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.
Current Respiratory Medicine Reviews
Title:Parapneumonic Empyema
Volume: 8 Issue: 4
Author(s): Nicole Wheeler and Riyad Karmy-Jones
Affiliation:
Keywords: Decortication, empyema, lytic therapy, parapneumonic, thoracoscopy, etiology, chronicity, visceral peel, fibrinolytic agents, pulmonary interstitial fluid.
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.
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Cite this article as:
Wheeler Nicole and Karmy-Jones Riyad, Parapneumonic Empyema, Current Respiratory Medicine Reviews 2012; 8 (4) . https://dx.doi.org/10.2174/157339812802652189
DOI https://dx.doi.org/10.2174/157339812802652189 |
Print ISSN 1573-398X |
Publisher Name Bentham Science Publisher |
Online ISSN 1875-6387 |
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