Intrapleural fibrinolytic therapy for acute empyema in elderly patients with high surgical risk
نویسندگان
چکیده
منابع مشابه
Dose dependency of outcomes of intrapleural fibrinolytic therapy in new rabbit empyema models.
The incidence of empyema (EMP) is increasing worldwide; EMP generally occurs with pleural loculation and impaired drainage is often treated with intrapleural fibrinolytic therapy (IPFT) or surgery. A number of IPFT options are used clinically with empiric dosing and variable outcomes in adults. To evaluate mechanisms governing intrapleural fibrinolysis and disease outcomes, models of Pasteurell...
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Loculated pleural effusions are most commonly due to complicated parapneumonic effusions and empyema followed by tubercular pleural effusions and empyema, hemothorax and malignant effusions. Loculations develop due to delayed initiation and inappropriate use of antibiotics and, delayed initiation of pleural space drainage. The presence of loculations and thick viscous fluid leads to failed pleu...
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Pneumonia and parapneumonic complicated effusion during pregnancy is uncommon but poses potentially serious risks to both mother and fetus. Enzymatic debridement of the pleural cavity with fibrinolytic agents is a noninvasive option that can facilitate drainage and prevent the need for surgery. Herein, we describe the cases of two pregnant women with parapneumonic empyema who were successfully ...
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Fibrinolytic treatment is the standard of care for eligible patients presenting early with acute ST segment elevation myocardial infarction (MI) to hospitals where rapid triage to primary angioplasty is unavailable. Although fibrinolytic treatment of elderly patients is generally accepted, a recent paper raised questions about its safety and efficacy. In this editorial, we will review the relev...
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For chronic fissure in ano, surgical excision and suture has been practised with surprisingly good results. A stay suture is inserted at the proximal and distal extremities of the fissure which is made prominent by tension on each stay. The fissure is then easily excised with the subjacent portion of the subcutaneous external sphincter. Two or three figure-of-eight sutures of fine nylon are pla...
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ژورنال
عنوان ژورنال: The Journal of the Japanese Association for Chest Surgery
سال: 2013
ISSN: 0919-0945,1881-4158
DOI: 10.2995/jacsurg.27.17