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Pleural Effusion

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Predictors of outcome of pleurodesis in patients with malignant pleural effusion: a systematic review and meta-analysis.

Maged Hassan, Mohamed Gadallah, Rachel M Mercer, Elinor Harriss, Najib M Rahman,

Objectives: Pleurodesis is an important management option to palliate breathlessness in patients with malignant pleural effusion (MPE). This systematic review aimed to examine available literature for studies investigating factors that predict pleurodesis outcome.Methods: The healthcare databases advanced search (HDAS) Medline and Embase in addition to Cochrane Database of Systematic Reviews ... Read more >>

Expert Rev Respir Med (Expert review of respiratory medicine)
[2020, :]

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Diagnostic performance of nucleic acid tests in tuberculous pleurisy.

Min Han, Heping Xiao, Liping Yan,

BACKGROUND:Tuberculous pleurisy (TBP) is the most common form of extrapulmonary tuberculosis (TB). However, rapid diagnostic methods with high accuracy for tuberculous pleurisy are urgently needed. In the present study, we evaluated the diagnostic accuracy of Xpert MTB/RIF, LAMP and SAT-TB assay with pleural fluids from culture-positive TBP patients. METHODS:We prospectively ... Read more >>

BMC Infect. Dis. (BMC infectious diseases)
[2020, 20(1):242]

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Development of Pulmonary Edema Despite Negative Fluid Balance with Diuretics in a Patient with Heart Failure and Sigmoid Septum.

Koji Miyazaki, Yuki Onuma, Rena Komatsu, Masahiro Kamono,

An 87-year-old man was hospitalized due to dyspnea and leg edema. He was diagnosed with heart failure due to anemia with a hemoglobin (Hb) concentration of 6.0 g/dL. Chest X-ray on admission revealed pleural effusion. He was transfused with 400 mL packed red blood cells, which elevated the Hb concentration ... Read more >>

Tokai J. Exp. Clin. Med. (The Tokai journal of experimental and clinical medicine)
[2020, 45(1):31-36]

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The value of chest magnetic resonance imaging compared to chest radiographs with and without additional lung ultrasound in children with complicated pneumonia.

Philip Konietzke, Jan Mueller, Felix Wuennemann, Willi L Wagner, Jens-Peter Schenk, Abdulsattar Alrajab, Hans-Ulrich Kauczor, Mirjam Stahl, Marcus A Mall, Mark O Wielpütz, Olaf Sommerburg,

INTRODUCTION:In children with pneumonia, chest x-ray (CXR) is typically the first imaging modality used for diagnostic work-up. Repeated CXR or computed tomography (CT) are often necessary if complications such as abscesses or empyema arise, thus increasing radiation exposure. The aim of this retrospective study was to evaluate the potential of ... Read more >>

PLoS ONE (PloS one)
[2020, 15(3):e0230252]

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Diagnostic accuracy of thoracic ultrasonography to differentiate transudative from exudative pleural effusion.

Boris Shkolnik, Marc A Judson, Adam Austin, Kurt Hu, Melissa D'souza, Alexis Zumbrunn, John T Huggins, Recai Yucel, Amit Chopra,

BACKGROUND:There are limited data examining the diagnostic accuracy of thoracic ultrasonography (TUS) in distinguishing transudative from exudative pleural effusions. RESEARCH QUESTION:What is the diagnostic accuracy of TUS in distinguishing transudative from exudative effusions in consecutive patients with pleural effusion? STUDY DESIGN AND METHODS:Consecutive patients who underwent TUS and subsequently a ... Read more >>

Chest (Chest)
[2020, :]

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Investigation of a unilateral pleural effusion: What CT scan coverage is optimal?

Tom Syer, David T Arnold, Sonia Patole, John Harvey, Andrew Medford, Nicholas A Maskell, Anthony Edey,

The use of thoracic CT for patients presenting with a unilateral pleural effusion is well established. However, there is no consensus with regard to the inclusion of the entire abdomen and pelvis in the initial imaging protocol. In this prospective UK-based study, 249 patients presenting with a unilateral effusion had ... Read more >>

Thorax (Thorax)
[2020, :]

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Novel pleural-bladder pump in malignant pleural effusions: from animal model to man.

