Thoracoscopy talc poudrage : a 15-year experience.

Abstract:

OBJECTIVES:To review our experience with thoracoscopy and talc poudrage during the previous 15 years with regards to efficacy, side effects, morbidity, and mortality. METHODS:Six hundred fourteen consecutive patients (58.6% female; mean age, 54.5 years) underwent thoracoscopy with talc poudrage from August 1983 to May 1999. Of these, 457 patients had malignant pleural effusions, 108 patients had benign pleural effusions, and 49 patients had spontaneous pneumothorax. RESULTS:Sixty-four patients were excluded from evaluation for efficacy: 30 patients (4.9%) because the lung did not expand at the time of the procedure and 34 patients (5.5%) because they died within 30 days of the thoracoscopy. All exclusions were in the malignant group. The overall success rate of the 393 patients with malignant pleural effusions was 93.4%, while the overall success for the 108 patients with benign effusions was 97%, although 7 patients (7%) with benign effusions required a second thoracoscopy. The success rate with pneumothorax was 100%. Major morbidity included empyema in 4%, reexpansion pulmonary edema in 2.2%, and respiratory failure 1.3%. CONCLUSION:Thoracoscopy with talc poudrage is effective in producing a pleurodesis in malignant and benign pleural effusion and in spontaneous pneumothorax. However, it should be noted that the insufflation of talc has a systemic distribution associated with a low rate of morbidity and perhaps does induce ARDS, which is sometimes fatal in a small percentage of patients. Because of these side effects, the search for a better agent should be continued.

journal_name

Chest

journal_title

Chest

authors

de Campos JR,Vargas FS,de Campos Werebe E,Cardoso P,Teixeira LR,Jatene FB,Light RW

doi

10.1378/chest.119.3.801

subject

Has Abstract

pub_date

2001-03-01 00:00:00

pages

801-6

issue

3

eissn

0012-3692

issn

1931-3543

pii

S0012-3692(15)51676-0

journal_volume

119

pub_type

杂志文章

相关文献

CHEST文献大全
  • OSA and pulmonary hypertension: time for a new look.

    abstract::OSA is a common yet underdiagnosed disorder encountered in everyday practice. The disease is a unique physiologic stressor that contributes to the development or progression of many other disorders, particularly cardiovascular conditions. The pulmonary circulation is specifically affected by the intermittent hypoxic a...

    journal_title:Chest

    pub_type: 杂志文章,评审

    doi:10.1378/chest.14-0614

    authors: Ismail K,Roberts K,Manning P,Manley C,Hill NS

    更新日期:2015-03-01 00:00:00

  • Outcome after right middle lobe syndrome.

    abstract::The long-term pulmonary consequences of right middle lobe syndrome (RMLS) in childhood are not known. Therefore, outcome was evaluated in 17 children with RMLS diagnosed in early childhood (mean age, 3.3 years; SD, 1.1 year). Mean age at follow-up was 10.1 years (SD, 2.6 years). RMLS was defined as atelectasis of the ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.108.1.150

    authors: De Boeck K,Willems T,Van Gysel D,Corbeel L,Eeckels R

    更新日期:1995-07-01 00:00:00

  • Epidemiology and ethnic distribution of multidrug-resistant tuberculosis in southern Israel, 1992-1997: the impact of immigration.

    abstract:STUDY OBJECTIVES:To assess the incidence of tuberculosis in the native and immigrant populations of southern Israel in the period between 1992 and 1997, and to study the prevalence of drug resistance overall and among these subpopulations in the region in order to create guidelines for empirical antituberculous treatme...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.117.3.738

    authors: Gilad J,Borer A,Riesenberg K,Peled N,Schlaeffer F

    更新日期:2000-03-01 00:00:00

  • Factitious methemoglobinemia caused by hyperlipemia.

    abstract::Hyperlipemia in an acyanotic patient with diabetic ketoacidosis, alcoholism, and pancreatitis produced a falsely elevated concentration of methemoglobin (19 percent) and a lower-than-expected oxygen saturation measured with an automated spectrophotometer (IL-282 CO-Oximeter). In addition, there was a "normal" hemoglob...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.86.1.84

    authors: Spurzem JR,Bonekat HW,Shigeoka JW

    更新日期:1984-07-01 00:00:00

  • Effect of 30 mg of morphine alone or with promethazine or prochlorperazine on the exercise capacity of patients with COPD.

    abstract:OBJECTIVE:We have shown that the administration of 0.8 mg/kg of morphine (M) to patients with COPD resulted in a 20% increase in the maximum oxygen consumption (Vo2max), but was associated with significant drowsiness and euphoria. The objective of the present study was to ascertain whether lower doses of M alone or in ...

