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[PMID]:28489449
[Au] Autor:Evans TJ; Sivakumar P; Ahmed L
[Ad] Endereço:Senior House Officer, Department of Thoracic Medicine, Guy's and St Thomas' NHS Foundation Trust, London.
[Ti] Título:Progressive respiratory failure: a rare complication after graded talc pleurodesis.
[So] Source:Br J Hosp Med (Lond);78(5):294-295, 2017 May 02.
[Is] ISSN:1750-8460
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Doenças Pulmonares Intersticiais/etiologia
Derrame Pleural/terapia
Pleurodese/efeitos adversos
Talco/efeitos adversos
[Mh] Termos MeSH secundário: Progressão da Doença
Evolução Fatal
Feminino
Seres Humanos
Meia-Idade
Testes de Função Respiratória
Talco/administração & dosagem
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nome de substância:
14807-96-6 (Talc)
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170717
[Lr] Data última revisão:
170717
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170511
[St] Status:MEDLINE
[do] DOI:10.12968/hmed.2017.78.5.294


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[PMID]:28271728
[Au] Autor:Porcel JM; Lui MM; Lerner AD; Davies HE; Feller-Kopman D; Lee YC
[Ad] Endereço:a Pleural Medicine Unit, Department of Internal Medicine , Arnau de Vilanova University Hospital , Lleida , Spain.
[Ti] Título:Comparing approaches to the management of malignant pleural effusions.
[So] Source:Expert Rev Respir Med;11(4):273-284, 2017 Apr.
[Is] ISSN:1747-6356
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: Management of symptomatic malignant pleural effusions is becoming more complex due to the range of treatment options, which include therapeutic thoracenteses, thoracoscopic talc pleurodesis, bedside pleurodesis with talc or other sclerosing agents via small-bore chest catheters, indwelling pleural catheters, surgery, or a combination of some of these procedures. Areas covered: Recent advances for the expanding range of treatment options in malignant pleural effusions are summarized, according to the best available evidence. Expert commentary: Selection of a treatment approach in malignant pleural effusions should take into account patient preferences and performance status, tumor type, predicted prognosis, presence of a non-expandable lung, and local experience or availability. The role of pleurodesis has decreased with the advent of indwelling pleural catheters, which provide a high degree of symptomatic relief on an outpatient basis and, therefore, are being positioned as a first choice therapy in many centers. Talc poudrage pleurodesis should probably be reserved for those situations in which pleural tumor invasion is discovered during diagnostic thoracoscopy. Ongoing randomized controlled trials will offer solid evidence on which of the available palliative approaches should be selected for each particular patient.
[Mh] Termos MeSH primário: Derrame Pleural Maligno/terapia
[Mh] Termos MeSH secundário: Drenagem
Seres Humanos
Pleurodese
Talco
Toracoscopia
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Nm] Nome de substância:
14807-96-6 (Talc)
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170717
[Lr] Data última revisão:
170717
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170309
[St] Status:MEDLINE
[do] DOI:10.1080/17476348.2017.1300532


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[PMID]:28267436
[Au] Autor:Dugan KC; Laxmanan B; Murgu S; Hogarth DK
[Ad] Endereço:Department of Medicine, Section of Pulmonary and Critical Care, University of Chicago, Chicago, IL.
[Ti] Título:Management of Persistent Air Leaks.
[So] Source:Chest;152(2):417-423, 2017 Aug.
[Is] ISSN:1931-3543
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Alveolar-pleural fistulas causing persistent air leaks (PALs) are associated with prolonged hospital stays and high morbidity. Prior guidelines recommend surgical repair as the gold standard for treatment, albeit it is a solution with limited success. In patients who have recently undergone thoracic surgery or in whom surgery would be contraindicated based on the severity of illness, there has been a lack of treatment options. This review describes a brief history of treatment guidelines for PALs. In the past 20 years, newer and less invasive treatment options have been developed. Aside from supportive care, the literature includes anecdotal successful reports using fibrin sealants, ethanol injection, metal coils, and Watanabe spigots. More recently, larger studies have demonstrated success with chemical pleurodesis, autologous blood patch pleurodesis, and endobronchial valves. This manuscript describes these treatment options in detail, including postprocedural adverse events. Further research, including randomized controlled trials with comparison of these options, are needed, as is long-term follow-up for these interventions.
[Mh] Termos MeSH primário: Pneumopatias/terapia
Doenças Pleurais/terapia
Fístula do Sistema Respiratório/terapia
[Mh] Termos MeSH secundário: Ar
Tubos Torácicos
Doença Crônica
Feminino
Seres Humanos
Pneumopatias/complicações
Masculino
Doenças Pleurais/complicações
Pleurodese/instrumentação
Pleurodese/métodos
Pneumotórax/etiologia
Guias de Prática Clínica como Assunto
Fístula do Sistema Respiratório/complicações
Fatores de Risco
Fatores Sexuais
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170911
[Lr] Data última revisão:
170911
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170308
[St] Status:MEDLINE