Philippe Astoul, Sophie Laroumagne, Jeroen Capel, Nicholas A Maskell,

Malignant pleural effusion is common and causes disabling symptoms such as breathlessness. Treatments are palliative and centred around improving symptoms and quality of life but an optimal management strategy is yet to be universally agreed. A novel pump system, allowing fluid to be moved from the pleural space to the ... Read more >>

Thorax (Thorax)
[2020, :]

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Development of an Innovative Nonanimal Training Model for Infant Pleural Effusion Drainage via Pigtail Catheter Placement.

Adrian D Zurca, Angel Diaz-Sanchez, Lisa Mackley, David L Rodgers,

BACKGROUND:Chest tube placement is an important skill for providers and bedside nurses caring for critically ill infants, allowing for the evacuation of pleural fluid and pneumothoraces. No realistic simulation models are commercially available for trainees to practice and learn this skill on infants. PURPOSE:Our objective was to develop an inexpensive ... Read more >>

Adv Neonatal Care (Advances in neonatal care : official journal of the National Association of Neonatal Nurses)
[2020, 20(2):176-179]

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Re-evaluation of Ventriculopleural Shunting: Long-term Efficacy and Complication Rates in the Modern Era.

Hirotaka Hasegawa, Lorenzo Rinaldo, Fredric B Meyer, Giuseppe Lanzino, Benjamin D Elder,

INTRODUCTION:Ventriculopleural shunt (VPLS) is recognized as an alternative method when the standard ventriculoperitoneal shunt (VPS) is not applicable. Nevertheless, there is limited clinical evidence of its effectiveness including long-term patency. METHODS:Data on 35 consecutive patients who underwent VPLS at a single institution was retrospectively analyzed. The rates of shunt survival ... Read more >>

World Neurosurg (World neurosurgery)
[2020, :]

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Healthcare Costs and Utilization among Patients Hospitalized for Malignant Pleural Effusion.

Majid Shafiq, Xiaomeng Ma, Niloofar Taghizadeh, Hadi Kharrazi, David J Feller-Kopman, Alain Tremblay, Lonny B Yarmus,

BACKGROUND:Malignant pleural effusion (MPE) poses a considerable healthcare burden, but little is known about trends in directly attributable hospital utilization. OBJECTIVE:We aimed to study national trends in healthcare utilization and outcomes among hospitalized MPE patients. METHODS:We analyzed adult hospitalizations attributable to MPE using the Healthcare Cost and Utilization Project - ... Read more >>

Respiration (Respiration; international review of thoracic diseases)
[2020, :1-7]

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Diagnostic performance of nucleic acid tests in tuberculous pleurisy

He-ping Xiao, Min Han, Liping Yan,

<title>Abstract</title> <p> Background: Tuberculous pleurisy (TBP) is the most common form of extrapulmonary tuberculosis (TB). However, rapid diagnostic methods with high accuracy for tuberculous pleurisy are urgently needed. In the present study, we evaluated the diagnostic accuracy of Xpert MTB/RIF, LAMP and SAT-TB assay with pleural fluids from ... Read more >>

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Viscum pleurodesis is as effective as talc pleurodesis and tends to have less adverse effect.

YongJin Chang, DeogGon Cho, KyuDo Cho, MinSeop Cho,

PURPOSE:Many patients diagnosed with advanced cancer have malignant pleural effusion that does not respond to chemotherapy or radiation therapy. These patients often have respiratory symptoms, especially dyspnea. In order to relieve these symptoms, various procedures including chemical pleurodesis have been performed. Although talc is the most widely used and effective ... Read more >>

Support Care Cancer (Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer)
[2020, :]

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Is Bigger Really Better? Comparison of Ultraportable Handheld Ultrasound with Standard Point-of-Care Ultrasound for Evaluating Safe Site Identification and Image Quality prior to Pleurocentesis.

