Back to Search
Start Over
Surgical treatment of pleural empyema in Coronavirus disease 19 patients: the Southern Switzerland experience
- Source :
- Interactive Cardiovascular and Thoracic Surgery, Interactive CardioVascular and Thoracic Surgery
- Publication Year :
- 2021
-
Abstract
- We report the first surgical series of patients developing pleural empyema after severe bilateral interstitial lung disease in confirmed severe acute respiratory syndrome coronavirus 2 infection. The empyema results in a complex medical challenge that requires combination of medical therapies, mechanical ventilation and surgery. The chest drainage approach was not successful to relieve the symptomatology and to drain the excess fluid. After multidisciplinary discussion, a surgical approach was recommended. Even though decortication and pleurectomy are high-risk procedures, they must be considered as an option for pleural effusion in Coronavirus disease-positive patients. This is a life-treating condition, which can worsen the coronavirus disease manifestation and should be treated immediately to improve patient’s status and chance of recovery.<br />Since December 2019, several cases of unknown-origin pneumonia started to be diagnosed in Wuhan, China.
- Subjects :
- Male
Pulmonary and Respiratory Medicine
medicine.medical_specialty
Pleural effusion
10255 Clinic for Thoracic Surgery
medicine.medical_treatment
610 Medicine & health
030204 cardiovascular system & hematology
medicine.disease_cause
11171 Cardiocentro Ticino
030218 nuclear medicine & medical imaging
03 medical and health sciences
0302 clinical medicine
Coronary disease 2019
medicine
Humans
Empyema, Pleural
Aged
Coronavirus
Mechanical ventilation
AcademicSubjects/MED00920
business.industry
Pleural empyema
Interstitial lung disease
COVID-19
Middle Aged
Decortication
medicine.disease
Respiration, Artificial
Empyema
respiratory tract diseases
Surgery
Chest Tubes
Drainage
Brief Communications
Tomography, X-Ray Computed
Cardiology and Cardiovascular Medicine
business
Pleurectomy
Switzerland
Subjects
Details
- Language :
- English
- Database :
- OpenAIRE
- Journal :
- Interactive Cardiovascular and Thoracic Surgery, Interactive CardioVascular and Thoracic Surgery
- Accession number :
- edsair.doi.dedup.....7102726460ca9b433f1aab9fca1fba68