Toracocentesis en Atención Primaria

  1. L. Ferreiro 12
  2. J. Suárez-Antelo 1
  3. M.E. Toubes 1
  4. L. Valdés 12
  1. 1 Servicio de Neumología, Complejo Hospitalario Clínico-Universitario de Santiago, Santiago de Compostela, España,
  2. 2 Instituto de Investigaciones Sanitarias de Santiago de Compostela (IDIS), Santiago de Compostela, España
Revista:
Semergen: revista española de medicina de familia

ISSN: 1138-3593

Ano de publicación: 2019

Número: 7

Páxinas: 474-478

Tipo: Artigo

DOI: 10.1016/J.SEMERG.2019.02.005 DIALNET GOOGLE SCHOLAR

Outras publicacións en: Semergen: revista española de medicina de familia

Resumo

Thoracentesis is a simple test with few complications that provides relevant information in the diagnosis of a pleural effusion, through a correct interpretation of the pleural fluid analysis. An interesting initiative would be to incorporate this technique by those Primary Care teams that treat serious and complex patients, with difficulties in moving to specialised centres far from their homes. In this context, a good knowledge of the diagnostic possibilities offered by the pleural fluid analysis could be very useful in the hands of well trained staff to establish the aetiology of a pleural effusion and be able to initiate, as quickly as possible, its treatment. This article aims to contribute to this, by suggesting guidelines on how a simple technique can provide relevant information in order to determine the aetiology of pleural effusion, and which could be implemented within a given Primary Care framework.

Referencias bibliográficas

  • V. Villena-Garrido, E. Cases-Viedma, A. Fernández-Villar, A. de Pablo-Gafas, E. Pérez-Rodríguez, J.M. Porcel-Pérez, et al. Normativa sobre el diagnóstico y tratamiento del derrame pleural. Actualización Arch Bronconeumol, 50 (2014), pp. 235-249 ArticleDownload PDFView Record in ScopusGoogle Scholar
  • J.M. Porcel, A. Esquerda, M. Vives, S. Bielsa Etiology of pleural effusions: Analysis of more than 3,000 consecutive thoracenteses Arch Bronconeumol, 50 (2014), pp. 161-165 ArticleDownload PDFView Record in ScopusGoogle Scholar
  • Light RW, MacGregor MI, Luchsinger PC, Ball WC Jr. Pleural effusions: The diagnostic separation of transudates and exudates. Ann Intern Med. 1972;77:507-13. Google Scholar
  • S. Romero-Candeira, L. Hernández, S. Romero-Brufao, D. Orts, C. Fernández, C. Martín Is it meaningful to use biochemical parameters to discriminate between transudative and exudative pleural effusions? Chest, 122 (2002), pp. 1524-1529 ArticleDownload PDFView Record in ScopusGoogle Scholar
  • L. Ferreiro, T. Pereiro, E. San José, M.E. Toubes, J. Suárez-Antelo, J.M. Álvarez-Dobaño Comportamiento de las células nucleadas en los distintos tipos de derrame pleural Rev Clin Esp, 217 (2017), pp. 136-143 ArticleDownload PDFView Record in ScopusGoogle Scholar
  • L. Ferreiro, M.E. Toubes, L. Valdés Contribución del análisis del líquido pleural al diagnóstico de los derrames pleurales Med Clin (Barc), 145 (2015), pp. 171-177 ArticleDownload PDFView Record in ScopusGoogle Scholar
  • P. Bornemann, N. Jayasekera, K. Bergman, M. Ramos, J. Gerhart Point-of-care ultrasound: Coming soon to primary care? J Fam Pract, 67 (2018), pp. 70-80 View Record in ScopusGoogle Scholar
  • S. Minué-Lorenzo, C. Fernández Aguilar Visión crítica y argumentación los programas de atención de la cronicidad en Atención Primaria y Comunitaria Aten Primaria, 50 (2018), pp. 114-129 ArticleDownload PDFView Record in ScopusGoogle Scholar
  • D.S. Kringos, W.G. Boerma, A. Hutchinson, R.B. Saltman Building primary care in a changing Europe WHO Regional Office for Europe, Reino Unido (2015) Google Scholar
  • V. Del Saz-Moreno, J.M. Cano-González, M. Monleón-Just, D. Ruiz-López Toracocentesis y atención domiciliaria Med Pal, 18 (2011), pp. 5-7 ArticleDownload PDFCrossRefView Record in ScopusGoogle Scholar
  • J. Cueto-Felgueroso Elizalde, B. Álvarez-Álvarez, A. Gancedo-García, C. Cienfuegos-Basanta, G. García-González Toracocentesis paliativa domiciliaria Med Pal, 21 (2014), pp. 48-54 ArticleDownload PDFCrossRefView Record in ScopusGoogle Scholar
  • J.M. Porcel Ecografía pleural para clínicos Rev Clin Esp, 216 (2016), pp. 427-435 ArticleDownload PDFView Record in ScopusGoogle Scholar
  • S. Romero-Candeira, L. Hernández-Blasco, C. Martín-Serrano, C. Pantaleón-Márquez, E. Bernabé-Sánchez Toracocentesis diagnóstica y evacuadora En: Manual SEPAR de Procedimientos. Procedimientos en patología pleural I, Permanyer ed., Barcelona (2005), pp. 5-19 View Record in ScopusGoogle Scholar
  • M.E. Roberts, E. Neville, R.G. Berrisford, G. Antunes, N.J. Ali, on benhalf of the BTS Pleural Disease Guideline Group Management of a malignant pleural effusion: British Thoracic Society Pleural Disease Guideline 2010 Thorax, 65 (Suppl 2) (2010), pp. ii32-ii40 CrossRefView Record in ScopusGoogle Scholar
  • C. Hooper, Y.C. Gary Lee, N. Maskell, on behalf of the BTS Pleural Guideline Group Investigation of a unilateral pleural effusion in adults: British Thoracic Society pleural disease guideline 2010 Thorax, 65 (Suppl 2) (2010), pp. ii4-ii17 CrossRefView Record in ScopusGoogle Scholar