Expiratory Flow Limitation in Patients with Pleural Effusion

Spyratos, Dionisios; Sichletidis, Lazaros; Manika, Κaterina; Kontakiotis, Theodoros; Chloros, Diamantis; Patakas, D.

doi:10.1159/000101489

Cited by 9 publications

(7 citation statements)

References 26 publications

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“…The mean amount of fluid removed was 1,564 mL. Spyratos et al and Michaelides et al reported similar results and no correlation between the spirometric results and the volume of aspirated fluid (9, 10). Gilmartin et al reported the influence of pneumothorax on the pulmonary function (11).…”

Section: Discussionmentioning

confidence: 58%

Bronchodilator Reversibility Occurring during the Acute Phase of <i>Paragonimiasis westermani</i> Infection

et al. 2019

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A 43-year-old woman was referred to our hospital with peripheral blood hyper eosinophilia and abnormal chest X-ray findings. Her pleural effusion revealed hypereosinophilia and a low glucose level. She was diagnosed with pulmonary paragonimiasis based on an elevated antibody level of Paragonimiasis westermani. Although she had no medical history of allergic disorders, a pulmonary function test revealed bronchodilator reversibility. After praziquantel therapy, her symptoms, hypereosinophilia in peripheral blood, and pleural effusion were improved. A repeated pulmonary function test after praziquantel therapy showed a negative bronchodilator response. Pulmonary paragonimiasis may induce bronchodilator reversibility during the acute phase of infection.

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Section: Discussionmentioning

confidence: 58%

Bronchodilator Reversibility Occurring during the Acute Phase of <i>Paragonimiasis westermani</i> Infection

et al. 2019

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“…A study of 21 patients demonstrated significant improvement in expiratory flow limitation following thoracentesis that was most pronounced in the supine position. 16 A cohort of 19 patients with large pleural effusion underwent full polysomnography the night prior to thoracentesis as well as 36 hours after thoracentesis. 20 Sleep quality was poor prior to thoracentesis.…”

Section: Patient-related Outcomesmentioning

confidence: 99%

Physiologic Basis of Symptoms in Pleural Disease

DeBiasi

Feller‐Kopman

2019

Semin Respir Crit Care Med

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Pleural effusions are commonly encountered and have a significant impact on the respiratory system. The reported effect of thoracentesis on physiologic parameters including oxygenation, lung volumes, and respiratory mechanics is variable likely owing to studies with a small, heterogeneous population of patients.Most patients who are short of breath from pleural effusion experience relief following drainage due to improvement in the length–tension relationship of the respiratory muscles. An observed increase in oxygenation following thoracentesis is likely due to improved ventilation and perfusion matching. Recent advances in methods of measuring pleural pressure provide a greater understanding of the impact of pleural effusion on pleural pressure and changes in pleural pressure with thoracentesis; however, there has been no demonstrated benefit of routine monitoring of pleural pressure to reduce complications from thoracentesis. Manometry does allow for the identification of patients with unexpandable lung which is useful when determining options for pleural palliation. The following article will review the pathophysiological effects of pleural effusion and thoracentesis.

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“…In addition to improvements in all spirometric measurements, a study of 21 patients demonstrated significant improvement in expiratory flow limitation that was most pronounced in the supine position. 57…”

Section: Understanding the Physiologic Impact Of Thoracentesismentioning

confidence: 99%

Thoracentesis

DeBiasi

Puchalski

2016

PLEURA

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Pleural effusions are common and account for high morbidity and mortality in a range of patients. Thoracentesis can provide significant symptom relief and improvement in physiologic parameters including dyspnea, exercise, and sleep. Recent advances, including the use of ultrasound and dedicated procedural teams, have improved the safety of thoracentesis. This has allowed thoracentesis to be performed on higher-risk individuals including those with elevated bleeding risk and bilateral pleural effusions. This review will summarize recent advances in thoracentesis procedural safety, symptom relief following thoracentesis, and understanding of the physiologic basis for such improvements.

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Expiratory Flow Limitation in Patients with Pleural Effusion

Cited by 9 publications

References 26 publications

Bronchodilator Reversibility Occurring during the Acute Phase of <i>Paragonimiasis westermani</i> Infection

Bronchodilator Reversibility Occurring during the Acute Phase of <i>Paragonimiasis westermani</i> Infection

Physiologic Basis of Symptoms in Pleural Disease

Thoracentesis

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