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Contents loading... Editors loading... Categories loading... When refering to evidence in academic writing, you should always try to reference the primary (original) source. That is usually the journal article where the information was first stated. In most cases Physiopedia articles are a secondary source and so should not be used as references. Physiopedia articles are best used to find the original sources of information (see the references list at the bottom of the article). If you believe that this Physiopedia article is the primary source for the information you are refering to, you can use the button below to access a related citation statement. Description[edit | edit source]A pleurodesis is a form of pleural surgery which aims to obliterate the pleural space between the visceral and parietal pleura. This involves a chemical or surgical procedure to create an adhesion between the two pleura.
Indication[edit | edit source]The pleural space between the parietal and visceral pleura usually contains around 50ml of pleural fluid[1]. Under pathological conditions, such as pneumothorax or pleural effusion, air or excess fluid can build up in the pleural space. If this becomes recurrent and significantly symptomatic, pleurodesis may be indicated. Any condition which causes extra fluid to collect in the pleural cavity may require a pleurodesis. These include: heart failure, pneumonia, tuberculosis, cancer, liver and kidney disease and inflammation of the pancreas[2]. Typically, a recurrent pleural effusion (particularly if malignant) or recurrent or persistent pneumothorax may be treated by pleurodesis. Clinical Presentation[edit | edit source]Depending on the reason that the pleurodesis is required, patients may present with signs of pleural effusion or pneumothorax, such as:
Complications[edit | edit source]Complications from chemical pleurodesis include:
In the case of failed pleurodesis, pleurectomy may be required to control malignant pleural effusions[1]. Patients must be good surgical candidates and have a reasonably long expected survival because total radical pleurectomy/decortication requires a thoracotomy and is a major surgical procedure associated with considerable morbidity and some mortality. Resources[edit | edit source]Oxford Centre for Respiratory Medicine. Pleurodesis Information for patients [online]. Accessed 31 March 2022 References[edit | edit source]
Which procedure removes fluid from the pleural cavity?Thoracentesis is a procedure to remove fluid or air from around the lungs. A needle is put through the chest wall into the pleural space.
What is the main procedure used for pleural effusions?Thoracentesis is a minimally invasive procedure that doctors use to diagnose and treat pleural effusions. This is a condition in which there is excess fluid in the pleural space, also called the pleural cavity.
What diagnostic procedure is used to remove pleural?Thoracentesis is a procedure used to obtain a sample of fluid from the space around the lungs, called the pleural space. This fluid is called pleural fluid and normally exists only as a thin layer in the area between the lungs and chest wall.
Is an invasive procedure to remove fluid or air from the pleural space for diagnostic or therapeutic purposes?Thoracocentesis (from the Greek words, thorax + centesis, puncture) is an invasive procedure associated with removal of fluid or air from the pleural space for diagnostic or therapeutic purposes (1).
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