Case Reports
Outpatient Management of Malignant Pleural Effusion Using a Tunneled Pleural Catheter: Preliminary Experience
Luis Seijo
, Arantza Campo, Ana Belén Alcaide, María del Mar Lacunza, Ana Carmen Armendáriz, Javier J. Zulueta
Corresponding author
lmseijo@unav.es
Correspondence: Dr. L. Seijo Departamento de Neumología. Clínica Universitaria de Navarra. Avda. Pío XII, 36. 31008 Pamplona. Navarra
Correspondence: Dr. L. Seijo Departamento de Neumología. Clínica Universitaria de Navarra. Avda. Pío XII, 36. 31008 Pamplona. Navarra
Departamento de Neumología, Clínica Universitaria, Universidad de Navarra, Pamplona, Navarra, Spain
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Zulueta" "autores" => array:6 [ 0 => array:4 [ "nombre" => "Luis" "apellidos" => "Seijo" "email" => array:1 [ 0 => "lmseijo@unav.es" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor1" ] ] ] 1 => array:2 [ "nombre" => "Arantza" "apellidos" => "Campo" ] 2 => array:2 [ "nombre" => "Ana Belén" "apellidos" => "Alcaide" ] 3 => array:2 [ "nombre" => "María" "apellidos" => "del Mar Lacunza" ] 4 => array:2 [ "nombre" => "Ana Carmen" "apellidos" => "Armendáriz" ] 5 => array:2 [ "nombre" => "Javier J." "apellidos" => "Zulueta" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Departamento de Neumología, Clínica Universitaria, Universidad de Navarra, Pamplona, Navarra, Spain" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor1" "etiqueta" => "*" "correspondencia" => "Correspondence: Dr. L. Seijo Departamento de Neumología. Clínica Universitaria de Navarra. Avda. Pío XII, 36. 31008 Pamplona. Navarra" ] ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2006-02-07" "fechaAceptado" => "2006-02-14" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec154232" "palabras" => array:3 [ 0 => "Malignant pleural effusion" 1 => "Tunneled catheter" 2 => "Outpatient" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec154233" "palabras" => array:3 [ 0 => "Derrame pleural maligno" 1 => "Catéter tunelizado" 2 => "Manejo ambulatorio" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:1 [ "resumen" => "<p class="elsevierStyleSimplePara elsevierViewall">Inpatient management of malignant pleural effusion includes the placement of a conventional thoracostomy tube for drainage and talc slurry pleurodesis and/or a surgical approach consisting of video-assisted thoracoscopic talc insufflation. Both techniques require prolonged hospital stays of up to 1 week. Unfortunately, life expectancy in patients with this disease does not usually exceed 6 months, and so the primary aim of any palliative intervention intended to improve quality of life should be to avoid hospital admissions and to relieve pain as far as possible.</p><p class="elsevierStyleSimplePara elsevierViewall">Of the few outpatient alternatives to hospital management the most frequently used is repeated thoracentesis. We describe the outpatient management of malignant pleural effusion by placement of a tunneled pleural catheter in a patient with stage IIIB lung adenocarcinoma. In our opinion, the use of this catheter offers a viable alternative to conventional therapy and is better tolerated.</p>" ] "es" => array:1 [ "resumen" => "<p class="elsevierStyleSimplePara elsevierViewall">El manejo hospitalario del derrame pleural maligno in-cluye la colocación de un tubo de toracostomía convencio-nal, drenaje y esclerosis mediante talcaje, y/o el abordaje quirúrgico mediante videotoracoscopia. Ambas técnicas re-quieren ingresos prolongados, de hasta una semana de duración. Lamentablemente, la esperanza de vida en pacientes con esta enfermedad no suele superar los 6 meses, motivo por el que toda intervención paliativa destinada a mejorar la calidad de vida debe tener como objetivo primordial el evitar, en la medida de lo posible, el ingreso hospitalario y aliviar el dolor.</p><p class="elsevierStyleSimplePara elsevierViewall">Hay pocas alternativas ambulatorias al manejo hospitalario. De ellas, la toracocentesis de repetición es la más fre-cuentemente utilizada. Describimos el uso de un catéter tunelizado en el manejo ambulatorio del derrame pleural maligno de un paciente con adenocarcinoma de pulmón en estadio IIIB. Consideramos que este catéter ofrece una al-ternativa viable y mejor tolerada que el tratamiento convencional.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "REFERENCES" "seccion" => array:1 [ 0 => array:1 [ "bibliografiaReferencia" => array:14 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Malignant pleural effusions" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "SA Sahn" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Clin Chest Med" "fecha" => "1985" "volumen" => "6" "paginaInicial" => "113" "paginaFinal" => "125" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2988851" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib2" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => 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| 2016 December | 0 | 1 | 1 |
| 2016 November | 6 | 7 | 13 |
| 2016 October | 9 | 12 | 21 |
| 2016 September | 5 | 8 | 13 |
| 2016 August | 9 | 7 | 16 |
| 2016 July | 6 | 4 | 10 |
| 2016 March | 2 | 0 | 2 |
| 2015 December | 2 | 0 | 2 |
| 2015 October | 252 | 9 | 261 |
| 2015 September | 261 | 8 | 269 |
| 2015 August | 264 | 14 | 278 |
| 2015 July | 301 | 12 | 313 |
| 2015 June | 225 | 5 | 230 |
| 2015 May | 193 | 8 | 201 |
| 2015 April | 196 | 13 | 209 |
| 2015 March | 209 | 9 | 218 |
| 2015 February | 253 | 5 | 258 |
| 2015 January | 201 | 3 | 204 |
| 2014 December | 303 | 5 | 308 |
| 2014 November | 367 | 8 | 375 |
| 2014 October | 411 | 10 | 421 |
| 2014 September | 428 | 11 | 439 |
| 2014 August | 437 | 11 | 448 |
| 2014 July | 405 | 11 | 416 |
| 2014 June | 276 | 16 | 292 |
| 2014 May | 277 | 7 | 284 |
| 2014 April | 209 | 13 | 222 |
| 2014 March | 192 | 9 | 201 |
| 2014 February | 175 | 12 | 187 |
| 2014 January | 120 | 8 | 128 |
| 2013 December | 109 | 13 | 122 |
| 2013 November | 118 | 9 | 127 |
| 2013 October | 95 | 6 | 101 |
| 2013 September | 107 | 8 | 115 |
| 2013 August | 89 | 15 | 104 |
| 2013 July | 117 | 16 | 133 |
| 2013 June | 99 | 8 | 107 |
| 2013 May | 90 | 6 | 96 |
| 2013 April | 58 | 5 | 63 |
| 2013 March | 15 | 3 | 18 |
Show all
