open access

Vol 81, No 5 (2013)
ORIGINAL PAPERS
Submitted: 2013-08-22
Accepted: 2013-08-22
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Talc slurry pleurodesis via chest tube in department of pulmonology — a 24-case study

Grzegorz Gawron, Jacek Gabryś, Adam Barczyk
Pneumonol Alergol Pol 2013;81(5):439-447.

open access

Vol 81, No 5 (2013)
ORIGINAL PAPERS
Submitted: 2013-08-22
Accepted: 2013-08-22

Abstract

INTRODUCTION: Chemical pleurodesis is an accepted palliative therapy for patients with recurrent and symptomatic pleural effusion. The aim of the study is to present our own experiences with a less invasive variant of this procedure performed with talc slurry administered via a chest tube under local anaesthesia. Available medical literature in Polish does not contain information about this type of pleurodesis.

MATERIAL AND METHODS: During 2005–2011 in the Pulmonology and Respiratory Rehabilitation Department we hospitalized and diagnosed 162 patients with pleural fluid. Pleurodesis was performed in 24 patients (14.8%) with persistent pleural fluid. In this article we present retrospective analysis of safety, efficacy of treatment and patients’ survival time. We also provide detailed information about this type of pleurodesis: clinical theory, indications, contraindications, patient’s preparation, description of procedure with our modifications and use of chest X-ray and transthoracic ultrasound.

RESULTS: The procedure was effective in 20 cases, partially effective in 3 cases and ineffective in one case. In-hospital mortality was 4.2% (one case). We frequently observed mild fever and local pain. Median hospitalization was 9 days. Median survival time was 32 days, whereas in the group of still living patients it was 96 days.

CONCLUSIONS: Talc slurry pleurodesis with adequate patient preselection is a relatively effective and safe procedure. The procedure can be performed in a non-surgical pulmonology unit.

Abstract

INTRODUCTION: Chemical pleurodesis is an accepted palliative therapy for patients with recurrent and symptomatic pleural effusion. The aim of the study is to present our own experiences with a less invasive variant of this procedure performed with talc slurry administered via a chest tube under local anaesthesia. Available medical literature in Polish does not contain information about this type of pleurodesis.

MATERIAL AND METHODS: During 2005–2011 in the Pulmonology and Respiratory Rehabilitation Department we hospitalized and diagnosed 162 patients with pleural fluid. Pleurodesis was performed in 24 patients (14.8%) with persistent pleural fluid. In this article we present retrospective analysis of safety, efficacy of treatment and patients’ survival time. We also provide detailed information about this type of pleurodesis: clinical theory, indications, contraindications, patient’s preparation, description of procedure with our modifications and use of chest X-ray and transthoracic ultrasound.

RESULTS: The procedure was effective in 20 cases, partially effective in 3 cases and ineffective in one case. In-hospital mortality was 4.2% (one case). We frequently observed mild fever and local pain. Median hospitalization was 9 days. Median survival time was 32 days, whereas in the group of still living patients it was 96 days.

CONCLUSIONS: Talc slurry pleurodesis with adequate patient preselection is a relatively effective and safe procedure. The procedure can be performed in a non-surgical pulmonology unit.

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Keywords

pleurodesis, talc slurry, lung cancer, pleural effusion

About this article
Title

Talc slurry pleurodesis via chest tube in department of pulmonology — a 24-case study

Journal

Advances in Respiratory Medicine

Issue

Vol 81, No 5 (2013)

Pages

439-447

Bibliographic record

Pneumonol Alergol Pol 2013;81(5):439-447.

Keywords

pleurodesis
talc slurry
lung cancer
pleural effusion

Authors

Grzegorz Gawron
Jacek Gabryś
Adam Barczyk

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