    journal_title:Chest

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1378/chest.109.4.975

    authors: Light RW,Stansbury DW,Webster JS

    更新日期:1996-04-01 00:00:00

  • A New, Noninvasive Method of Measuring Impaired Pulmonary Gas Exchange in Lung Disease: An Outpatient Study.

    abstract:BACKGROUND:It would be valuable to have a noninvasive method of measuring impaired pulmonary gas exchange in patients with lung disease and thus reduce the need for repeated arterial punctures. This study reports the results of using a new test in a group of outpatients attending a pulmonary clinic. METHODS:Inspired a...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1016/j.chest.2018.02.001

    authors: West JB,Crouch DR,Fine JM,Makadia D,Wang DL,Prisk GK

    更新日期:2018-08-01 00:00:00

  • The snoring spectrum: acoustic assessment of snoring sound intensity in 1,139 individuals undergoing polysomnography.

    abstract:STUDY OBJECTIVES:To quantify the snoring sound intensity levels generated by individuals during polysomnographic testing and to examine the relationships between acoustic, polysomnographic, and clinical variables. DESIGN:The prospective acquisition of acoustic and polysomnographic data with a retrospective medical cha...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.115.3.762

    authors: Wilson K,Stoohs RA,Mulrooney TF,Johnson LJ,Guilleminault C,Huang Z

    更新日期:1999-03-01 00:00:00

  • Right mammary-coronary anastomosis in a patient with situs inversus.

    abstract::We report a patient with situs inversus and ischemic heart disease who had myocardial revascularization with anastomosis of the right mammary artery to the anterior descending coronary artery. ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.94.4.886

    authors: Abensur H,Ramires JA,Dallan LA,Jatene A

    更新日期:1988-10-01 00:00:00

  • Graphs.

    abstract::Two rules of good graphs are presented and explicated. ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.130.2.620

    authors: Green J

    更新日期:2006-08-01 00:00:00

  • Comparison of the effects of salmeterol and formoterol in patients with severe asthma.

    abstract:STUDY OBJECTIVE:Several studies have demonstrated the superiority of salmeterol and formoterol to either regular treatment with albuterol or placebo. However, to date there have been no trials comparing the efficacy of salmeterol and formoterol in patients with severe asthma. DESIGN:We undertook a randomized, placebo-...

    journal_title:Chest

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1378/chest.121.5.1401

    authors: Nightingale JA,Rogers DF,Barnes PJ

    更新日期:2002-05-01 00:00:00

  • Diastolic rumbles in normally functioning porcine mitral valves.

    abstract::Fourteen of 22 patients (64%) with normally functioning porcine prosthetic valves in the mitral position had apical diastolic rumbles on phonocardiogram and by auscultation. Six (27%) had opening snaps. Factors necessary for the production of a diastolic rumble appear to include central flow, a flexible stent, and the...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.73.2.189

    authors: Mirro MJ,Phyhel HJ,Wann LS,Weyman AE,Tavel ME,Stewart J

    更新日期:1978-02-01 00:00:00

  • Pulmonary vascular disease in secundum atrial septal defect with pulmonary hypertension.

    abstract::Histopathologic and morphometric studies of small pulmonary arteries were performed in 16 cases of secundum atrial septal defect (ASD) and severe pulmonary hypertension. Besides typical plexogenic arteriopathies found in six cases, organized microthrombi and what we call "musculoelastosis," that is, proliferation of l...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.89.5.694

    authors: Yamaki S,Horiuchi T,Miura M,Suzuki Y,Ishizawa E,Takahashi T

    更新日期:1986-05-01 00:00:00

  • Cardiac tamponade secondary to giant lymph node hyperplasia (Castleman's disease)

    abstract::A unique association of giant lymph node hyperplasia (Castleman's disease) and cardiac tamponade is presented. Although pleural effusions have been previously described with Castleman's disease, the authors believe this to be the first report of pericardial effusion and tamponade with this entity. The development of e...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.105.2.637

    authors: Nicolosi AC,Almassi GH,Komorowski R

    更新日期:1994-02-01 00:00:00

  • Esophageal pressure measurements in cardiopulmonary exercise testing.

    abstract:STUDY OBJECTIVES:We sought to determine the adaptability and effectiveness of a new esophageal balloon technique to measure changes in esophageal pressure (Pes) as a reflection of pleural pressure with progressive incremental exercise testing in normal subjects. DESIGN:An 8F (0.9 cm) esophageal balloon catheter (Smart...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.112.3.829

    authors: Thomas AM,Turner RE,Tenholder MF

    更新日期:1997-09-01 00:00:00

  • Oral corticosteroids increase esophageal acid contact times in patients with stable asthma.

