Tunneled Pleural Catheter: Treatment for Recurrent Pleural Effusion
Recurrent pleural effusion is a symptom of several end-stage diseases and is associated with limited life expectancy. Patients with this condition have disabling symptoms resulting in reduced quality of life and often receive inconsistent treatment due to delayed recognition of pleural effusion, rep...
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| Veröffentlicht in: | AACN advanced critical care 2018, Vol.29 (4), p.432-441 |
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| container_title | AACN advanced critical care |
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| creator | Miller, Chelsea Bridges, Elizabeth Laxmanan, Balaji Cox-North, Paula Thompson, Hilaire |
| description | Recurrent pleural effusion is a symptom of several end-stage diseases and is associated with limited life expectancy. Patients with this condition have disabling symptoms resulting in reduced quality of life and often receive inconsistent treatment due to delayed recognition of pleural effusion, repeat procedures, and lengthy hospitalizations. Placement of a tunneled pleural catheter allows the patient to manage his or her symptoms at home, yet this treatment remains underused because of provider misconceptions and unfamiliarity with the intervention. This article provides an overview of the indications for placement of a tunneled pleural catheter, possible complications, and management strategies, and introduces evidence-based clinical decision support tools to enhance provider knowledge. In addition, the article describes the implementation and evaluation of a performance improvement initiative on the use of tunneled pleural catheters in a multifaceted health care system. |
| doi_str_mv | 10.4037/aacnacc2018806 |
| format | Article |
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Patients with this condition have disabling symptoms resulting in reduced quality of life and often receive inconsistent treatment due to delayed recognition of pleural effusion, repeat procedures, and lengthy hospitalizations. Placement of a tunneled pleural catheter allows the patient to manage his or her symptoms at home, yet this treatment remains underused because of provider misconceptions and unfamiliarity with the intervention. This article provides an overview of the indications for placement of a tunneled pleural catheter, possible complications, and management strategies, and introduces evidence-based clinical decision support tools to enhance provider knowledge. 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Patients with this condition have disabling symptoms resulting in reduced quality of life and often receive inconsistent treatment due to delayed recognition of pleural effusion, repeat procedures, and lengthy hospitalizations. Placement of a tunneled pleural catheter allows the patient to manage his or her symptoms at home, yet this treatment remains underused because of provider misconceptions and unfamiliarity with the intervention. This article provides an overview of the indications for placement of a tunneled pleural catheter, possible complications, and management strategies, and introduces evidence-based clinical decision support tools to enhance provider knowledge. 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| fulltext | fulltext |
| identifier | ISSN: 1559-7768 |
| ispartof | AACN advanced critical care, 2018, Vol.29 (4), p.432-441 |
| issn | 1559-7768 1559-7776 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2155929101 |
| source | Journals@Ovid Complete |
| subjects | Catheters Critical care Disease management Dyspnea Lungs Nursing Palliative care |
| title | Tunneled Pleural Catheter: Treatment for Recurrent Pleural Effusion |
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