The management of benign non-infective pleural effusions.

The evidence base concerning the management of benign pleural effusions has lagged behind that of malignant pleural effusions in which recent randomised trials are now informing current clinical practice and international guidelines.The causes of benign pleural effusions are broad, heterogenous and...

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Autori principali: Bintcliffe, O, Lee, G, Rahman, N, Maskell, N
Natura: Journal article
Lingua:English
Pubblicazione: European Respiratory Society 2016
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author Bintcliffe, O
Lee, G
Rahman, N
Maskell, N
author_facet Bintcliffe, O
Lee, G
Rahman, N
Maskell, N
author_sort Bintcliffe, O
collection OXFORD
description The evidence base concerning the management of benign pleural effusions has lagged behind that of malignant pleural effusions in which recent randomised trials are now informing current clinical practice and international guidelines.The causes of benign pleural effusions are broad, heterogenous and patients may benefit from individualised management targeted at both treating the underlying disease process and direct management of the fluid. Pleural effusions are very common in a number of non-malignant pathologies, such as decompensated heart failure, and following coronary artery bypass grafting. Pleural fluid analysis forms an important basis of the diagnostic evaluation, and more specific assays and imaging modalities are helpful in specific subpopulations.Options for management beyond treatment of the underlying disorder, whenever possible, include therapeutically aspirating the fluid, talc pleurodesis and insertion of an indwelling pleural catheter. Randomised trials will inform clinicians in the future as to the risks and benefits of these options providing a guide as to how best to manage patient symptoms in this challenging clinical setting.
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spelling oxford-uuid:4c52f668-8ccf-4de2-99e8-80de1ac879bc2022-03-26T15:48:53ZThe management of benign non-infective pleural effusions.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:4c52f668-8ccf-4de2-99e8-80de1ac879bcEnglishSymplectic Elements at OxfordEuropean Respiratory Society2016Bintcliffe, OLee, GRahman, NMaskell, NThe evidence base concerning the management of benign pleural effusions has lagged behind that of malignant pleural effusions in which recent randomised trials are now informing current clinical practice and international guidelines.The causes of benign pleural effusions are broad, heterogenous and patients may benefit from individualised management targeted at both treating the underlying disease process and direct management of the fluid. Pleural effusions are very common in a number of non-malignant pathologies, such as decompensated heart failure, and following coronary artery bypass grafting. Pleural fluid analysis forms an important basis of the diagnostic evaluation, and more specific assays and imaging modalities are helpful in specific subpopulations.Options for management beyond treatment of the underlying disorder, whenever possible, include therapeutically aspirating the fluid, talc pleurodesis and insertion of an indwelling pleural catheter. Randomised trials will inform clinicians in the future as to the risks and benefits of these options providing a guide as to how best to manage patient symptoms in this challenging clinical setting.
spellingShingle Bintcliffe, O
Lee, G
Rahman, N
Maskell, N
The management of benign non-infective pleural effusions.
title The management of benign non-infective pleural effusions.
title_full The management of benign non-infective pleural effusions.
title_fullStr The management of benign non-infective pleural effusions.
title_full_unstemmed The management of benign non-infective pleural effusions.
title_short The management of benign non-infective pleural effusions.
title_sort management of benign non infective pleural effusions
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