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[PMID]:28110329
[Au] Autor:Kurian EM
[Ad] Endereço:Department of Pathology, University of Texas Southwestern Medical Center, Dallas, TX, USA.
[Ti] Título:Lung Nodule with Increasing Fluorodeoxyglucose Uptake in a Patient with a History of Lung Carcinoma and Talc Pleurodesis Evaluated by EBUS-TBNA On-Site Assessment.
[So] Source:Acta Cytol;61(1):84-86, 2017.
[Is] ISSN:1938-2650
[Cp] País de publicação:Switzerland
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Fluorodeoxyglucose (FDG) uptake on positron emission tomography (PET) scan is an indicator of potential malignancy or infection. Patients with a history of talc pleurodesis can develop pleural or lung parenchymal nodules/talcomas. In these patients, talc-associated (non-malignancy-related) FDG uptake may occur over years. CASE REPORT: A 66-year-old female presented with a past medical history significant for resected non-small-cell lung cancer and was treated with chemotherapy/radiation. The referring physician indicated that she subsequently developed benign pleural effusions and had talc pleurodesis to limit recurrence. The patient was referred to our institution for endobronchial ultrasound-guided transbronchial fine-needle aspiration (EBUS-TBNA) due to a new left upper lobe nodule with increasing FDG uptake on follow-up interval PET performed at the referring institution. On-site cytologic evaluation showed no evidence of malignancy, but found refractile foreign material, consistent with the presence of talc particles. CONCLUSION: This case presents the importance of cytologic recognition of talc particles during on-site evaluation and discusses the phenomenon of increasing PET-FDG uptake associated with talc pleurodesis.
[Mh] Termos MeSH primário: Fluordesoxiglucose F18/farmacocinética
Pulmão/patologia
Pleurodese
Compostos Radiofarmacêuticos/farmacocinética
Talco/administração & dosagem
[Mh] Termos MeSH secundário: Idoso
Transporte Biológico
Carcinoma Pulmonar de Células não Pequenas/metabolismo
Carcinoma Pulmonar de Células não Pequenas/patologia
Carcinoma Pulmonar de Células não Pequenas/cirurgia
Aspiração por Agulha Fina Guiada por Ultrassom Endoscópico
Feminino
Seres Humanos
Pulmão/metabolismo
Pulmão/cirurgia
Neoplasias Pulmonares/metabolismo
Neoplasias Pulmonares/patologia
Neoplasias Pulmonares/cirurgia
Derrame Pleural/metabolismo
Derrame Pleural/patologia
Derrame Pleural/cirurgia
Tomografia Computadorizada por Raios X
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Radiopharmaceuticals); 0Z5B2CJX4D (Fluorodeoxyglucose F18); 14807-96-6 (Talc)
[Em] Mês de entrada:1702
[Cu] Atualização por classe:170216
[Lr] Data última revisão:
170216
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170123
[St] Status:MEDLINE
[do] DOI:10.1159/000452704


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[PMID]:28069787
[Au] Autor:D'Amato R; Eiroa González LE; Hernández Méndez AI
[Ad] Endereço:Pneumology Department, Hospital Universitario Nuestra Senora de la Candelaria, Santa Cruz de Tenerife, Spain.
[Ti] Título:Bilateral indwelling pleural catheter for hepatic hydrothorax.
[So] Source:BMJ Case Rep;2017, 2017 Jan 09.
[Is] ISSN:1757-790X
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:A 68-year-old man with alcoholic liver cirrhosis and portal hypertension was admitted due to ascites. Bilateral severe hepatic hydrothorax did not resolve despite sodium restriction, and diuretic treatment, requiring repeated thoracentesis for relief of dyspnoea. Curative options, as transjugular intrahepatic portosystemic shunt and liver transplantation were both contraindicated. An attempt of pleurodesis was ineffective. Bilateral insertion of tunnelled pleural catheter allowed symptom control and home discharge. After 6 months, bilateral stable pleurodesis has been achieved and patient is still free from dyspnoea.
[Mh] Termos MeSH primário: Cateteres de Demora
Hidrotórax/terapia
Pleurodese/instrumentação
[Mh] Termos MeSH secundário: Assistência ao Convalescente
Idoso
Dispneia/terapia
Seres Humanos
Hidrotórax/diagnóstico por imagem
Masculino
Pleurodese/métodos
Resultado do Tratamento
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170306
[Lr] Data última revisão:
170306
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170111
[St] Status:MEDLINE