Sarah M Newhouse, Tanja W Effing, Brendan D Dougherty, Jason A D Apos Costa, Anand R Rose,

BACKGROUND:Pleural effusions remain a common medical problem which often requires diagnostic pleurocentesis to determine the underlying cause. Pleurocentesis is a frequently performed procedure worldwide with improved safety using ultrasound (US) technology. OBJECTIVES:This prospective, single-center study evaluated the use of an ultraportable handheld (UPHH) US compared with standard point-of-care (SPOC) US ... Read more >>

Respiration (Respiration; international review of thoracic diseases)
[2020, :1-8]

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Correction to: A child with bilateral multiple renal cysts presenting with ascites and pleural effusion: answers.

Ayşe Ağbaş, Bağdagül Aksu, Güzide Doğan, Türkan İkizceli, Hatice Nilgün Duru Selçuk, Murat Elevli,

The original version of this article unfortunately contained a mistake. The answer to question 3 was presented incorrectly. The correct answer is given below. ... Read more >>

Pediatr. Nephrol. (Pediatric nephrology (Berlin, Germany))
[2020, 35(4):717]

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Meglumine diatrizoate esophagogram after peroral endoscopic myotomy (POEM): identification of imaging findings associated with clinical complications and longer hospital stay.

Maximilien Barret, Anthony Dohan, Ammar Oudjit, Sarah Leblanc, Arthur Belle, Einas Abouali, Romain Coriat, Stanislas Chaussade, Philippe Soyer,

OBJECTIVES:Esophageal peroral endoscopic myotomy (POEM) is the treatment of reference of major obstructive esophageal motility disorders but the detection of early complications remains challenging. Our aim was to report the radiological findings on meglumine diatrizoate esophagograms after esophageal POEM and identify variables associated with patient outcomes. METHODS:The imaging and clinical ... Read more >>

Eur Radiol (European radiology)
[2020, :]

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Chest CT manifestations of new coronavirus disease 2019 (COVID-19): a pictorial review.

Zheng Ye, Yun Zhang, Yi Wang, Zixiang Huang, Bin Song,

Coronavirus disease 2019 (COVID-19) outbreak, first reported in Wuhan, China, has rapidly swept around the world just within a month, causing global public health emergency. In diagnosis, chest computed tomography (CT) manifestations can supplement parts of limitations of real-time reverse transcription polymerase chain reaction (RT-PCR) assay. Based on a comprehensive ... Read more >>

Eur Radiol (European radiology)
[0, :1-9]

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A comparative study of pericardial effusion and pleural effusion after cryoballoon ablation or radiofrequency catheter ablation of atrial fibrillation.

Fang Yi Xiao, Wei Zhu Ju, Hong Wu Chen, Wei Jian Huang, Minglong Chen,

INTRODUCTION:The incidence and clinical outcome of pericardial and pleural effusion after cryoballoon ablation (CBA) or radiofrequency catheter ablation (RFCA) of atrial fibrillation (AF) have not been fully investigated. METHODS:A total of 60 patients with paroxysmal AF were treated with either CBA (n = 30) or RFCA (n = 30) groups, with assessment of serum ... Read more >>

J. Cardiovasc. Electrophysiol. (Journal of cardiovascular electrophysiology)
[2020, :]

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Intrathoracic infusion therapy of thymic peptides and chemical irritants for malignant pleural effusion: a meta-analysis of 24 randomized controlled trials

zheng xiao, Cheng-Qiong Wang, Min He, You-Shu Shen, Xiao-Tian Zheng, Yuan-Xiu He, Ya-Hui Yang, Teng-Yang Fan, Shu-Guang Li, Xiao-Fan Chen, Ji-Hong Feng, Xue Xiao, Xing-Sheng Yao,

<title>Abstract</title> <p> Background: To further determine the clinical efficacy and survival of intrathoracic infusion with TPs and chemical irritants and their therapeutic threshold and optimal control regimen to achieve a desired response in malignant pleural effusion (MPE). Methods: We collected all randomized controlled trials (RCTs) of TPs with ... Read more >>

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Identification of differentially expressed miRNAs in differentiating benign from malignant pleural effusion.

