Is Silver Nitrate Pleurodesis for Patients with Malignant Pleural Effusion Feasible and Safe When Performed in an Outpatient Setting?

Autor(es)

Terra, Ricardo Mingarini ^[1] ; Kim, So Yeon ; Pego-Fernandes, Paulo Manuel ^[1] ; Teixeira, Lisete Ribeiro ^[2] ; Vargas, Francisco Suso ^[2] ; Jatene, Fabio Biscegli ^[1]

Afiliação do(s) autor(es)

^[1] Univ Sao Paulo, Sch Med, Hosp Clin, Thorac Surg Div, Sao Paulo - Brazil

^[2] Univ Sao Paulo, Sch Med, Hosp Clin, Pulmonol Div, Sao Paulo - Brazil

• Tipo de documento: Artigo Científico
• Fonte: ANNALS OF SURGICAL ONCOLOGY; v. 18, n. 4, p. 1145-1150, APR 2011.
• Citações Web of Science: 13

Resumo

The purpose of this study was to analyze the effectiveness and safety of silver nitrate pleurodesis (SNP) in patients with recurrent malignant pleural effusion (RMPE) when performed in an outpatient setting. Prospective study including patients with RMPE recruited in a tertiary university-based hospital from February 2008 to June 2009. Elected patients underwent pleural catheter insertion (Day 1) followed by 0.5% SNP (Day 2), and on 7th day the drain was removed. All procedures were performed in an outpatient facility. Pleurodesis was considered successful when no additional pleural procedure was necessary by the 30th day. Complications were registered and graded according to the CTCAE3.0. Quality of life was evaluated before and 30 days after SNP. A total of 68 patients (54 female, 14 male, mean age: 57.3 years) were included. In addition, 7 had bilateral pleural effusions; therefore, 75 hemithoraces were drained. Also, 5 were excluded, and 70 hemithoraces (63 patients) underwent SNP. During the period of 30 days postpleurodesis, 8 deaths not related to the procedure occurred, and we lost contact with 10 patients who were followed elsewhere. At the 30th day, 48 hemithoraces (45 patients) were reevaluated, and 2 recurrences observed. The most frequent complication was pain-graded as 3 or more in 7 patients; infection occurred in 2 patients. Physical and environmental aspects of quality of life improved significantly after pleurodesis. In this study, SNP could be performed safely in an outpatient setting, with pain the most frequent complication. Recurrences occurred in 4% of the patients. (AU)

• Processo FAPESP: 09/50894-2 - Efetividade e seguranca da pleurodese ambulatorial com cateteres pleurais e nitrato de prata no derrame pleural maligno recidivante
• Beneficiário: So Yeon Kim
• Modalidade de apoio: Bolsas no Brasil - Iniciação Científica