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[PMID]:27984393
[Au] Autor:Chatterjee K; Goyal A; Kakkera K; Meena N
[Ad] Endereço:Departments of *Internal Medicine ‡Medicine, Division of Pulmonary and Critical Care Medicine, University of Arkansas for Medical Sciences Little Rock, AR †Department of Internal Medicine, Einstein Medical Center, Philadelphia, PA.
[Ti] Título:Etiology of Malignant Pleural Effusion and Utilization of Diagnostic and Therapeutic Procedures: A Nationwide Analysis.
[So] Source:J Bronchology Interv Pulmonol;24(1):e10-e12, 2017 Jan.
[Is] ISSN:1948-8270
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Neoplasias da Mama/epidemiologia
Neoplasias Pulmonares/epidemiologia
Linfoma/epidemiologia
Neoplasias Ovarianas/epidemiologia
Derrame Pleural Maligno/terapia
Neoplasias Gástricas/epidemiologia
[Mh] Termos MeSH secundário: Idoso
Idoso de 80 Anos ou mais
Neoplasias da Mama/complicações
Gerenciamento Clínico
Feminino
Hospitalização/estatística & dados numéricos
Seres Humanos
Neoplasias Pulmonares/complicações
Linfoma/complicações
Masculino
Meia-Idade
Neoplasias Ovarianas/complicações
Derrame Pleural Maligno/etiologia
Pleurodese/estatística & dados numéricos
Neoplasias Gástricas/complicações
Toracentese/estatística & dados numéricos
Estados Unidos/epidemiologia
[Pt] Tipo de publicação:LETTER
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170530
[Lr] Data última revisão:
170530
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161217
[St] Status:MEDLINE


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[PMID]:27983774
[Au] Autor:Olfert JA; Penz ED; Manns BJ; Mishra EK; Davies HE; Miller RF; Luengo-Fernandez R; Gao S; Rahman NM
[Ad] Endereço:Department of Medicine, University of Saskatchewan, Saskatoon, Saskatchewan, Canada.
[Ti] Título:Cost-effectiveness of indwelling pleural catheter compared with talc in malignant pleural effusion.
[So] Source:Respirology;22(4):764-770, 2017 May.
[Is] ISSN:1440-1843
[Cp] País de publicação:Australia
[La] Idioma:eng
[Ab] Resumo:BACKGROUND AND OBJECTIVE: Malignant pleural effusion is associated with morbidity and mortality. A randomized controlled trial previously compared clinical outcomes and resource use with indwelling pleural catheter (IPC) and talc pleurodesis in this population. Using unpublished quality of life data, we estimate the cost-effectiveness of IPC compared with talc pleurodesis. METHODS: Healthcare utilization and costs were captured during the trial. Utility weights produced by the EuroQol Group five-dimensional three-level questionnaire and survival were used to determine quality-adjusted life-years (QALYs) gained. The incremental cost-effectiveness ratio (ICER) was calculated over the 1-year trial period. Sensitivity analysis used patient survival data and modelled additional nursing time required per week for catheter drainage. RESULTS: Utility scores, cost and QALYs gained did not differ significantly between groups. The ICER for IPC compared with talc was favorable at $US10 870 per QALY gained. IPC was less costly with a probability exceeding 95% of being cost-effective when survival was <14 weeks, and was more costly when 2-h nursing time per week was assumed for catheter drainage. CONCLUSION: IPC is cost-effective when compared with talc, although substantial uncertainty exists around this estimate. IPC appears most cost-effective in patients with limited survival. If significant nursing time is required for catheter drainage, IPC becomes less likely to be cost-effective. Either therapy may be considered as a first-line option in treating malignant pleural effusion in patients without history of prior pleurodesis, with consideration for patient survival, support and preferences.
[Mh] Termos MeSH primário: Cateteres de Demora/economia
Derrame Pleural Maligno/terapia
Pleurodese/métodos
Talco/administração & dosagem
[Mh] Termos MeSH secundário: Idoso
Análise Custo-Benefício
Feminino
Seres Humanos
Masculino
Meia-Idade
Pleura
Derrame Pleural Maligno/economia
Pleurodese/economia
Qualidade de Vida
Taxa de Sobrevida
Talco/economia
[Pt] Tipo de publicação:JOURNAL ARTICLE; MULTICENTER STUDY; RANDOMIZED CONTROLLED TRIAL
[Nm] Nome de substância:
14807-96-6 (Talc)
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171113
[Lr] Data última revisão:
171113
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161217
[St] Status:MEDLINE
[do] DOI:10.1111/resp.12962


