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Research Journal of Medical Sciences

ISSN: Online 1993-6095
ISSN: Print 1815-9346
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Pleural Manometry During Thoracocentesis to Assess Role of Pleural Elastance with Special Reference to Malignant Pleural Effusion

Ritabrata Mitra, Anupam Patra, Swapnendu Misra, Amitabha Sengupta and Somenath Kundu
Page: 51-57 | Received 22 Oct 2023, Published online: 02 Nov 2023

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https://doi.org/10.36478/10.59218/makrjms.2024.2.51.57

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Abstract

Although the importance of pleural physiological measurements remains debated, with doubts supported by the absence of the pleural cavity in some large mammals (e.g.,elephants) and observations that ventilation and pulmonary gas exchange remain intact after pleurodesis, afflictions influencing pleural volume and increasing intrapleural pressure questionably produce symptoms and impact on the lung function of patients with common pleural pathologies like pleural effusion. The measurement of intrapleural pressure and the pattern of changes in relation to volume aspirated in patients with pleural disease may help to optimize diagnosis and guide the therapeutic approach. Clearly, there is lack of adequate data to support routine use of pleural manometry to obtain pleural elastance for diagnostic and therapeutic purpose including dilemma to choose either pleurodesis or indwelling pleural catheter (IPC) to treat malignant pleural effusion for palliation. To ascertain whether pleural manometry provides any clue to the aetiology of pleural effusion, to obtain insight into relationship between intrapleural pressure and volume of pleural fluid withdrawn the so‐called pleural elastance (PE) curve and its characteristics during therapeutic thoracocentesis, to identify value of pleural elastance in therapeutic decision, especially in case of malignant pleural effusion and to describe the complications of largevolume (>1 Litre) the rapeutic thoracocentes is in relation to pleural elastance. The present study was an observational, cross sectional, prospective study conducted from September‐August 2021‐2022 in the department of Pulmonary Medicine, IPGME and R, Kolkata. Total 90 cases of pleural effusion were included, who underwent pleural manometry using water column manometer designed for central venous pressure (CVP) monitoring during therapeutic thoracocentesis. 71 patients had normal expandable lung with

How to cite this article:

Ritabrata Mitra, Anupam Patra, Swapnendu Misra, Amitabha Sengupta and Somenath Kundu. Pleural Manometry During Thoracocentesis to Assess Role of Pleural Elastance with Special Reference to Malignant Pleural Effusion.
DOI: https://doi.org/10.36478/10.59218/makrjms.2024.2.51.57
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2024.2.51.57