Timely thoracoscopic decortication promotes the recovery of paediatric parapneumonic empyema
نویسندگان
چکیده
منابع مشابه
Thoracoscopic decortication as first-line therapy for pediatric parapneumonic empyema. A case series.
STUDY OBJECTIVES Previous articles have promoted the early use of thoracotomy and decortication for refractory empyema. This study examines thoracoscopy and decortication at the time of initial chest tube placement in pediatric patients with parapneumonic empyema. DESIGN We reviewed the medical records of 16 consecutive patients who were children with parapneumonic empyema. RESULTS Thirteen...
متن کاملParapneumonic effusion and empyema.
Parapneumonic effusions account for about one third of all pleural effusions. Approximately 40% of patients with pneumonia develop a concomitant effusion, which is associated with an increased morbidity and mortality. In order to select the most appropriate therapy for the individual patient, the effusion should be categorized as being in the exudative, fibropurulent, or organizational stage, a...
متن کاملPediatric Parapneumonic Empyema, Spain
Pediatric parapneumonic empyema (PPE) has been increasing in several countries including Spain. Streptococcus pneumoniae is a major PPE pathogen; however, antimicrobial pretreatment before pleural fluid (PF) sampling frequently results in negative diagnostic cultures, thus greatly underestimating the contribution of pneumococci, especially pneumococci susceptible to antimicrobial agents, to PPE...
متن کاملComparison of Video-Assisted Thoracoscopic Surgery and Intrapleural Urokinase as an Initial Treatment for Parapneumonic Effusion and Thoracic Empyema
Introduction: The treatment of complicated parapneumonic effusion (PPE) and thoracic empyema (TE) is controversial; and the choice of treatment after confirming the failure of simple drainage remains unclear. The purpose of this study was to compare the outcomes of intrapleural urokinase (UK) administration and video-assisted thoracoscopic surgery (VATS) as initial treatment options for PPE and...
متن کاملThe management of parapneumonic effusions and empyema.
Background: In normal subjects, and patients with obstructive and restrictive lung defects, flows during an FVC manoeuver are higher after a fast inspiration without an end-inspiratory pause as compared to a slow inspiration with an end-inspiratory pause of approximately 5 s (time dependence of FVC). Objective: In the present study, we investigated the influence of these two manoeuvres on PEF a...
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ژورنال
عنوان ژورنال: Pediatric Surgery International
سال: 2015
ISSN: 0179-0358,1437-9813
DOI: 10.1007/s00383-015-3723-y