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Determination of the Cause of Pleural Effusion in ICU Patients with Thoracentesis
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Tae Yun Park, Jinwoo Lee, Young Sik Park, Chang Hoon Lee, Jae Joon Yim, Chul Gyu Yoo, Young Whan Kim, Sung Koo Han, Seok Chul Yang, Sang Min Lee
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Korean J Crit Care Med. 2012;27(4):249-254.
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DOI: https://doi.org/10.4266/kjccm.2012.27.4.249
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 Abstract
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- BACKGROUND
Pleural effusion is a common and important problem in the intensive care unit (ICU). However, only few studies have focused on the etiology of pleural effusion in the ICU. The aim of this study is to elucidate the etiology of pleural effusion in ICU patients in a tertiary care hospital.
METHODS
Patients with pleural effusion in the medical ICU (MICU) and in the emergency ICU (EICU) were studied retrospectively from January 1, 2006 to December 31, 2009.
The etiology and profile of pleural effusion were analyzed.
RESULTS
Of 1,592 patients admitted to the MICU and EICU during the study period, 78 patients (4.8%) underwent thoracentesis. The mean age was 66.8 +/- 13.3 years, and 52 (66.7%) were men. Parapneumonic effusion (32/78, 41%) was the leading cause of all effusions; malignancy- and heart failure-related effusions accounted for 15 (19.2%) and 14 (17.7%) cases, respectively. Fifteen patients (19.2%) had tube insertion after thoracentesis; in these patients, parapneumonic effusion or empyema was the most common reason for drainage (9/15, 60%). Pneumothorax developed after thoracentesis in 2 patients.
CONCLUSIONS
Diagnostic thoracentesis was performed in 4.8% of patients admitted to the ICU; one-fifth of these cases required therapeutic drainage. Parapneumonic effusion was the most common cause of pleural effusion in the ICU in this study.
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Citations
Citations to this article as recorded by  - Prevalence, causes, and clinical implications of pleural effusion in pulmonary ICU and correlation with patient outcomes
Mohamed Farrag, Ahmed El Masry, Amr M. Shoukri, Mona ElSayed
Egyptian Journal of Bronchology.2018; 12(2): 247. CrossRef
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Successful Management of Tracheobronchomalacia Associated with Empyema Using a Covered Metallic Tracheobronchial Stent: A Case Report
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Young Sik Park, Hyo Jae Kang, Yung Jeong Jeong, Sun Mi Choi, Eun Young Heo, Hyeon Jong Moon, Chang Hoon Lee, Hee Soon Chung, Deog Kyeom Kim
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Korean J Crit Care Med. 2011;26(2):105-109.
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DOI: https://doi.org/10.4266/kjccm.2011.26.2.105
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Abstract
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- Tracheobronchomalacia is developed by excessively weakened walls of the trachea and bronchi, and shows dynamic collapse of the airway on expiration and causes dyspnea. Airway stenting or surgical correction of the airway may be helpful. We report a case with tracheobronchomalacia which was combined with chronic empyema and treated successfully with stent insertion.
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