دورية أكاديمية
Autologous Blood Patch Pleurodesis for Secondary Spontaneous Pneumothorax: A Narrative Review, a Retrospective Case Series and State of Play in the UK
العنوان: | Autologous Blood Patch Pleurodesis for Secondary Spontaneous Pneumothorax: A Narrative Review, a Retrospective Case Series and State of Play in the UK |
---|---|
المؤلفون: | Sufyan Shakir, Brian Choo-Kang, Clare Ross, Kevin Conroy, Richard Thorley, Steven Walker, Rahul Bhatnagar, Avinash Aujayeb |
المصدر: | Pulmonary Therapy, Vol 9, Iss 1, Pp 165-172 (2022) |
بيانات النشر: | Adis, Springer Healthcare, 2022. |
سنة النشر: | 2022 |
المجموعة: | LCC:Diseases of the respiratory system |
مصطلحات موضوعية: | Blood patch, Pleurodesis, Autologous blood patch, Pneumothorax, Diseases of the respiratory system, RC705-779 |
الوصف: | Abstract Introduction Treatment of prolonged air leak due to secondary spontaneous pneumothorax is challenging. Autologous blood patch pleurodesis (ABPP) is a treatment option. Previous evidence is reliant on single-centre series and underpowered trials and is mostly described in air leaks post cardiothoracic intervention. There are no United Kingdom (UK) wide data. Methods Members of the UK Pleural Society were surveyed for their practice and for patients who underwent blood patch. There were 16 respondents from 333 members. Twelve had performed the procedure, and six had kept records and could submit data. Basic demographics, intervention and clinical details of patients were then collected. The study was sponsored by the Audit Department of Northumbria Healthcare NHS Foundation Trust (reference 8124), and Caldicott Clearance for data sharing was provided by the Trust’s Information Goverance Board (reference C4221). There was no requirement for informed consent. Results Data for 12 patients that received ABPP between 2014 and 2022 in six respiratory centres were assessed. The aetiology of the secondary pneumothoraces was mostly due to chronic obstructive pulmonary disease and end-stage interstitial lung disease. The patients had a median age of 75 years. The median air leak time before ABPP was 17 days. A total of 50–100 ml of blood was used for ABPP. Five patients had two attempts at ABPP. Air leak resolved in six patients (50%). Four patients had pleural apposition prior to ABPP. Four patients were diagnosed with hospital-acquired pneumonia following ABPP. Conclusion This is the only UK-wide retrospective case series of ABPP of ‘medical’ patients with secondary pneumothorax. There is widespread variation in care. No formal conclusions can be drawn, and much larger robust datasets are required. An application has been made to the European Respiratory Society to incorporate ABPP within the International Collaborative Effusion database. |
نوع الوثيقة: | article |
وصف الملف: | electronic resource |
اللغة: | English |
تدمد: | 2364-1754 2364-1746 |
Relation: | https://doaj.org/toc/2364-1754; https://doaj.org/toc/2364-1746 |
DOI: | 10.1007/s41030-022-00212-w |
URL الوصول: | https://doaj.org/article/901e69eaa1cf4c2085d1926c63044d2d |
رقم الأكسشن: | edsdoj.901e69eaa1cf4c2085d1926c63044d2d |
قاعدة البيانات: | Directory of Open Access Journals |
تدمد: | 23641754 23641746 |
---|---|
DOI: | 10.1007/s41030-022-00212-w |