Empyema Latest Topics

Management of empyema

Mon, 08 Jan 2024 08:20:07 +0000

19/1/2025

Sun, 19 Jan 2025 11:50:09 +0000

A five-year old male presents to his pediatrician’s office with a fever and cough. A community acquired pneumonia is diagnosed on chest radiograph. He is treated as an outpatient with oral antibiotics but returns three days later with worsening dyspnea and a large left pleural effusion on repeat chest radiograph.

They are admitted and started on broad spectrum IV antibiotics with persistent fevers and an increasing oxygen requirement. A CT scan is obtained which shows a loculated pleural effusion.

[size=20px]What is the best next step in management of this patient?

a Chest tube alone

b Continued IV antibiotic therapy

c Chest tube/Fibrinolysis

d VATS and decortication[/size]

open thoracotomy decortication

Tue, 24 Dec 2024 18:33:37 +0000

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Quantification of size of pleural effusion/empyema

Tue, 19 Nov 2024 08:15:31 +0000

Regarding interventions for empyema

Thu, 07 Nov 2024 12:55:39 +0000

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Thoracoscopic Decortication for chronic empyema

Mon, 02 Aug 2021 05:51:38 +0000

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14/4/2024

Sun, 14 Apr 2024 11:17:57 +0000

A previously healthy four-year old girl was admitted to the hospital 3 days ago with a diagnosis of pneumonia. She was started on appropriate broad spectrum antibiotics based on organisms from her sputum culture. She continues to have fevers and a productive cough. Although the initial chest radiograph was consistent with pneumonia, the most recent radiograph revealed an air fluid level. A computerized tomography scan is shown with no evidence of foreign body. The best next step in the management of this patient with a lung abscess is:

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[size=20px]A change intravenous antibiotics.

B continue current antibiotic regimen.

C image guided transpleural drain placement.

D bronchoscopy with lavage.

E lobectomy.[/size]

History of surgical empyema treatment

Mon, 08 Jan 2024 07:27:43 +0000

CBCLIPS Episode 24

Mon, 20 Dec 2021 19:38:43 +0000

A 17-month old previously healthy girl has 6 days of cough and fever. She is mildly tachypneic, but has no increased respiratory effort, and her oxygen saturation is 99% on room air. Blood pressure and heart rate are normal. Breath sounds are decreased in the right upper lung zones, but the remainder of the physical examination is normal. A chest x-ray and CT are shown.

What is your suspicion and how would you treat her?

23/10/2022

Sun, 23 Oct 2022 12:48:45 +0000

[size=20px]You are asked to see a 5 year-old boy in the emergency department with persistent fevers despite 4 days of oral amoxicillin for community-acquired pneumonia. Temperature is 39.2 degrees, heart rate is 132/min, blood pressure is 92/67, respiratory rate is 32, and oxygen saturation is 93% on room air. He appears alert but flushed. There are decreased breath sounds in the right chest. Chest x-ray demonstrates a moderate-sized right pleural effusion. Chest ultrasound shows a right pleural effusion with internal septations. The recommended treatment strategy for this condition is:

A Percutaneous chest tube insertion

B Percutaneous chest tube insertion and intrapleural fibrinolytics

C Percutaneous chest tube insertion and intrapleural fibrinolytics and dornase (DNase)

D Video-assisted thoracoscopic surgery (VATS)[/size]

Thoracic assisted debridement for empyema

Tue, 01 Jun 2021 10:15:11 +0000

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Thoracoscopic treatment of empyema due to ruptured amoebic liver abscess

Sat, 07 Aug 2021 05:53:16 +0000

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Thoracoscopy In The Treatment of Pleural Empyema in 2,5 Year Old Girl

Sat, 08 May 2021 05:53:49 +0000

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optimal management of thoracostomy tubes in children with parapneumonic effusions

Thu, 11 Mar 2021 12:45:45 +0000

in Empyema

Thu, 17 Sep 2020 11:32:35 +0000

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