Is blood pleurodesis effective for determining the cessation of persistent air leak?

Interactive Cardiovascular and Thoracic Surgery
Anthony ChambersMarco Scarci

Abstract

A best evidence topic in thoracic surgery was written according to a structured protocol. The question addressed whether blood pleurodesis is effective for cessation of persistent air leak (PAL). Altogether more than 43 papers were found using the reported search, of which 10 represented the best evidence to answer the clinical question. The authors, journal, date and country of publication, patient group studied, study type, relevant outcomes and results of these papers are tabulated. We conclude that autologous blood pleurodesis has superior outcomes when compared with conservative management for treatment of postoperative PAL. In addition, for PAL causing pneumothorax, blood pleurodesis [optimal volume 100 ml (from two studies)] should be considered in patients who are unsuitable for surgery, talc pleurodesis is ineffective or not viable (including cases complicated by acute respiratory distress syndrome) and a prompt resolution is required. Some 70-81% of patients treated for postoperative air leak resolved within 12 h and 95-100% within 48 h vs. a mean of 3-6.3 days (from two studies) with simple drainage. Resolution of pneumothorax with blood pleurodesis was also significantly shorter (P<0.01). Overall success rates (from...Continue Reading

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Citations

Nov 26, 2013·Journal of the Formosan Medical Association = Taiwan Yi Zhi·Cheng-Hung HowJin-Shing Chen
Oct 31, 2015·Thoracic Surgery Clinics·Bryan M Burt, Joseph B Shrager
Feb 11, 2015·Therapeutic Advances in Respiratory Disease·Warangkana KeeratichananontSuriya Keeratichananont
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Jul 6, 2018·ANZ Journal of Surgery·Amy WongKrishna Bhagwat
Sep 19, 2020·JFMS Open Reports·Alexa M Bersenas, Katie L Hoddinott
Apr 1, 2020·General Thoracic and Cardiovascular Surgery·Tetsuya FukuiTadashi Matsukura
Nov 16, 2020·Journal of Pediatric Surgery·Liese C C PruittScott S Short
Apr 15, 2021·The Thoracic and Cardiovascular Surgeon·Alessio CampisiWentao Fang
Jun 3, 2021·Annals of the American Thoracic Society·David Yurui LimKeng Sin Ng
Jul 27, 2021·Thoracic Surgery Clinics·Antonia Kreso, Douglas J Mathisen

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