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[PMID]:27865327
[Au] Autor:Bertolaccini L; Viti A; Paiano S; Pomari C; Assante LR; Terzi A
[Ad] Endereço:Thoracic Surgery Unit, Sacro Cuore Don Calabria Research Hospital - Cancer Care Center, Via Don Angelo Sempreboni 5, Negrar, Verona 37024, Italy. Electronic address: luca.bertolaccini@gmail.com.
[Ti] Título:Indwelling Pleural Catheters: A Clinical Option in Trapped Lung.
[So] Source:Thorac Surg Clin;27(1):47-55, 2017 Feb.
[Is] ISSN:1558-5069
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Malignant pleural effusion (MPE) symptoms have a real impact on quality of life. Surgical approach through video-assisted thoracic surgery provides a first step in palliation. In patients unfit for general anesthesia, awake pleuroscopy represents an alternative. Sclerosing agents can be administered at the bedside through a chest tube. Ideal treatment of MPE should include adequate long-term symptom relief, minimize hospitalization, and reduce adverse effects. Indwelling pleural catheter (IPC) allows outpatient management of MPE through periodic ambulatory fluid drainage. IPC offers advantages over pleurodesis in patients with poor functional status who cannot tolerate pleurodesis or in patients with trapped lungs.
[Mh] Termos MeSH primário: Cateteres de Demora
Tubos Torácicos
Drenagem/métodos
Derrame Pleural Maligno/cirurgia
[Mh] Termos MeSH secundário: Seres Humanos
Neoplasias Pulmonares/complicações
Derrame Pleural Maligno/etiologia
Pleurodese
Qualidade de Vida
Cirurgia Torácica Vídeoassistida
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1612
[Cu] Atualização por classe:161230
[Lr] Data última revisão:
161230
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161121
[St] Status:MEDLINE


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[PMID]:27865323
[Au] Autor:Pompili C; Salati M; Brunelli A
[Ad] Endereço:Department of Thoracic Surgery, St. James's University Hospital, Beckett Street, Leeds LS9 7TF, UK.
[Ti] Título:Chest Tube Management after Surgery for Pneumothorax.
[So] Source:Thorac Surg Clin;27(1):25-28, 2017 Feb.
[Is] ISSN:1558-5069
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:There is scant evidence on the management of chest tubes after surgery for pneumothorax. Most of the current knowledge is extrapolated from studies performed on subjects with lung cancer. This article reviews the existing literature with particular focus on the effect of suction and no suction on the duration of air leak after lung resection and surgery for pneumothorax. Moreover, the role of regulated suction, which seems to provide some benefit in reducing pneumothorax recurrence after bullectomy and pleurodesis, is discussed. Finally, a personal view on the management of chest tubes after surgery for pneumothorax is provided.
[Mh] Termos MeSH primário: Tubos Torácicos
Pneumotórax/cirurgia
Cuidados Pós-Operatórios/métodos
Sucção/métodos
[Mh] Termos MeSH secundário: Seres Humanos
Pulmão/cirurgia
Pleurodese
Cuidados Pós-Operatórios/instrumentação
Sucção/instrumentação
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1612
[Cu] Atualização por classe:161230
[Lr] Data última revisão:
161230
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161121
[St] Status:MEDLINE


  10 / 1275 MEDLINE  
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[PMID]:27618441
[Au] Autor:Fiorelli A; Mazzella A; Accardo M; Santini M
[Ad] Endereço:Thoracic Surgery Unit, Seconda Università degli Studi di Napoli, Naples, Italy.
[Ti] Título:Ultrasonic Technology for Management of Primary Spontaneous Pneumothorax.
[So] Source:Thorac Cardiovasc Surg;65(1):65-69, 2017 Jan.
[Is] ISSN:1439-1902
[Cp] País de publicação:Germany
[La] Idioma:eng
[Ab] Resumo:To manage primary spontaneous pneumothorax, we use an alternative technique for bleb resection and we induce pleurodesis with an ultrasonic-driven scalpel. This technique was successfully performed in nine consecutive patients with primary spontaneous pneumothorax with small (<20 mm) and limited number of blebs (<2) and without significant underlying lung disease. After identification of air leakage, the jaws of the instrument were clamped onto the bleb and included a margin of normal lung. Power level 3 energy was applied to resect the bleb and to seal the parenchyma. Finally, the parietal pleura was partially scarified using the same instrument to achieve pleurodesis. Histologic findings showed complete sealing of the resection line by coagulative tissue.
[Mh] Termos MeSH primário: Pneumotórax/cirurgia
Procedimentos Cirúrgicos Ultrassônicos
[Mh] Termos MeSH secundário: Adulto
Desenho de Equipamento
Feminino
Seres Humanos
Masculino
Meia-Idade
Pleurodese
Pneumotórax/diagnóstico por imagem
Instrumentos Cirúrgicos
Resultado do Tratamento
Procedimentos Cirúrgicos Ultrassônicos/efeitos adversos
Procedimentos Cirúrgicos Ultrassônicos/instrumentação
Cicatrização
[Pt] Tipo de publicação:JOURNAL ARTICLE; VIDEO-AUDIO MEDIA
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160913
[St] Status:MEDLINE
[do] DOI:10.1055/s-0036-1586722



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