Pleurodesis
Pleurodesis is a medical procedure performed to treat recurrent pleural effusion, which is the accumulation of excess fluid in the pleural space (the space between the lung and the chest wall). The goal of pleurodesis is to create adhesions or scarring between the layers of the pleura, preventing the recurrence of pleural effusion. Here's a brief overview of pleurodesis:
Procedure:
- Chemical or Mechanical: Pleurodesis can be achieved through chemical or mechanical means.
- Chemical Pleurodesis: In chemical pleurodesis, a sclerosing agent, such as talc powder or doxycycline, is introduced into the pleural space through a chest tube. This agent irritates the pleura, leading to inflammation and scarring.
- Mechanical Pleurodesis: Mechanical pleurodesis involves physically irritating the pleural surfaces through procedures like abrasion or pleurectomy (removing part of the pleura).
Chest Tube Placement:
- A chest tube is typically inserted into the pleural space to drain any existing fluid before the pleurodesis procedure.
Sedation or Anesthesia:
- The procedure may be performed under local anesthesia or general anesthesia, depending on the specific case and patient's condition.
Monitoring:
- The patient's vital signs and lung function are closely monitored during the procedure to ensure safety.
