Chylothorax Latest Topics

14/6/2026

Sun, 14 Jun 2026 11:28:39 +0000

[size=6]A term infant is born with a congenital chylothorax. The neonatal team places a chest tube and begins an octreotide infusion. The parents inquire about the safety of this medication. The most common clinical adverse event in infants receiving an octreotide infusion is:

a Intraventricular hemorrhage

b Necrotizing enterocolitis

c Seizures

d Hypotension requiring vasopressors

e Symptomatic hypoglycemia[/size]

5/6/2022

Sun, 05 Jun 2022 13:24:10 +0000

[size=20px]A one week-old, term infant develops tachypnea and hypoxemia with bilateral pleural effusions. Bilateral chest tubes are placed with drainage of approximately 30 ml/kg/day of fluid with 91% lymphocytes. The patient is treated with one week of bowel rest and total parenteral nutrition. This is followed by two weeks of octreotide infusion (up to 6 mcg/kg/hour). The chest tube output has not changed. The best next step is:

A Increase octreotide infusion to 12 mcg/kg/hour

B Instillation of bleomycin into the pleural spaces

C Thoracic duct ligation and bleomycin instillation into the pleural spaces

D Thoracic duct ligation and mechanical pleurodesis

E Thoracic duct ligation, pleurectomy and mechanical pleurodesis[/size]

Thoracoscopic management of postoperative chylothorax

Sun, 29 Dec 2024 17:38:10 +0000

see video link in second post

Thoracoscopic pleurodesis for post cardiac surgery chylothorax

Sat, 23 Oct 2021 04:47:16 +0000

see video link in second post