Source: International Congress 2014 – Different interesting issues in respiratory infections: 1
Disease area: Respiratory infections

Abstract

Background: The standard therapy for empyema is chest drainage, and sometimes this needs to be performed for an extended period. Therefore, such drainage needs to be both effective and comfortable for the patient.Objective: To study the applicability of a thin slit-type catheter for drainage of parapneumonic pleural effusion and empyemaMethods: The studied patients were diagnosed by thoracocentesis. The outer diameter of the catheter employed was 5 mm, and the suction width was adjustable by cutting the tube to suit each patient. The drainage position was decided under radiographic guidance with or without a guidewire. Re-evaluation of the drainage was performed after 2 days. If a massive fluid space persisted, we planned a new approach such as addition of drains. The criterion for catheter removal was drainage of less than 50 ml of serous fluid per day.Results: Seven patients were included, all of them male, with an average age of 61 (50-87) years. Three of the patients had diabetes, and 3 had psychotic conditions. According to Light's classification, 5 cases were Class 3-5 and 2 were Class 6-7. Use of an additional catheter was needed in two patients who were Class 4 and 7. The average duration of drainage was 8.6 (5-12) days, and the average duration of antibiotic administration was 16.9 (8-24) days. All of the patients recovered and were discharged.Conclusion: Even a thin slit-type catheter is effective for drainage of parapneumonic pleural effusion and empyema. Because this type of catheter has a wide suctionable range and is made of soft material, it is useful for efficient suction, and is more comfortable for the patient.

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Citations should be made in the following way:
N. Misaki, Y. Kita, K. Yoji, N. Kishimoto (Kagawa, Japan). Treatment of parapneumonic pleural effusion and empyema by chest drainage with a thin slit-type catheter. Eur Respir J 2014; 44: Suppl. 58, 2546

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