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Safety of Pleuroscopy Performed in Negative Pressure Bronchoscopy Rooms
- Source :
- Journal of Bronchology & Interventional Pulmonology. 26:250-253
- Publication Year :
- 2019
- Publisher :
- Ovid Technologies (Wolters Kluwer Health), 2019.
-
Abstract
- Background The use of pleuroscopy has expanded over the last decade due to its higher diagnostic yield and low complications rate. Whether the infectious complications of pleuroscopy performed in negative pressure rooms is similar to that of pleuroscopy performed in positive pressure rooms remain unclear. To assess the safety of pleuroscopy performed in negative pressure rooms, we sought to determine the rate of infectious complications in patients who underwent pleuroscopy in negative pressure bronchoscopy rooms at our institution. Methods This was a retrospective cohort study of all patients who underwent pleuroscopy in our institution's negative pressure bronchoscopy rooms between January 2005 and January 2018. The primary outcome was the incidence of infectious complications at 14 and 30 days after the procedure. Results We identified 318 patients. Of the 318 patients, 47 (15%) had hematological malignancies, 118 (37%) had lung cancer, 121 (38%) had solid non-lung cancers, and 32 (10%) had no cancer diagnosis before the procedure. At the end of pleuroscopy, 255 patients (80%) had an indwelling pleural catheter placed, 63 patients (20%) had only a chest tube placed, and 31 patients (9%) had both an indwelling pleural catheter and chest tube placed. No patients developed empyema within 14 days. Three patients (0.9%) developed empyema within 30 days after the procedure and was presumed to be due to pleural catheter infection in all cases. Conclusion Our findings show that pleuroscopy performed in negative pressure rooms has a low incidence of infectious complications, provided that proper sterile precautions are maintained.
- Subjects :
- Adult
Male
Pulmonary and Respiratory Medicine
Operating Rooms
medicine.medical_specialty
Lung Neoplasms
Adolescent
Pleural Neoplasms
medicine.medical_treatment
Positive pressure
Cohort Studies
Young Adult
03 medical and health sciences
Catheters, Indwelling
Postoperative Complications
0302 clinical medicine
Bronchoscopy
medicine
Humans
Surgical Wound Infection
030212 general & internal medicine
Lung cancer
Empyema, Pleural
Pleurodesis
Aged
Retrospective Studies
Aged, 80 and over
medicine.diagnostic_test
business.industry
Thoracoscopy
Incidence (epidemiology)
Retrospective cohort study
Middle Aged
medicine.disease
Ventilation
Empyema
Surgery
Chest tube
030228 respiratory system
Chest Tubes
Hematologic Neoplasms
Female
business
Cohort study
Subjects
Details
- ISSN :
- 19446586
- Volume :
- 26
- Database :
- OpenAIRE
- Journal :
- Journal of Bronchology & Interventional Pulmonology
- Accession number :
- edsair.doi.dedup.....532d7a14e7eb12fd913b4391747d3b29