Pleurodesis
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2008-06-17T15:40:13Z
Muro Bot
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robot Adding: [[de:Pleurodese]]
'''Pleurodesis''' is the artificial obliteration of the [[pleural cavity|pleural space]].
==Uses==
It is done to prevent [[recurrence]] of [[pneumothorax]] or [[pleural effusion]].
==Processes==
It can be done chemically or surgically.
===Chemical===
Chemicals such as [[bleomycin]], [[tetracycline]], povidone iodine, or a [[slurry]] of [[talc]] can be introduced into the pleural space through a [[chest tube|chest drain]]. The instilled chemicals cause irritation between the parietal and the visceral layers of the pleura which closes off the space between them and prevents further fluid from accumulating.
Chemical pleurodesis is a painful procedure, so patients are often [[premedication|premedicated]] with a sedative and analgesics. A [[local anesthetic]] may be instilled into the pleural space, or an [[epidural]] catheter may be placed for anesthesia.
===Surgical===
Surgical pleurodesis is performed via [[thoracotomy]] or [[thoracoscopy]]. This involves mechanically irritating the [[pleural cavity|parietal pleura]], often with a rough pad. Moreover surgical removal of parietal pleura is an effective way of achieving stable pleurodesis
{{Respiratory system surgeries and other procedures}}
[[Category:Pulmonology]]
[[de:Pleurodese]]