Competence in pleural procedures.

Competence in pleural procedures. Panminerva Med. 2018 Oct 31;: Authors: Carlucci P, Trigiani M, Mori PA, Mondoni M, Pinelli V, Casalini AG, Conte EG, Buggio G, Villari L, Marchetti G Abstract Diseases of the pleura and pleural space are common and present a significant contribution to the workload of respiratory physicians, accounting for an annual incidence of more than 1.5 million cases in the US with the majority of cases resulting from congestive heart failure, pneumonia, and cancer 1. Although the radiographic and ultrasonographic detection of pleural abnormalities may be obvious, the determination of a specific diagnosis can often represent a challenge. Since pleural effusions can develop as the result of over 50 different pleuropulmonary or systemic disorders, determining the cause of a pleural effusion can be greatly facilitated by the analysis of the pleural fluid obtained during an ultrasound guided thoracentesis. Invasive procedures such as ultrasound/CT-guided pleural biopsy or medical thoracoscopy can be useful in selected patients. The knowledge of the etiology and of the management of primary and secondary spontaneous pneumothorax is mandatory in an interventional pulmonology training programme, while the medical or surgical treatment of the recurrence is still a matter of discussion. Pleural drainage is a diagnostic and therapeutic procedure used in the treatment of pneumothorax and large pleural effusions, pleural i...
Source: Panminerva Medica - Category: General Medicine Tags: Panminerva Med Source Type: research