RT Journal Article
SR Electronic
T1 Prospective evaluation of efficacy and safety of pleuroscopy for pleural effusion
JF European Respiratory Journal
JO Eur Respir J
FD European Respiratory Society
SP P496
VO 44
IS Suppl 58
A1 Jenny Ngai
A1 Alvin Tung
A1 Susanna Ng
A1 Fanny Ko
A1 David Hui
YR 2014
UL http://erj.ersjournals.com/content/44/Suppl_58/P496.abstract
AB Background: Pleuroscopy is a minimal invasive procedure with increasing popularity among pulmonologistObjective: A prospective study to assess the efficacy and safety for pleuroscopy in diagnosis of pleural effusion and talc poudrage for malignant pleural effusion.Methods: From July 2009-June 2013, all patients undergo pleuroscopy for diagnostic or therapeutic indications were included and followed up for 6 months. Clinical data including diagnostic yield, complication and outcome were recorded prospectively.Result: 81 patients were recruited. Overall diagnostic yield was 90% [89.5%(34/38) for malignant disease, 91.7%(11/12) for benign disease and 85.7% (6/7)for TB pleuritis]. Minor complications including talc related fever (0.14%), prolonged air leak (0.04%), increase oxygen consumption (0.01%) and CO2 retention (0.01%) were observed. No mortality or major complication occurred. Minimal sedation was given: average dose of pethidine, fentanyl and dormicum were 48.8mg(SD6.57), 13.1mcg(SD19.06) and 0.45mg(SD0.79) respectively. Duration of chest drain and length of stay were 1.98 days(SD1.42) and 5.1 days(SD2.8) respectively. Total 51 talc poudrage were done with average dose of talc was 4.47g(SD0.97). 19 patients had talc poudrage base on macroscopic appearance of pleura before histological diagnosis. Success rates with pleuroscopic talc pleurodesis for malignant pleural effusions were 86.7%, 72.5% and 64.7% at 1, 3 and 6 months respectively. 15 patients died within the follow up period.Conclusion: Pleuroscopy is a safe procedure with high diagnostic yield for undiagnosed pleural effusion and efficacious procedure for talc poudrage in malignant pleural effusion.