Iterative Thoracentesis as First-Line Treatment of Complicated Parapneumonic Effusion

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Iterative Thoracentesis as First-Line Treatment of Complicated Parapneumonic Effusion

RATIONALE Optimal management of complicated parapneumonic effusions (CPPE) remains controversial. OBJECTIVES to assess safety and efficacy of iterative therapeutic thoracentesis (ITTC), the first-line treatment of CPPE in Rennes University Hospital. METHODS Patients with CPPE were identified through our computerized database. We retrospectively studied all cases of CPPE initially managed wi...

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Treatment of complicated parapneumonic pleural effusion and pleural parapneumonic empyema

BACKGROUND We performed this observational prospective study to evaluate the results of the application of a diagnostic and therapeutic algorithm for complicated parapneumonic pleural effusion (CPPE) and pleural parapneumonic empyema (PPE). MATERIAL/METHODS From 2001 to 2007, 210 patients with CPPE and PPE were confirmed through thoracocentesis and treated with pleural drainage tubes (PD), fi...

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Computed tomography measurements of parapneumonic effusion indicative of thoracentesis.

Patients with parapneumonic effusions (PPE) measuring <1 cm by lateral decubitus radiograph (LDR) or <5 cm by lateral erect radiograph (LER) do not require thoracentesis. No such data exist for chest computed tomography (CCT). The objective of this study was to identify a PPE measurement by CCT that indicates the need for thoracentesis. A secondary data analysis of two pneumonia databases was c...

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Complicated parapneumonic effusion and empyema in children.

BACKGROUND AND PURPOSE Parapneumonic effusion and empyema are recognized complications of bacterial pneumonia. Optimal management in children, especially the duration of parenteral antibiotics and the role of surgery, is controversial. This study analyzed the clinical characteristics, management, outcome, and bacterial etiology of 59 patients with complicated parapneumonic effusion and empyema ...

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Surgical management of complicated parapneumonic pleural effusion in children

AIMS We analyzed and examined the effect of different management strategies on short term outcomes for pediatric patients with parapneumonic pleural effusions. PATIENTS AND METHODS We retrospectively reviewed 16 cases of children admitted and treated in our department of pediatric surgery for empyema or pleural effusions for a period of 30 months. RESULTS When chest drains are used alone, p...

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ژورنال

عنوان ژورنال: PLoS ONE

سال: 2014

ISSN: 1932-6203

DOI: 10.1371/journal.pone.0084788