Novel Use of Pleural Ultrasound Can Identify Malignant Entrapped Lung Prior to Effusion Drainage

Salamonsen, Matthew; Lo, Ada K. C; Ng, Arnold C.T.; Bashirzadeh, Farzad; Wang, William Y.S.; Fielding, David

doi:10.1378/chest.13-2876

Cited by 73 publications

(70 citation statements)

References 16 publications

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“…Chest ultrasound can detect the presence of pleural adhesions and is able to assess the potential for lung expansion. As described by Salamonsen et al ., thoracic ultrasound with measurement of tissue movement and deformation of the atelectatic lobe (M‐mode and/or elastography) prior to draining thoracocentesis can help identify a trapped lung . Our survey using the M‐mode alone corroborates these findings as we show a high sensitivity (91%) and specificity (88%) for decreased lung expandability after pleurodesis in a subset of patients.…”

Section: Discussionsupporting

confidence: 74%

Success rate of medical thoracoscopy and talc pleurodesis in malignant pleurisy: A single‐centre experience

et al. 2018

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Section: Discussionsupporting

confidence: 74%

Success rate of medical thoracoscopy and talc pleurodesis in malignant pleurisy: A single‐centre experience

et al. 2018

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“…Recently, a commercially available device is available for measuring pleural manometry digitally without the need of U-tube manometer. Pleural manometry, chest imaging and ultrasound of the chest are useful in assessing re-expansion post pleural drainage and can help in deciding the intervention for palliation in case of recurrence of symptomatic pleural effusion (53).…”

Section: Therapeutic Thoracentesismentioning

confidence: 99%

Diagnosis and management of malignant pleural effusions: state of the art in 2017

Desai

Lee

2017

J. Thorac. Dis.

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Malignant pleural effusion (MPE) is a known complication of both thoracic and extra thoracic malignancies. The presence of MPE regardless of the primary site translates into advanced stage disease.Diagnosis and management of MPE with the goals of palliation and improving quality of life poses a challenge for chest physicians. Recently, multiple studies have made attempts to answer questions regarding optimal management in various clinical scenarios. We will review the current evidence and available options for the management of MPE.

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“…[17] In massive PE, often very malignant, a flattening and even inversion of the diaphragm can also be seen. Finally, a recent study has shown that chest US can identify an unexpandable lung[23] which has implications as discussed below.…”

Section: Imaging Techniquesmentioning

confidence: 99%

Pleural procedures in the management of malignant effusions

Ferreiro¹,

Suárez-Antelo

Valdés³

2017

Ann Thorac Med

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Malignant pleural effusion (MPE) is common in clinical practice, and despite the existence of studies to guide clinical decisions, it often poses diagnostic and therapeutic dilemmas. Once it is diagnosed, median survival does not usually exceed 6 months. The management of these patients focuses on symptom relief since no treatments have been shown to increase survival to date. Conversely, poor management can shorten survival. The approach must be multidisciplinary and allow for individualized care. Initial diagnostic procedures should be minimally invasive and, according to the results and other factors, procedures of increasing complexity will be selecting. Likewise, the treatment of MPEs should be individualized according to factors such as type of tumor, patient functional status, means available, benefits of each procedure, or life expectancy. Currently, treatment seems to tend toward less interventional approaches, in which patients can be managed on an outpatient basis, thus minimizing both the discomfort that more aggressive approaches involve and the costs of care associated with this disease. This article reviews the pleural procedures employed in the management of MPEs with special emphasis on the indication for each one, its usefulness, benefits, and complications.

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Novel Use of Pleural Ultrasound Can Identify Malignant Entrapped Lung Prior to Effusion Drainage

Cited by 73 publications

References 16 publications

Success rate of medical thoracoscopy and talc pleurodesis in malignant pleurisy: A single‐centre experience

Success rate of medical thoracoscopy and talc pleurodesis in malignant pleurisy: A single‐centre experience

Diagnosis and management of malignant pleural effusions: state of the art in 2017

Pleural procedures in the management of malignant effusions

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