    abstract:STUDY OBJECTIVES:The prevalence of gastroesophageal reflux disease (GERD) is higher in people with asthma than in control populations. Predisposing factors for GERD development may include asthma medications such as prednisone. The objective of this study was to determine whether prednisone alters GERD parameters in pe...

    journal_title:Chest

    pub_type: 临床试验,杂志文章

    doi:10.1378/chest.121.2.625

    authors: Lazenby JP,Guzzo MR,Harding SM,Patterson PE,Johnson LF,Bradley LA

    更新日期:2002-02-01 00:00:00

  • Interpretation of cough provoked by airway challenges.

    abstract:STUDY OBJECTIVE:To analyze the cough response to three airway challenges in order to clarify whether the recording of the provoked coughs would be beneficial in the management of asthma. DESIGN:A prospective study. SETTING:University hospital. PARTICIPANTS:Fifteen healthy subjects, 16 steroid-naïve subjects with ast...

    journal_title:Chest

    pub_type: 杂志文章,随机对照试验

    doi:10.1378/chest.128.5.3329

    authors: Koskela HO,Kontra KM,Purokivi MK,Randell JT

    更新日期:2005-11-01 00:00:00

  • Relationship of resting lung mechanics and exercise pattern of breathing in patients with chronic obstructive lung disease.

    abstract::To investigate the influence of resting pulmonary mechanics on the pattern of breathing during exercise in chronic obstructive pulmonary disease (COPD), we studied 29 patients with moderate to severe COPD (FEV1 50 +/- 20 percent predicted), and 10 normal subjects. Lung mechanics were studied using esophageal balloon t...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.104.3.705

    authors: Marin JM,Hussain SN,Gibbons WJ,Polverino M,Levy RD,Cosio MG

    更新日期:1993-09-01 00:00:00

  • Reperfusion adequacy and functional recovery.

    abstract::Ischemic myocardium undergoes many physiologic changes, including alterations in contractile function, histologic condition, and oxygen utilization. Reperfusion of ischemic myocardium may reverse some of these changes; however, the level of reperfusion needed for adequate functional recovery, as opposed to myocyte sal...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.112.4.1075

    authors: Rohs TJ Jr,Benedict MB,Bolling SF

    更新日期:1997-10-01 00:00:00

  • The effects of helium-hyperoxia on 6-min walking distance in COPD: a randomized, controlled trial.

    abstract:BACKGROUND:We hypothesized that breathing helium-hyperoxia (HeO2) would significantly improve 6-min walking test (6MWT) distance in COPD subjects. METHODS:This was a blinded, randomized crossover study. At visit 1, we assessed pulmonary function, exercise capacity, and 6MWT distance. Visits 2 and 3 consisted of four 6...

    journal_title:Chest

    pub_type: 杂志文章,随机对照试验

    doi:10.1378/chest.06-2514

    authors: Marciniuk DD,Butcher SJ,Reid JK,MacDonald GF,Eves ND,Clemens R,Jones RL

    更新日期:2007-06-01 00:00:00

  • Distinguishing left ventricular aneurysm from pseudoaneurysm. A review of the literature.

    abstract::A postmyocardial infarction left ventricular pseudoaneurysm occurs when a rupture of the ventricular free wall is contained by overlying, adherent pericardium. A postinfarction aneurysm, in contrast, is caused by scar formation resulting in thinning of the myocardium. Although the usual treatment for patients with pse...

    journal_title:Chest

    pub_type: 杂志文章,评审

    doi:10.1378/chest.111.5.1403

    authors: Brown SL,Gropler RJ,Harris KM

    更新日期:1997-05-01 00:00:00

  • What is the burden of chronic cough for families?

    abstract:BACKGROUND:The burden of children's chronic cough to parents is largely unknown. The objectives of this study were as follows: (1) to determine the burden of chronic cough using a purposely designed questionnaire, and (2) to evaluate psychological (child's anxiety and parental emotional distress) and other influences o...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.07-2236

    authors: Marchant JM,Newcombe PA,Juniper EF,Sheffield JK,Stathis SL,Chang AB

    更新日期:2008-08-01 00:00:00

  • Rapidly reversible alterations of pulmonary epithelial permeability induced by smoking.

    abstract::A radioaerosol procedure using 99mcTc-DTPA (diethylene triamine penta acetate) was used to evaluate the permeability of the pulmonary epithelium in smokers and nonsmokers. The average clearance of this indicator from the lungs of smokers without significant airway obstruction exceeded that found in normal subjects by ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.83.1.6

    authors: Mason GR,Uszler JM,Effros RM,Reid E

    更新日期:1983-01-01 00:00:00

  • A Longitudinal Cohort Study of Aspirin Use and Progression of Emphysema-like Lung Characteristics on CT Imaging: The MESA Lung Study.

