scholarly journals Indwelling Pleural Catheters

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.

scholarly journals The Impact of Tunneled Pleural Catheters on the Quality of Life of Patients with Malignant Pleural Effusions

Respiration ◽  
2013 ◽  
Vol 85 (1) ◽  
pp. 36-42 ◽  
Author(s):  
Natasha F. Sabur ◽  
Alex Chee ◽  
David R. Stather ◽  
Paul MacEachern ◽  
Kayvan Amjadi ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Pleural Effusions ◽  
Malignant Pleural Effusions ◽  
The Impact

DAY-CARE VERSUS ROUTINE LAPAROSCOPIC CHOLECYSTECTOMY

2021 ◽  
pp. 119-121
Author(s):  
Rizwanuddin M. Khwaja ◽  
Viraj C. Shinde ◽  
Urvashi Saksensa
Keyword(s):  
Quality Of Life ◽  
Laparoscopic Cholecystectomy ◽  
Day Care ◽  
Patient Acceptance ◽  
Care Group ◽  
Total Quality ◽  
Routine Basis ◽  
Symptomatic Gallstones ◽  
Care Procedure

Laparoscopic cholecystectomy has been performed as a day-care procedure for many years. Few studies have been conducted with primary focus on patient acceptance and preferences in terms of quality of life for this practice compared with overnight stay. Data from 100 patients with symptomatic gallstones randomized to laparoscopic cholecystectomy performed either as a day-care procedure or with routine were analyzed. Complications, admissions, and readmissions were assessed. Forty-eight (92 per cent) of 52 patients in day-care group were discharged 4– 8 h after the operation. Forty-two (88 per cent) of 48 in the overnight group went home on routine basis after surgery. The overall conversion rate was 2 per cent. Two patients had complications after surgery, both in the day-care group. No patient in either group was readmitted. There was no signicant difference in total quality of life score between the two groups.

Chemical Pleurodesis to Improve Patients’ Quality of Life in the Management of Malignant Pleural Effusions

2004 ◽  
Vol 14 (2) ◽  
pp. 73-79 ◽  
Author(s):  
Pier Paolo Brega-Massone ◽  
Cosimo Lequaglie ◽  
Barbara Magnani ◽  
Franca Ferro ◽  
Ignazio Cataldo
Keyword(s):  
Quality Of Life ◽  
Pleural Effusions ◽  
Chemical Pleurodesis ◽  
Malignant Pleural Effusions

The Impact of Tunneled Pleural Catheters on the Quality of Life of Patients With Malignant Pleural Effusions

CHEST Journal ◽  
2011 ◽  
Vol 140 (4) ◽  
pp. 997A
Author(s):  
Natasha Sabur ◽  
Alex Chee ◽  
Elaine Dumoulin ◽  
David Stather ◽  
Paul MacEachern ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Pleural Effusions ◽  
Malignant Pleural Effusions ◽  
The Impact

QUALITY OF LIFE AND EFFICACY OF TALC PLEURODESIS BY UNIPORTAL ACCESS VIDEO-ASSISTED-THORACOSCOPY FOR MALIGNANT PLEURAL EFFUSIONS

CHEST Journal ◽  
2008 ◽  
Vol 134 (4) ◽  
pp. 143P
Author(s):  
Gabriella Giudice ◽  
Cosimo Lequaglie ◽  
Margherita Garramone ◽  
Daniela Marasco ◽  
Pasquale De Negri ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Pleural Effusions ◽  
Talc Pleurodesis ◽  
Malignant Pleural Effusions ◽  
Video Assisted

scholarly journals Quality assessment of the guidelines for the management of malignant pleural effusions and ascites

2020 ◽  
Vol 18 (1) ◽  
Author(s):  
Jia-Xi Li ◽  
Yan-Mei Shi ◽  
Li-Ya An ◽  
Jin-Xu Yang ◽  
Yu-Xing Qi ◽  
...  
Keyword(s):  
Quality Assessment ◽  
Malignant Ascites ◽  
Systematic Search ◽  
Measurement Scale ◽  
Pleural Effusions ◽  
Management Guidelines ◽  
Malignant Pleural Effusions

