Malignant Pleural Effusions (Mpe)- Pleurodesis, Pleurodesis
Conditions
Keywords
Talc -pleurodesis-bleomycin
Brief summary
Comparing Two Methods to Treat Fluid Build-up in Chest for Cancer Patients:Talc Powder Surgery versus Chest Tube Medicine.
Detailed description
Closure of the space where the effusion is recurrently accumulated through talc poudrage in thoracoscopy or bleomycin - tranxemic acid solution injection in chest tube.
Interventions
bleomycin- tranxemic acid mixture pleurodesis versus thoracoscopic talc poudrage
Sponsors
Study design
Intervention model description
comparing between two groups of thirty patients each,the first group will include talc poudrage pleurodesis and the second include chest tube injection of a mixture of bleomycin and tranxemic acid
Eligibility
Inclusion criteria
\- 1. Adult patients (more than 18 years) with malignant pleural effusion or highly suspected exudate. 2\. Fit patients for the procedure selected.
Exclusion criteria
1. Inability to provide informed consent for the procedure. 2. Hemodynamically unstable patients. 3. Bleeding diathesis. 4. Uncontrolled cough. 5. Hypoxic index less than 300. 6. Endobronchial obstruction. 7. Pleural thickening with trapped lung.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Dyspnea Borg Scale | one month | the rate of shortness of breath from number 0 to number 10 |
Countries
Egypt