Local Anaesthetic Thoracoscopy for Pleural Effusion-A Narrative Review
- PMID: 36292425
- PMCID: PMC9601808
- DOI: 10.3390/healthcare10101978
Local Anaesthetic Thoracoscopy for Pleural Effusion-A Narrative Review
Abstract
The incidence of pleural disease is increasing, and interventions are crucial in this subspecialist area of respiratory medicine. One of the cornerstones of pleural effusion investigation and management is medical, which is also known as local anaesthetic thoracoscopy. This allows fluid drainage, biopsy for diagnosis and preventative measures for further fluid potential build-up. This article summarises the evidence around this procedure through a narrative review of the available evidence.
Keywords: local anaesthetic thoracoscopy; medical thoracoscopy; pleural effusion.
Conflict of interest statement
A.A. has received honoraria and research grant from Rocket Medical Plc. These are not relevant to this article.
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References
-
- Loddenkemper R., Lee P., Noppen M., Mathur P.N. Medical thoracoscopy/pleuroscopy: Step by step. Breathe. 2011;8:156–167. doi: 10.1183/20734735.011611. - DOI
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