Management of bleeding risk before pleural procedures: A consensus statement of Turkish respiratory society - Pleura study group

DEMİRCİ N. Y., KÖKSAL D., Bilaceroglu S., Ogan N., Atinkaya C., Ozhan M., ...Daha Fazla

EURASIAN JOURNAL OF PULMONOLOGY, cilt.22, sa.2, ss.73-78, 2020 (ESCI) identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 22 Sayı: 2
  • Basım Tarihi: 2020
  • Doi Numarası: 10.4103/ejop.ejop_28_20
  • Dergi Adı: EURASIAN JOURNAL OF PULMONOLOGY
  • Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), TR DİZİN (ULAKBİM)
  • Sayfa Sayıları: ss.73-78
  • Anahtar Kelimeler: Biopsy, bleeding risk, chest tube, pleura, procedure, thoracentesis, thoracoscopy, tunneled catheter, CHEST TUBE INSERTION, PERIPROCEDURAL MANAGEMENT, ATRIAL-FIBRILLATION, THORACENTESIS, COMPLICATIONS, SAFETY, ANTICOAGULATION, HEMOSTASIS, DISEASE
  • Eskişehir Osmangazi Üniversitesi Adresli: Evet

Özet

Pleural effusion is a common clinical entity. Pleural procedures performed for the diagnosis and management of pleural effusions may increase the risk of bleeding, especially in patients with coagulopathies and comorbidities and those in need for antithrombotic drugs. Current literature provides sparse, low level of evidence, which is insufficient for safe implementation of pleural procedures among these patients. Thoracentesis, pleural biopsy (closed or percutaneous), catheter or chest tube drainage, and thoracoscopy are the main pleural procedures performed in these patients. Considering the bleeding risk associated with a specific pleural procedure, the risk is low for thoracentesis, moderate for insertion or removal of the chest tube or tunneled catheter, and moderate high for pleural biopsies and thoracoscopy. The current statement is prepared mainly for the pulmonologists and intended to provide recommendations to reduce the risk of bleeding following pleural procedures. The management of bleeding complication is out of the scope of this statement.