By Richard W. Light MD
Now in a completely revised and up to date 6th variation, Dr. Light's vintage textual content, Pleural ailments, provides much more concentrated content material at the pathophysiology, medical manifestations, prognosis, and administration of pleural illnesses. The text’s undemanding, single-author point of view combines procedural services, insights on fresh technical advances, and transparent techniques for either analysis and treatment.
This version comprises present and well timed details on administration of either paraneoplastic and malignant pleural effusions, new cautions concerning the desire for education in thoracentesis, analysis of tuberculous pleural effusions, and more recent brokers for generating effusions.
Inside this strong, fact-packed resource…
• 3 algorithms for analysis of pleural effusions support determine explanations of pathologic findings.
• Chapters on thoracentesis, pleural biopsy, chest tube insertion, and thoracoscopy supply symptoms and contraindications in addition to step by step procedural guidance.
• particular assurance of parapneumonic and malignant pleural effusions addresses the latest advances in treatment.
NEW to the 6th Edition…
• up to date therapy regimens for paraneoplastic lesions increase healing options.
• Consensus-building content material offers a unified method of using indwelling catheters within the administration of malignant pleural effusions.
• New emphasis on education for thoracentesis is helping reduce procedure-related morbidity and mortality.
• New techniques concerning chest tubes support make sure the right tube is used for every procedure.
• New assessments refine the analysis of tuberculous pleural effusions.
PLUS… a loose significant other site offers on-demand entry to the absolutely searchable textual content and photographs.
Read Online or Download Pleural Diseases PDF
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Additional resources for Pleural Diseases
Leckie WJH, Tothill P. Albumin turnover in pleural effusions. Clin Sci. 1 965 ;29:339-352. 40. Broaddus VC, Wiener-Kronish JP, Berthiauma Y, et al. Removal of pleural liquid and protein by lymphatics in awake sheep. ] Appl Physiol. l 988;64:384-390. 4 1 . Aiba M, lnatomi K, Homma H . Lymphatic system or hydro-oncotic forces. Which is more significant in drainage of pleural fl u id? Jpn ] Med. 1 984;23 :27-33. 42. Agostoni E. Mechanics of the pleural space. Physiol Rev. l 972; 52:57- 1 2 8 . 4 3 .
Thoracentesis can be continued safely as long as the pleural pressure remains above - 20 cm H 2 0 and the patient does not develop chest tightness or pernicious coughing ( 1 1 , 1 2) . Indeed, on several occasions I have removed more than 5,000 mL pleural fluid from patients when the pleural pressure remained above - 20 cm H 2 0 and the patients suffered no ill consequences. Measurements of the pleural space elastance ap pear to be useful in predicting whether a pleurodesis will be successful ( 1 4) .
Del Fabbro M . An improved technique for studying pleural fluid pressure and composition in rabbits. Exp Physiol. 1 998;83:43 5-448 . 6. Benditt JO. Esophageal and gastric pressure measurements. Respir Care. 2005;50:68-77. 7. Loring SH, O'Donnell CR, Behazin N, et al. Esophageal pressures in acute lung injury-do they represent artifact or useful information about transpulmonary pressure, chest wall mechanics, and lung stress? JAppl Physiol. 20 I O ; I 08:3 1 5-322. 17 8. Milic-Emili J, Mead J, Turner JM, et al.