Quanlei Bao, Yaping Xu, Ming Ding, Ping Chen,

BACKGROUND:Tuberculosis pleural effusion (TPE) and malignant pleural effusion (MPE) are very common clinical complications. Considering the totally different prognosis and clinical treatment of TPE and MPE, the accurate and non-invasive diagnosis are very critical for patients with pleural effusion to initiate efficient management and treatment. However, effective clinical biomarkers were ... Read more >>

Hereditas (Hereditas)
[2020, 157(1):6]

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Prognostic Value of Hematological Inflammatory Markers in Patients with Pleural Effusion Due to Heart Failure.

Eduardo Garcia-Pachon, Maria J Soler-Sempere, Paula Cerda-Guilabert, Lucía Zamora-Molina, Carlos Baeza-Martinez, Justo Grau-Delgado, Isabel Padilla-Navas,

BACKGROUND:Pleural effusions due to heart failure are associated with a high 1-year mortality. Several hematological parameters have been shown to provide prognostic information in patients with cardiovascular diseases. The objective was to assess whether hematological markers can also provide prognostic information in patients with pleural effusion caused by heart failure. ... Read more >>

Clin. Lab. (Clinical laboratory)
[2020, 66(3):]

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Influence of age on the diagnostic accuracy of soluble biomarkers for tuberculous pleural effusion: a post hoc analysis

Huan-Zhong Shi, Chun-Guo Jiang, Wen Wang, Qiong Zhou, Xiu-Zhi Wu, Xiao-Juan Wang, Zhen Wang, Kan Zhai,

<title>Abstract</title> <p> Background: Accurately diagnosing pleural effusion is a frequent and significant problem in clinical practice. We sought to evaluate the influence of age on the diagnostic values of pleural adenosine deaminase (ADA), interferon-gamma (IFN-γ), and interleukin 27 (IL-27) for tuberculous pleural effusion (TPE). Methods: Two hundred seventy-four ... Read more >>

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Delayed Chylothorax during Treatment of Follicular Lymphoma with a Malignant Pleural Effusion.

Chigozirim N Ekeke, Ernest G Chan, James D Luketich, Rajeev Dhupar,

Chylothorax occurs following dysfunction or disruption of the lymphatic drainage along the thoracic duct. Malignant and traumatic causes account for the majority of these occurrences, with lymphoma accounting for 11-37% of chylothoraces. The clinical course of chylothorax may include dehydration, malnutrition, immunosuppression, electrolyte disturbances, infection, and ultimately death. Management of ... Read more >>

Case Rep Surg (Case reports in surgery)
[2020, 2020:2893942]

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Clinical Outcome of Residual Liver Volume and Hepatic Steatosis After Right-Lobe Living-Donor Hepatectomy.

Chia-En Hsieh, Kuo-Hua Lin, Ya-Lan Hsu, Chen-Te Chou, Chia-Bang Chen, Ping-Yi Lin, Chia-Cheng Lin, Yu-Ju Hung, Li-Chueh Weng, Yao-Li Chen,

BACKGROUND We examine how residual liver volume (RLV) and hepatic steatosis (HS) of living liver donors affect the regeneration process and clinical outcomes. MATERIAL AND METHODS We longitudinally studied 58 donors who underwent right-lobe hepatectomy during the period February 2014 to February 2015 at a single medical institution. The patients ... Read more >>

Ann. Transplant. (Annals of transplantation)
[2020, 25:e919502]

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Lipidised urothelial carcinoma in pleural effusion-A case report.

Charalampos Saganas, Ekkehard Hewer,

Diagn. Cytopathol. (Diagnostic cytopathology)
[2020, :]

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Clinical relevance and characteristics of nontuberculous mycobacterial pleuritis.

Peng Wen, Min Wei, Yu-Rong Xu, Liang Dong,

Nontuberculous mycobacteria (NTM) disease is of increasing public health concern, data regarding pleural effusion in NTM disease patients are limited. The purpose of this study was to investigate the clinical relevance and characteristics of NTM pleuritis. Patients with pleural effusion and NTM disease diagnosed between April 2012 and November 2017 ... Read more >>

Jpn. J. Infect. Dis. (Japanese journal of infectious diseases)
[2020, :]

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