Regular Review. The pleural cavity

Giles J. Peek, Sameh Morcos, Graham Cooper

Research output: Contribution to journalReview article

12 Citations (Scopus)

Abstract

After a second spontaneous pneumothorax there is a 40% chance of recurrence; video assisted thoracoscopic bullectomy and pleurodesis is the treatment of choice. Needle decompression (second interspace, mid-clavicular line) is the best treatment of suspected tension pneumothorax. Ultrasonography is helpful in cases of pleural effusion. A chest drain should be inserted in cases of exudative (protein content greater than 3 g/l) pleural effusion that recur after aspiration, or in parapneumonic effusions when the pH is less than 7.2 or the glucose concentration is less than 3.33 mmol/l. A chest drain should be inserted for early empyema. Late presenting empyema should be treated by decortication if the patient is fit, but patients who are unfit for major surgery should receive thrombolytic instillation or thoracostomy.

Original languageEnglish (US)
Pages (from-to)1318-1321
Number of pages4
JournalBritish Medical Journal
Volume320
Issue number7245
StatePublished - May 13 2000
Externally publishedYes

Fingerprint

Pleural Cavity
Empyema
Pneumothorax
Pleural Effusion
Thorax
Thoracostomy
Pleurodesis
Decompression
Needles
Ultrasonography
Glucose
Recurrence
Therapeutics
Proteins

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Peek, G. J., Morcos, S., & Cooper, G. (2000). Regular Review. The pleural cavity. British Medical Journal, 320(7245), 1318-1321.

Regular Review. The pleural cavity. / Peek, Giles J.; Morcos, Sameh; Cooper, Graham.

In: British Medical Journal, Vol. 320, No. 7245, 13.05.2000, p. 1318-1321.

Research output: Contribution to journalReview article

Peek, GJ, Morcos, S & Cooper, G 2000, 'Regular Review. The pleural cavity', British Medical Journal, vol. 320, no. 7245, pp. 1318-1321.
Peek GJ, Morcos S, Cooper G. Regular Review. The pleural cavity. British Medical Journal. 2000 May 13;320(7245):1318-1321.
Peek, Giles J. ; Morcos, Sameh ; Cooper, Graham. / Regular Review. The pleural cavity. In: British Medical Journal. 2000 ; Vol. 320, No. 7245. pp. 1318-1321.
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