Recommendations of diagnosis and treatment of pleural effusion. Update

Arch Bronconeumol. 2014 Jun;50(6):235-49. doi: 10.1016/j.arbres.2014.01.016. Epub 2014 Mar 31.
[Article in English, Spanish]

Abstract

Although during the last few years there have been several important changes in the diagnostic or therapeutic methods, pleural effusion is still one of the diseases that the respiratory specialist have to evaluate frequently. The aim of this paper is to update the knowledge about pleural effusions, rather than to review the causes of pleural diseases exhaustively. These recommendations have a longer extension for the subjects with a direct clinical usefulness, but a slight update of other pleural diseases has been also included. Among the main scientific advantages are included the thoracic ultrasonography, the intrapleural fibrinolytics, the pleurodesis agents, or the new pleural drainages techniques.

Keywords: Derrame pleural; Derrame pleural maligno; Derrame pleural paraneumónico; Hemothorax; Hemotórax; Malignant pleural effusion; Parapneumonic pleural effusion; Pleural effusion; Pleural tuberculosis; Tuberculosis pleural.

Publication types

  • Review

MeSH terms

  • Algorithms
  • Combined Modality Therapy
  • Diagnostic Imaging / methods
  • Exudates and Transudates / chemistry
  • Humans
  • Nutritional Support
  • Pleural Effusion / diagnosis*
  • Pleural Effusion / etiology
  • Pleural Effusion / microbiology
  • Pleural Effusion / therapy*
  • Pleural Effusion, Malignant / diagnosis
  • Pleural Effusion, Malignant / therapy
  • Pleurodesis / methods
  • Pneumonia / complications
  • Pneumonia / drug therapy
  • Postoperative Complications / diagnosis
  • Postoperative Complications / therapy
  • Sclerosing Solutions / therapeutic use
  • Sensitivity and Specificity
  • Tuberculosis, Pleural / complications
  • Tuberculosis, Pleural / diagnosis
  • Tuberculosis, Pleural / drug therapy

Substances

  • Sclerosing Solutions