Rapid pleurodesis for XXXX .

@entity1 @entity1143 @entity5 @entity72276 @entity1732 @entity3483
STUDY OBJECTIVE: To determine the feasibility of rapid pleurodesis in @entity1 with @entity3483 in order to reduce hospital length of stay in @entity1 with a limited life expectancy. DESIGN: Prospective case series. SETTING: Two university hospital programs. @entity1 : Thirty-eight @entity1 with symptomatic @entity1143 associated with @entity5 . INTERVENTIONS: @entity72276 catheter was inserted percutaneously into the pleural space after radiographic confirmation of free fluid by lateral decubitus views. Following radiographic confirmation of complete fluid evacuation, a sclerosing agent (ie, talc slurry or @entity1732 ) was instilled into the pleural space. This was accomplished within 2 h of chest tube insertion, unless the tube was inserted in the evening or if the lung was trapped. After clamping the tube for 90 min, the pleural space was drained for 2 h, after which the chest tube was removed. The intervention was scored as "successful" if no radiographic evidence of fluid reaccumulation was noted at 4 weeks. A "partial successful" score indicated reaccumulation of fluid that did not produce symptoms and did not require repeat pleural drainage of any sort. All other outcomes were scored as "unsuccessful." MEASUREMENTS AND RESULTS: Forty chest tubes were inserted into 38 @entity1 . Four procedures revealed the presence of a trapped lung and did not result in any attempt at pleurodesis. Five @entity1 who received pleurodesis died in less than 1 month and therefore were not evaluable. Two @entity1 had technical problems with the chest tube and were not evaluable. Of the remaining 29 procedures, drainage procedures with pleurodesis were performed in 27 @entity1 , a complete response was seen in 14 @entity1 (48%), a partial response was seen in 9 @entity1 (31%), and 6 @entity1 (21%) did not respond to pleurodesis. Chemical pleurodesis was completed as an outpatient procedure in only two @entity1 . In one of these, the outcome was unsuccessful. In the remainder, insertion of the chest tube in the evening or additional medical problems necessitated hospital admission, but the entire procedure was completed within 24 h. CONCLUSIONS: Chemical pleurodesis can be accomplished with good results in < 24 h in the majority of @entity1 with @entity3483 .
