Thoracocentesis of Pleural Effusion
Conditions
Brief summary
The study aiming to measure the pleural pressure during thoracocentesis in patients with pleural effusion and the value of their measurement in both diagnostic and therapeutic decisions.
Detailed description
This prospective controlled trial study will be performed between July 2019 and December 2020. the investigators will enroll patients with large volume pleural effusion referred to our Cardiothoracic Department, Faculty of Medicine, Ain Shams University to perform therapeutic thoracentesis. All the patients will sign an informed consent for pleural pressure monitoring during and after therapeutic thoracentesis. The study aiming to measure the pleural pressure during thoracocentesis in patients with pleural effusion and the value of their measurement in both diagnostic and therapeutic decisions.
Interventions
Recording pleural pressure during therapeutic thoracocentesis using a simple water manometer.
Sponsors
Study design
Intervention model description
This prospective controlled trial study will be performed between August 2019 and August 2020. We will enroll patients with large volume pleural effusion referred to our Cardiothoracic Department, Faculty of Medicine, Ain Shams University to perform therapeutic thoracentesis. All the patients will sign an informed consent for pleural pressure monitoring during and after therapeutic thoracentesis.
Eligibility
Inclusion criteria
1. age between 18 and 85 years, 2. pleural effusion occupying at least one-third of the ipsilateral hemithorax in P-A chest radiograph (CXR) 3. no contraindications for therapeutic thoracentesis 4. general health condition allowing prolonged procedure of therapeutic thoracentesis.
Exclusion criteria
* patients with very small amounts of pleural effusion * patients on mechanical ventilation * patients using anticoagulant therapy * patients refusing to be subjected to thoracocentesis.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| the pleural pressure | Continous monitoring during the whole session of thoracocentesis | To measure the pleural pressure(mmHg) during thoracocentesis in patients with pleural effusion using a simple water pleural manometer |
Countries
Egypt