT; INTRAPLEURAL INSTILLATION; BRONCHOPLEURAL FISTULAS; ULTRASOUND ESTIMATION; CONTROLLED-TRIAL; CHEST TUBE;

D O I：

10.1016/j.rmed.2021.106553

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Pleural sepsis stems from an infection within the pleural space typically from an underlying bacterial pneumonia leading to development of a parapneumonic effusion. This effusion is traditionally divided into uncomplicated, complicated, and empyema. Poor clinical outcomes and increased mortality can be associated with the development of parapneumonic effusions, reinforcing the importance of early recognition and diagnosis. Management necessitates a multimodal therapeutic strategy consisting of antimicrobials, catheter/tube thoracostomy, and at times, video-assisted thoracoscopic surgery.

引用

页数：6

共 64 条

[1] Ultrasound estimation of volume of pleural fluid in mechanically ventilated patients [J].

Balik, M ;

Plasil, P ;

Waldauf, P ;

Pazout, J ;

Fric, M ;

Otahal, M ;

Pachl, J .

INTENSIVE CARE MEDICINE, 2006, 32 (02) :318-321

[2] MEDICAL-MANAGEMENT AND THERAPY OF BRONCHOPLEURAL FISTULAS IN THE MECHANICALLY VENTILATED PATIENT [J].

BAUMANN, MH ;

SAHN, SA .

CHEST, 1990, 97 (03) :721-728

[3]

Bishwakarma R, 2017, J BRONCHOL INTERN PU, V24, P40, DOI 10.1097/LBR.0000000000000334

[4] Perception versus Reality: The Measuring of Pleural Fluid pH in the United States [J].

Bowling, Mark ;

Lenz, Peter ;

Chatterjee, Arjun ;

Conforti, John F. ;

Haponik, Edward F. ;

Chin, Robert, Jr. .

RESPIRATION, 2012, 83 (04) :316-322

[5] Video-assisted thoracoscopy in the treatment of pleural empyema: Stage-based management and outcome [J].

Cassina, PC ;

Hauser, M ;

Hillejan, L ;

Greschuchna, D ;

Stamatis, G .

JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 1999, 117 (02) :234-238

[6] Surgical treatment for empyema thoracis: Is video-assisted thoracic surgery "better" than thoracotomy? [J].

Chan, Daniel T. L. ;

Sihoe, Alan D. L. ;

Chan, Shun ;

Tsang, Dickson S. F. ;

Fang, Ben ;

Lee, Tak-Wai ;

Cheng, Lik-Cheung .

ANNALS OF THORACIC SURGERY, 2007, 84 (01) :225-231

[7] Recent advances in parapneumonic effusion and empyema [J].

Chapman, SJ ;

Davies, RJO .

CURRENT OPINION IN PULMONARY MEDICINE, 2004, 10 (04) :299-304

[8] Comparison of pleural fluid pH values obtained using blood gas machine, pH meter, and pH indicator strip [J].

Cheng, DS ;

Rodriguez, RM ;

Rogers, J ;

Wagster, M ;

Starnes, DL ;

Light, RW .

CHEST, 1998, 114 (05) :1368-1372

[9] Optimal Timing of Thoracoscopic Drainage and Decortication for Empyema [J].

Chung, Jae Ho ;

Lee, Sung Ho ;

Kim, Kwang Taik ;

Jung, Jae Seung ;

Son, Ho Sung ;

Sun, Kyung .

ANNALS OF THORACIC SURGERY, 2014, 97 (01) :224-229

[10] Medical and surgical treatment of parapneumonic effusions - An evidence-based guideline [J].

Colicc, GL ;

Curtis, A ;

Deslauriers, J ;

Heffner, J ;

Light, R ;

Littenberg, B ;

Sahn, S ;

Weinstein, RA ;

Yusen, RD .

CHEST, 2000, 118 (04) :1158-1171

← 1 2 3 4 5 6 7 →