Utility and safety of draining pleural effusions in mechanically ventilated patients: A systematic review and meta-analysis

Critical Care

Volumn 15, Issue 1, 2011, Pages

  Goligher, Ewan C ^a,b   Leis, Jerome A ^b   Fowler, Robert A ^c   Pinto, Ruxandra ^c   Adhikari, Neill K J ^c   Ferguson, Niall D ^a  

^a UNIVERSITY HEALTH NETWORK   (Canada)

^b MOUNT SINAI HOSPITAL   (Canada)

^c UNIVERSITY OF TORONTO   (Canada)

Author keywords

[No Author keywords available]

Indexed keywords

NITRIC OXIDE;

ADULT RESPIRATORY DISTRESS SYNDROME; ARTICLE; ARTIFICIAL VENTILATION; CATHETERIZATION; CINAHL; CRITICALLY ILL PATIENT; EMBASE; HEALTH CARE UTILIZATION; HEMATOTHORAX; HOSPITALIZATION; HUMAN; HYPERCAPNIA; HYPOXEMIA; INTENSIVE CARE UNIT; LENGTH OF STAY; LUNG INJURY; LUNG MECHANICS; MEDLINE; META ANALYSIS (TOPIC); MORTALITY; OBSERVATIONAL STUDY; OUTCOME ASSESSMENT; OXYGENATION; PATIENT SAFETY; PLEURA EFFUSION; PNEUMOTHORAX; PRIORITY JOURNAL; REFRACTORY HYPOXEMIA; RISK REDUCTION; SURGICAL DRAINAGE; SYSTEMATIC REVIEW; THORACOCENTESIS; TREATMENT DURATION; VENTILATED PATIENT; CONTROLLED CLINICAL TRIAL (TOPIC); CRITICAL ILLNESS; META ANALYSIS; REVIEW; TREATMENT OUTCOME; WOUND DRAINAGE;

CONTROLLED CLINICAL TRIALS AS TOPIC; CRITICAL ILLNESS; DRAINAGE; HUMANS; PLEURAL EFFUSION; RESPIRATION, ARTIFICIAL; TREATMENT OUTCOME;

EID: 79251613216     PISSN: 13648535     EISSN: 1466609X     Source Type: Journal    
DOI: 10.1186/cc10009     Document Type: Article

References (57)

1. Azoulay E, Fartoukh M, Similowski T, Galliot R, Soufir L, Le Gall JR, Chevret S, Schlemmer B. Routine exploratory thoracentesis in ICU patients with pleural effusions: results of a French questionnaire study. J Crit Care 2001, 16:98-101. 10.1053/jcrc.2001.28784, 11689765.
2. Mattison LE, Coppage L, Alderman DF, Herlong JO, Sahn SA. Pleural effusions in the medical ICU: prevalence, causes, and clinical implications. Chest 1997, 111:1018-1023. 10.1378/chest.111.4.1018, 9106583.
3. Graf J. Pleural effusion in the mechanically ventilated patient. Curr Opin Crit Care 2009, 15:10-17. 10.1097/MCC.0b013e3283220e4a, 19179867.
4. Fartoukh M, Azoulay E, Galliot R, Le Gall JR, Baud F, Chevret S, Schlemmer B. Clinically documented pleural effusions in medical ICU patients: how useful is routine thoracentesis?. Chest 2002, 121:178-184. 10.1378/chest.121.1.178, 11796448.
5. Soni N, Williams P. Positive pressure ventilation: what is the real cost?. Br J Anaesth 2008, 101:446-457. 10.1093/bja/aen240, 18782885.
6. Krell WS, Rodarte JR. Effects of acute pleural effusion on respiratory system mechanics in dogs. J Appl Physiol 1985, 59:1458-1463.
7. Dechman G, Mishima M, Bates JH. Assessment of acute pleural effusion in dogs by computed tomography. J Appl Physiol 1994, 76:1993-1998.
8. Nishida O, Arellano R, Cheng DC, DeMajo W, Kavanagh BP. Gas exchange and hemodynamics in experimental pleural effusion. Crit Care Med 1999, 27:583-587. 10.1097/00003246-199903000-00040, 10199540.
9. Brown NE, Zamel N, Aberman A. Changes in pulmonary mechanics and gas exchange following thoracocentesis. Chest 1978, 74:540-542. 10.1378/chest.74.5.540, 738092.
10. Estenne M, Yernault JC, De Troyer A. Mechanism of relief of dyspnea after thoracocentesis in patients with large pleural effusions. Am J Med 1983, 74:813-819. 10.1016/0002-9343(83)91072-0, 6837605.
11. Wang JS, Tseng CH. Changes in pulmonary mechanics and gas exchange after thoracentesis on patients with inversion of a hemidiaphragm secondary to large pleural effusion. Chest 1995, 107:1610-1614. 10.1378/chest.107.6.1610, 7781355.
12. Perpina M, Benlloch E, Marco V, Abad F, Nauffal D. Effect of thoracentesis on pulmonary gas exchange. Thorax 1983, 38:747-750. 10.1136/thx.38.10.747, 459650, 6417814.
13. Altschule MD, Zamcheck N. The effects of pleural effusion on respiration and circulation in man. J Clin Invest 1944, 23:325-331. 10.1172/JCI101498, 435346, 16695109.
14. Light RW, Stansbury DW, Brown SE. The relationship between pleural pressures and changes in pulmonary function after therapeutic thoracentesis. Am Rev Respir Dis 1986, 133:658-661.
15. Gilmartin JJ, