{"title":"门诊胸膜镜检查:转诊医院的经验报告。","authors":"Arda Kiani, Abolghasem Daneshvar Kakhaki, Ali Khalili, Mahsa Pourabdolah Tootkaboni, Mitra Sadat Rezaie, Atefeh Abedini","doi":"","DOIUrl":null,"url":null,"abstract":"<p><p>Pleuroscopy is a safe diagnostic procedure for evaluation of\npleural diseases, with minimum complications. This procedure\nhas been recently conducted on outpatient basis. Results\nsupport its safety, especially in busy referral hospitals. We\naimed to report our experience on performing outpatient\npleuroscopy at Masih Daneshvari hospital; Tehran, Iran. All\neligible patients referred to Masih Daneshvari Hospital for\npleuroscopy between May 2015 and May 2016 were enrolled.\nAir evacuation was conducted in operating room though\na thin Nelaton catheter attached to low pressure suction.\nCompression dressing using Vaseline gauze was done after air\nleak terminated. Patients were discharged if first chest x-ray\nwas negative for pneumothorax and were advised to stay in\ntouch and return 12 hours later for second chest radiograph.\nBaseline characteristics, radiographic and pathologic reports\nwere reviewed. Outpatient pleuroscopy was conducted on\n10 patients. Average procedure time was 22±9 minutes. All\npatients were discharged after 4 hours. Eight of the patients\nremained free of complications after 12 hours, and 2 patients\npresented with pneumothorax (both who had massive\npleural effusion) and were successfully managed by our\nteam. Considering pathologic diagnosis, pleural tuberculosis\nwas as common diagnosis as malignancy in our patients (4\npatients), adenocarcinoma was the most malignancy reported\n(3 out of 4 patients). Chronic nonspecific inflammation was\nreported by our pathologist in 2 cases. Outpatient pleuroscopy\ncan be conducted safely and effectively, reducing the\nnumber of unnecessary hospitalizations in a referral center.\nClosed follow up, patient education and proper patient\nselection are necessary for minimizing complications.</p>","PeriodicalId":20345,"journal":{"name":"Pneumologia","volume":"65 3","pages":"142-5"},"PeriodicalIF":0.0000,"publicationDate":"2016-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Outpatient pleuroscopy: Report of an experience in a referral hospital.\",\"authors\":\"Arda Kiani, Abolghasem Daneshvar Kakhaki, Ali Khalili, Mahsa Pourabdolah Tootkaboni, Mitra Sadat Rezaie, Atefeh Abedini\",\"doi\":\"\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Pleuroscopy is a safe diagnostic procedure for evaluation of\\npleural diseases, with minimum complications. This procedure\\nhas been recently conducted on outpatient basis. Results\\nsupport its safety, especially in busy referral hospitals. We\\naimed to report our experience on performing outpatient\\npleuroscopy at Masih Daneshvari hospital; Tehran, Iran. All\\neligible patients referred to Masih Daneshvari Hospital for\\npleuroscopy between May 2015 and May 2016 were enrolled.\\nAir evacuation was conducted in operating room though\\na thin Nelaton catheter attached to low pressure suction.\\nCompression dressing using Vaseline gauze was done after air\\nleak terminated. Patients were discharged if first chest x-ray\\nwas negative for pneumothorax and were advised to stay in\\ntouch and return 12 hours later for second chest radiograph.\\nBaseline characteristics, radiographic and pathologic reports\\nwere reviewed. Outpatient pleuroscopy was conducted on\\n10 patients. Average procedure time was 22±9 minutes. All\\npatients were discharged after 4 hours. Eight of the patients\\nremained free of complications after 12 hours, and 2 patients\\npresented with pneumothorax (both who had massive\\npleural effusion) and were successfully managed by our\\nteam. Considering pathologic diagnosis, pleural tuberculosis\\nwas as common diagnosis as malignancy in our patients (4\\npatients), adenocarcinoma was the most malignancy reported\\n(3 out of 4 patients). Chronic nonspecific inflammation was\\nreported by our pathologist in 2 cases. Outpatient pleuroscopy\\ncan be conducted safely and effectively, reducing the\\nnumber of unnecessary hospitalizations in a referral center.\\nClosed follow up, patient education and proper patient\\nselection are necessary for minimizing complications.</p>\",\"PeriodicalId\":20345,\"journal\":{\"name\":\"Pneumologia\",\"volume\":\"65 3\",\"pages\":\"142-5\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2016-07-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Pneumologia\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Pneumologia","FirstCategoryId":"1085","ListUrlMain":"","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}
Outpatient pleuroscopy: Report of an experience in a referral hospital.
Pleuroscopy is a safe diagnostic procedure for evaluation of
pleural diseases, with minimum complications. This procedure
has been recently conducted on outpatient basis. Results
support its safety, especially in busy referral hospitals. We
aimed to report our experience on performing outpatient
pleuroscopy at Masih Daneshvari hospital; Tehran, Iran. All
eligible patients referred to Masih Daneshvari Hospital for
pleuroscopy between May 2015 and May 2016 were enrolled.
Air evacuation was conducted in operating room though
a thin Nelaton catheter attached to low pressure suction.
Compression dressing using Vaseline gauze was done after air
leak terminated. Patients were discharged if first chest x-ray
was negative for pneumothorax and were advised to stay in
touch and return 12 hours later for second chest radiograph.
Baseline characteristics, radiographic and pathologic reports
were reviewed. Outpatient pleuroscopy was conducted on
10 patients. Average procedure time was 22±9 minutes. All
patients were discharged after 4 hours. Eight of the patients
remained free of complications after 12 hours, and 2 patients
presented with pneumothorax (both who had massive
pleural effusion) and were successfully managed by our
team. Considering pathologic diagnosis, pleural tuberculosis
was as common diagnosis as malignancy in our patients (4
patients), adenocarcinoma was the most malignancy reported
(3 out of 4 patients). Chronic nonspecific inflammation was
reported by our pathologist in 2 cases. Outpatient pleuroscopy
can be conducted safely and effectively, reducing the
number of unnecessary hospitalizations in a referral center.
Closed follow up, patient education and proper patient
selection are necessary for minimizing complications.