RT Journal Article
SR Electronic
T1 District General Hospital experience with indwelling pleural catheters(IPC); in-patient and outpatient management
JF European Respiratory Journal
JO Eur Respir J
FD European Respiratory Society
SP P502
VO 44
IS Suppl 58
A1 Narendra Babu Rampura Chinnappa
A1 Amit Benjamin
YR 2014
UL http://erj.ersjournals.com/content/44/Suppl_58/P502.abstract
AB Introduction: IPC's are effective in controlling recurrent and symptomatic malignant pleural effusions and are recommended (Grade B Evidence) in the current British Thoracic Society Guidelines1. Recent Trial data has shown in reduction in Length of stay (LOS.)2Aims and Objectives:At our DGH (population 289,400) IPC's have been used since July 2011. We initially inserted all IPC's on inpatients (n=12) and as experience was gained the IPC's were inserted on outpatients from July 2013 (n=6)To study and review the 1. number of IPC's inserted as in patients and out patients 2.Cancer types 3.Performance status (PS)4. LOS (in-patients) 5.Estimated days saved by performing procedure as outpatient 6.Complications.Methods: Retrospective collection of data from the patients who had IPC'S inserted since July 2011 till Dec 2013.Results: Results are concluded in the Table (1).View this table:Conclusion: At our DGH we required 1 year of inpatient experience (n=12) before IPC's were used with outpatients. Even with just 6 outpatient IPC insertions, 27 hospital days have been saved to date. We conclude from our experience at least a year of inpatient experience with multidisciplinary staff involvement and education is required before OPD management of IPC's is attempted. Outpatients also need a PS of 0 -2 .OPD management does however seem to result in bed day savings.References: 1) Thorax 2010;652) Davies HE,et al. JAMA 2012.