    abstract:BACKGROUND:Platelet activation reduces pulmonary microvascular blood flow and contributes to inflammation; these factors have been implicated in the pathogenesis of COPD and emphysema. We hypothesized that regular use of aspirin, a platelet inhibitor, would be associated with a slower progression of emphysema-like lung...

    journal_title:Chest

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.chest.2017.11.031

    authors: Aaron CP,Schwartz JE,Hoffman EA,Angelini E,Austin JHM,Cushman M,Jacobs DR Jr,Kaufman JD,Laine A,Smith LJ,Yang J,Watson KE,Tracy RP,Barr RG

    更新日期:2018-07-01 00:00:00

  • Recovery of the ventilatory and upper airway muscles and exercise performance after type A botulism.

    abstract::We studied six patients with type A botulism to determine the degree of initial respiratory compromise and to quantitate the time course and extent of recovery of the ventilatory and upper airway muscles and exercise performance. The VM weakness was identified in all patients early after botulism. Upper airway muscle ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.98.3.620

    authors: Wilcox PG,Morrison NJ,Pardy RL

    更新日期:1990-09-01 00:00:00

  • Peak flow lability: association with asthma and spirometry in an older cohort.

    abstract:OBJECTIVE:To determine the success rate and correlates of ambulatory peak expiratory flow (PEF) monitoring in an epidemiologic study. DESIGN:An observational survey. SETTING:Several communities in California. PARTICIPANTS:We studied 1,223 nonsmoking men and women (mean age, 66 years) from an established cohort. OUT...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.112.4.895

    authors: Enright PL,Burchette RJ,Peters JA,Lebowitz MD,McDonnell WF,Abbey DE

    更新日期:1997-10-01 00:00:00

  • Physical and Social Environment Relationship With Sleep Health and Disorders.

    abstract::Sleep health is a multidimensional construct that includes adequate duration, quality, and appropriately timed sleep that may be influenced by environmental factors. In this review, we focus on how an individual's living and sleeping environment, both the surrounding neighborhood physical and social features and the a...

    journal_title:Chest

    pub_type: 杂志文章,评审

    doi:10.1016/j.chest.2019.12.002

    authors: Billings ME,Hale L,Johnson DA

    更新日期:2020-05-01 00:00:00

  • Spontaneous pneumothorax. Long-term results with tetracycline pleurodesis.

    abstract::The aim of this prospective study was to determine the rate of recurrence for spontaneous pneumothorax (SP) after tetracycline pleurodesis (TCP), using that of observation, tube thoracostomy alone, and thoracotomy as references. From 1985 to the end of 1991, 78 patients were treated with tetracycline pleurodesis and 1...

    journal_title:Chest

    pub_type: 临床试验,杂志文章

    doi:10.1378/chest.106.2.347

    authors: Alfageme I,Moreno L,Huertas C,Vargas A,Hernandez J,Beiztegui A

    更新日期:1994-08-01 00:00:00

  • Bidirectional associations between clinically relevant depression or anxiety and COPD: a systematic review and meta-analysis.

    abstract:BACKGROUND:The longitudinal associations between depression or anxiety and COPD, and their comorbid effect on prognosis, have not been adequately addressed by previous reviews. We aimed to systematically assess these associations to inform guidelines and practice. METHODS:We searched electronic databases for articles ...

    journal_title:Chest

    pub_type: 杂志文章,meta分析,评审

    doi:10.1378/chest.12-1911

    authors: Atlantis E,Fahey P,Cochrane B,Smith S

    更新日期:2013-09-01 00:00:00

  • Magnetic resonance imaging of blood flow in thoracic vessels of patients with impaired left ventricular function.

    abstract::In order to test the ability of magnetic resonance (MR) in the detection of pathologic flow conditions in man, we imaged 10 normal volunteers and 10 patients with congestive heart failure (CHF) with ECG-gated MR. We used a single spin-echo sequence on a transverse plane through the main vessels of the upper chest. The...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.92.4.645

    authors: Casolo GC,Bucciolini M,Giani M,Bisi G

    更新日期:1987-10-01 00:00:00

  • Determination of bronchodilation in the clinical pulmonary function laboratory. Role of changes in static lung volumes.

    abstract::Improved airway resistance following bronchodilator inhalation is not always accompanied by improvement in forced expiratory flow. We studied 241 patients with airways obstruction to learn whether changes in static lung volumes (vital capacity and function residual capacity measured by body plethysmography [FRCB]) wou...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.76.6.622

    authors: Ramsdell JW,Tisi GM

    更新日期:1979-12-01 00:00:00