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Current Respiratory Medicine Reviews

Editor-in-Chief

ISSN (Print): 1573-398X
ISSN (Online): 1875-6387

Parapneumonic Empyema

Author(s): Nicole Wheeler and Riyad Karmy-Jones

Volume 8, Issue 4, 2012

Page: [297 - 303] Pages: 7

DOI: 10.2174/157339812802652189

Price: $65

Abstract

The management of empyema varies according to etiology and chronicity. Empyema most commonly arises in the setting of pneumonia. In general, early surgical drainage, using thoracoscopic approaches, are favored as they appear to be associated with quicker resolution and lower complication rates. However, anatomic and physiologic issues may affect outcomes and approaches, notably the presence or absence of thick visceral peel and/or other causes of a persistent space. In these settings, combined catheter based, medical and more aggressive surgical approaches may be required.

Keywords: Decortication, empyema, lytic therapy, parapneumonic, thoracoscopy, etiology, chronicity, visceral peel, fibrinolytic agents, pulmonary interstitial fluid.


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