Abstract Objectives To fully assess the quality of the guidelines for the management of malignant pleural effusions (MPE) and ascites and reveal the heterogeneity of recommendations and possible reasons among guidelines. Methods A systematic search was performed in the database to obtain guidelines for the management of MPE and ascites. The AGREE IIGtool was used to assess the quality of these guidelines. The Measurement Scale of Rate of Agreement (MSRA) was introduced to assess the scientific agreement of formulated recommendations for the management of MPE and ascites among guidelines, and evidence supporting these recommendations was extracted and analyzed. Results Nine guidelines were identified. Only 4 guidelines scored more than 60% and are worth recommending. Recommendations were also heterogeneous among guidelines for the management of MPE, and the main reasons were the different emphases of the recommendations for the treatment of MPE, the contradictions in recommendations, and the unreasonably cited evidence for MPE. Conclusions The quality of the management guidelines for patients with MPE and malignant ascites was highly variable. Specific improvement of the factors leading to the heterogeneity of recommendations will be a reasonable and effective way for developers to upgrade the recommendations in the guidelines for MPE.

scholarly journals Symptomatic Fluid Drainage: Peritoneovenous Shunt Placement

2017 ◽  
Vol 34 (04) ◽  
pp. 343-348
Author(s):  
George Getrajdman ◽  
Hooman Yarmohammadi
Keyword(s):  
Quality Of Life ◽  
Negative Impact ◽  
Symptomatic Relief ◽  
Malignant Ascites ◽  
Indwelling Catheters ◽  
Shunt Placement ◽  
Peritoneovenous Shunt ◽  
Peritoneovenous Shunts ◽  
Denver Shunt

AbstractAscites causes significant discomfort and has negative impact on patient's quality of life. Medical therapies including dietary restriction and diuretics are successful in only 40 to 44% of patients with malignant ascites and repeated paracentesis only provides temporary symptomatic relief. Therefore, a more permanent solution is necessary. Indwelling catheters or peritoneovenous shunt placement can provide more permanent symptomatic relief and improve patients' quality of life. Unlike indwelling catheters, peritoneovenous shunts do not limit patients' life style and therefore should be offered as first option in patients who are good candidates. Denver shunt (CareFusion-BD Worldwide) is the current available peritoneovenous shunt. In this article, the indications, contraindications, technical aspects of shunt placement, and techniques to prevent postprocedure complications will be discussed.

scholarly journals Assessment of quality of life in transfusion dependent thalassemic children - need to address parents/care givers

2020 ◽  
Vol 8 (1) ◽  
pp. 147
Author(s):  
Veeraraja B. Sathenahalli ◽  
G. R. Rajashekar Murthy ◽  
Netra Gouda ◽  
Sanjay K. Shivanna
Keyword(s):  
Quality Of Life ◽  
Psychosocial Functioning ◽  
Clinical Manifestations ◽  
Well Being ◽  
School Functioning ◽  
Psychosocial Burden ◽  
Globin Chains ◽  
Care Givers ◽  
The Impact

