Comparison of efficacy of closed thoracic drainage and thoracocentesis
in the treatment of pleural effusion.
Empyema was defined as the visualising of purulent/pus/turbid fluid after thoracocentesis
or drainage; an ultrasound scan of the chest demonstrating fibrin strands, loculations or dense fluid; a CT scan demonstrating hyperdense fluid or splitting of the pleura; a neutrophil predominance ([greater than or equal to] 2+) on pleural fluid microscopy; or a bacterial organism identified on culture of the pleural fluid.
: It is an invasive technique that is based on surgical puncture to evacuate the pleural fluid from the chest wall for cytochemical study and bacteriological examination.
In patients with cardiovascular or central nervous system problems, or for interventions such as radiography or thoracocentesis
, satisfactory sedation can be achieved with this combination (Guzel, 2003; Liao et al., 2017; Mathews and Dyson, 2005).
Pericardiocentesis and thoracocentesis
Body cavity fluids and effusions can be obtained via thoracocentesis
as a minimally invasive procedure and have the advantage of serial collection, if needed, for diagnosis and/or prognostic and predictive biomarker studies.
He has been regularly performing bronchoscopy, medical thoracoscopy, ultrasound guided thoracocentesis
, various other pulmonary procedures and sleep studies at tertiary care centres in India.
Various therapeutic options have been reported in literature for management of chest injuries such as clinical observation, thoracocentesis
, tube thoracostomy, and open thoracotomy.
Pleural effusion samples, obtained by thoracocentesis
from 76 patients admitted to the Greater Poland Centre of Pulmonology and Thoracic Surgery, were subjected to a routine laboratory diagnosis and analyzed by conventional cytology.
: clinical value, complications, technical problems, and patient experience," Chest, vol.
showed pH 6.9, protein 4.6 g/dl (serum protein 5.7 g/dl; reference range: 6.4-8.9 g/dl), albumin 2.1 g/dl (serum albumin 2.2 g/dl), and lactate dehydrogenase (LDH) 4844 IU/L (serum LDH: 273 IU/L), suggestive of empyema.