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Pleural manometry. you should bill for this.

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6 papers 0 to 25 followers
By Jason Mann No BS pulmonary critical care fellow
David Feller-Kopman, Michael J Parker, Richard M Schwartzstein
No abstract text is available yet for this article.
January 2009: Chest
Jason Akulian, Lonny Yarmus, David Feller-Kopman
Pleural disease is commonly encountered by the chest physician. Evaluation of pleural disease typically begins with thoracentesis and pleural fluid analysis. With improvements in minimally invasive procedures, imaging, and the use of pleural manometry, a more complete understanding of lung, pleural, and chest wall physiology is possible. The improved knowledge of pleural physiology can help the clinician in clinical decision making, as well as the diagnosis and treatment of pleural disease. This article reviews pleural physiology and summarizes the relevant data supporting the use of ultrasound and manometry in the evaluation and treatment of pleural disease...
March 2013: Clinics in Chest Medicine
David Feller-Kopman
PURPOSE OF REVIEW: Therapeutic thoracentesis is one of the most commonly performed medical procedures. The availability of handheld ultrasound machines has greatly enhanced the evaluation and management of patients with pleural effusions, with advantages including the absence of radiation, ease of use, portability and real-time/dynamic imaging. Pleural manometry refers to the measurement of pleural pressure during thoracentesis. Though described more than 122 years ago, most physicians do not measure pleural pressure, or even consider the role pleural pressures plays in the development of pleural effusions...
July 2007: Current Opinion in Pulmonary Medicine
Peter Doelken, John T Huggins, Nicholas J Pastis, Steven A Sahn
INTRODUCTION: Pleural manometry during large-volume thoracentesis can prevent the development of excessively negative pleural pressures, which have been associated with re-expansion pulmonary edema; can diagnose an unexpandable lung; and can predict pleurodesis success. We currently perform pleural manometry simultaneously with both a vertical-column water manometer with an interposed resistive element, and a hemodynamic transducer connected to a standard physiologic system. We present the technique as well as the advantages and disadvantages of both systems in measuring pleural liquid pressures...
December 2004: Chest
David Feller-Kopman
No abstract text is available yet for this article.
April 2012: Chest
John T Huggins, Peter Doelken
The goals of therapeutic thoracentesis are to remove the maximum amount of pleural fluid to improve dyspnea and to facilitate the diagnostic evaluation of large pleural effusions. Pleural manometry may be useful for immediately detecting an unexpandable lung, which may coexist when any pleural fluid accumulates. Pleural manometry may improve patient safety when removing large amounts of pleural fluid. The basics of pleural space mechanics are discussed as they apply to the normal pleural space and to pleural effusion associated with expandable and unexpandable lung...
June 2006: Clinics in Chest Medicine
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