![]() ![]() The best marker for deciding whether or not to place a pleural catheter is pH.Įmpirical antibiotic treatment that covers anaerobics should be started promptly. If IPE is suspected, thoracentesis should always be performed and samples extracted for blood cultures. In BPE, the rate of IPC complications is similar to that of MPE.Ĭhest ultrasound helps identify small PEs and helps select the best site for thoracentesis and pleural catheter placement. In BPE, the rate of spontaneous pleurodesis with IPC is lower than in MPE. PE caused by HF wrongly identified as exudate by Light's criteria can be correctly reclassified by calculating protein gradient or the albumin PF/serum ratio, or by measuring NT-proBNP concentrations in PF. When a blood sample is not available, transudate and pleural exudate can be distinguished by determining cholesterol and LDH concentrations in PF. PE must be classified as transudate or exudate according to Light's criteria. The most common causes of PE are HF, MPE, and in the case of BPE, TBPE, and IPE. The complete document also includes other chapters: other PE of specific etiology (systemic diseases, abdominal-pelvic disease), and the diagnosis and treatment of very specific causes of PE, such as hemothorax, chylothorax and pseudochylothorax, and can be accessed online at. This paper highlights the most important aspects of the differential diagnosis of PE, and addresses the management of transudative PE, parapneumonic PE (PPPE), malignant PE (MPE), and tuberculous PE (TBPE). The manuscript was drawn up following a strict methodology, and recommendations were drafted to highlight the most relevant evidence using the GRADE methodology 3 ( Table 1). This paper reviews the 2014 publication on the diagnosis and treatment of PE, provides guidelines based on a critical review of the literature, and updates previous recommendations. 1 The past decade has witnessed a gradual increase in the understanding of the pathophysiology, diagnosis, and use of imaging in this entity, and new pleural biopsy (PB) techniques and treatment options have emerged. ![]() Pleural effusion (PE) is a common clinical problem. The Journal expresses the voice of the Spanish Respiratory Society of Pulmonology and Thoracic Surgery (SEPAR) as well as that of other scientific societies such as the Latin American Thoracic Society (ALAT) and the Iberian American Association of Thoracic Surgery (AICT).Īuthors are also welcome to submit their articles to the Journal's open access companion title, Open Respiratory Archives. Furthermore, the Journal is also present in Twitter and Facebook. Manuscripts will be submitted electronically using the following web site:, link which is also accessible through the main web page of Archivos de Bronconeumologia.Īccess to any published article, is possible through the Journal's web page as well as from PubMed, Science Direct, and other international databases. The Journal is published monthly in English. It is a monthly Journal that publishes a total of 12 issues and a few supplements, which contain articles belonging to the different sections.Īll the manuscripts received in the Journal are evaluated by the Editors and sent to expert peer-review while handled by the Editor and/or an Associate Editor from the team. Other types of articles such as reviews, editorials, a few special articles of interest to the society and the editorial board, scientific letters, letters to the Editor, and clinical images are also published in the Journal. Archivos de Bronconeumologia is a scientific journal that preferentially publishes prospective original research articles whose content is based upon results dealing with several aspects of respiratory diseases such as epidemiology, pathophysiology, clinics, surgery, and basic investigation.
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