Background: Thalassemia is an autosomal recessive congenital disease caused by the reduced or absent beta globin chain synthesis of hemoglobin tetramer. The degree of imbalance between alpha and non alpha globin chains determines the severity of clinical manifestations. The disabling nature of the disease and chronic therapy affects the normal life causing psychosocial burden. Overall patient’s life, such as education, free-time, physical activities, skills, capabilities, and family adjustment is affected. The effects of which often result in psychological, emotional and social compromise. Health-Related Quality of Life (HRQoL) measurement is a multidimensional concept that focuses on the impact of the disease and its treatment on the well being of an individual.Methods: A descriptive observational hospital based study was conducted over a period of 3 months. Transfusion dependency in thalassemic children aged between 5 years and 18 years was the inclusion criteria. Thalassemic children having debilitating illnesses unrelated to thalassemia were excluded. Quality of life was assessed using Pediatric Quality of Life Inventory (PedsQL™ 4.0)4. The tool assesses the quality of life in five domains: physical functioning (PF: 8 items), psychosocial functioning (sum of emotional, social and school functioning), emotional functioning (EF: 5 items), social functioning (SF: 5 items) and school functioning (SC: 5 items).Results: Total of 125 children were enrolled with a mean age of 9.4±4.6 years (age range 5-18 yrs). According to the PedsQL questionnaire, the quality of life was similarly assessed by both parents and children. The total mean QoL score of the parents was 72.36±11.47 and of the children was 77.63±14.17. Emotional, school and psycho-social function were significantly affected according to both child and parents without statistical significance.Conclusions: Thalassaemia patients and their parents require lifelong psychological support for prevention of mental health issues. By increasing the awareness and knowledge levels of the parents, we can help sick children in developing countries to get the best care locally and to thus improve HRQoL.

scholarly journals The Effects of Patients' and Care-Givers' Knowledge, Attitude, & Practice (KAP) on Quality of Life Among Thalassemia Major Patients' in Damascus-Syrian Arab Republic

2018 ◽  
Vol 14 (12) ◽  
pp. 308
Author(s):  
Yaser Adnan Abo Jeesh ◽  
Magda El-hadi Ahmad Yousif ◽  
Moauya Al-Balal Al-Haboub
Keyword(s):  
Quality Of Life ◽  
Statistical Significance ◽  
Thalassemia Major ◽  
Cross Sectional ◽  
Attitudes And Practices ◽  
Teaching Guide ◽  
Care Givers ◽  
Significant Difference ◽  
Before And After

Background: Thalassemia is the most common autosomal abnormality in Syria. Its complications have an important effect on education; time off school; sport; difference from friends/ siblings; social interactions; and stigmatization. Knowledge of factors associated with quality of life in thalassemia patients is necessary for forming appropriate clinical programs, social support, and improving treatment outcomes. Purpose: The study was to assess the effects of Patients' and Care-givers' Knowledge, Attitude, & Practice (KAP) with Quality of Life among Thalassemia Major Patients' in Syria. Methods: Cross-sectional descriptive analytical design was conducted at the national thalassemia center in Damascus. WHOQOL-BREF and a questionnaire developed by the researcher were used to measure the participants’ knowledge, attitudes and practices of thalassemia. Results: Total of 238 thalassemia patients participated in the study. A statistical significance was found regarding improvement of skill and knowledge scores among caregivers and thalassemia patients before and after receiving the teaching guide from 12.52±1.77 to 14.07±1.01, t=11.447, p=0.000 and from 34.12±4.50 to 37.43±4.61, t=-8.58, p= .000 respectively. Stigmatization was significantly noticed among families caring for thalassemic patients. There were a significant differences in the mean score regarding nutritional status before and after teaching guide paired t test= 12.11, p= 0.000. A statistical significance was found in females regarding social domain p=0.04. However, mean scores for overall quality of life were better in females rather than males, but these mean scores were statistically insignificant p>0.05. A statistical significant difference in ferritin levels and patient’s age was found. Results also revealed that no statistical significant differences was observed between overall quality of life of the four domains in relation to the two treatment groups (subcutaneous vs oral) and age groups. Conclusion: Thalassemia is a socio-economic problem. The most efficient way to reduce risks of having affected patients is by increasing the knowledge through training of parents regarding the disease. Our findings highlighted that there was lack in patients’ knowledge and skills regarding the disease, but a remarkable improvement in both knowledge and performance was found after patients received the teaching guide, which lead to an increase in overall patient's quality of life.

Sign in / Sign up

Export Citation Format

Share Document