Malignant pleural effusions and trapped lung

PURPOSE. The aim of this study is to present the role of video-assisted thoracoscopy to assess the ability of the lung to expand in malignant pleural effusions. METHODS. The survey was conducted for a 3-year period in 13 patients with histologically diagnosed malignant pleural effusion and trapped lung. In each of the patients video-assisted thoracoscopy was performed. RESULTS. Two reasons for trapped lung were identified. In 10 of the patients it was due to multiple metastatic nodules. In 3 cases the cause was a diffuse fibrotic involvement of the lung resulting from the metastatic process.CONCLUSIONS. Our research confirmed two causes of trapped lung in malignant pleural effusions: multiple metastases on the lung surface and diffuse lung fibrosis, induced by the metastatic process, with the increased role of multiple metastases on the lung surface

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Management of malignant pleural effusions in patients with trapped lung with indwelling pleural catheter: how to do it

Journal of Visualized Surgery ◽

10.21037/jovs.2016.02.06 ◽

2016 ◽

Vol 2 ◽

pp. 44-44 ◽

Cited By ~ 1

Author(s):

Luca Bertolaccini ◽

Andrea Viti ◽

Alberto Terzi

Keyword(s):

Pleural Effusions ◽

Malignant Pleural Effusions ◽

Indwelling Pleural Catheter ◽

Pleural Catheter ◽

Trapped Lung

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Indwelling Pleural Catheters

10.5772/intechopen.100645 ◽

2021 ◽

Author(s):

Yuvarajan Sivagnaname ◽

Durga Krishnamurthy ◽

Praveen Radhakrishnan ◽

Antonious Maria Selvam

Keyword(s):

Quality Of Life ◽

Day Care ◽

Inpatient Stay ◽

Pleural Effusions ◽

Indwelling Catheters ◽

Malignant Pleural Effusions ◽

Care Givers ◽

Trapped Lung ◽

Care Procedure

Indwelling pleural catheters (IPC) are now being considered worldwide for patients with recurrent pleural effusions. It is commonly used for patients with malignant pleural effusions (MPE) and can be performed as outpatient based day care procedure. In malignant pleural effusions, indwelling catheters are particularly useful in patients with trapped lung or failed pleurodesis. Patients and care givers are advised to drain at least 3 times a week or in presence of symptoms i.e. dyspnoea. Normal drainage timing may lasts for 15–20 min which subsequently improves their symptoms and quality of life. Complications which are directly related to IPC insertion are extremely rare. IPC’s are being recently used even for benign effusions in case hepatic hydrothorax and in patients with CKD related pleural effusions. Removal of IPC is often not required in most of the patients. It can be performed safely as a day care procedure with consistently lower rates of complications, reduced inpatient stay. They are relatively easy to insert, manage and remove, and provide the ability to empower patients in both the decisions regarding their treatment and the management of their disease itself.

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ERS/EACTS statement on the management of malignant pleural effusions

European Respiratory Journal ◽

10.1183/13993003.00349-2018 ◽

2018 ◽

Vol 52 (1) ◽

pp. 1800349 ◽

Cited By ~ 49

Author(s):

Anna C. Bibby ◽

Patrick Dorn ◽

Ioannis Psallidas ◽

Jose M. Porcel ◽

Julius Janssen ◽

...

Keyword(s):

Scientific Literature ◽

Prognostic Score ◽

Pleural Effusions ◽

Limited Evidence ◽

European Respiratory Society ◽

Talc Pleurodesis ◽

Malignant Pleural Effusions ◽

Trapped Lung ◽

Areas Of Interest ◽

Optimum Management

Malignant pleural effusions (MPE) are a common pathology, treated by respiratory physicians and thoracic surgeons alike. In recent years, several well-designed randomised clinical trials have been published that have changed the landscape of MPE management. The European Respiratory Society (ERS) and the European Association for Cardio-Thoracic Surgery (EACTS) established a multidisciplinary collaboration of clinicians with expertise in the management of MPE with the aim of producing a comprehensive review of the scientific literature.Six areas of interest were identified, including the optimum management of symptomatic MPE, management of trapped lung in MPE, management of loculated MPE, prognostic factors in MPE, whether there is a role for oncological therapies prior to intervention for MPE and whether a histological diagnosis is always required in MPE.The literature revealed that talc pleurodesis and indwelling pleural catheters effectively manage the symptoms of MPE. There was limited evidence regarding the management of trapped lung or loculated MPE. The LENT score was identified as a validated tool for predicting survival in MPE, with Brims' prognostic score demonstrating utility in mesothelioma prognostication. There was no evidence to support the use of oncological therapies as an alternative to MPE drainage, and the literature supported the use of tissue biopsy as the gold standard for diagnosis and treatment planning.

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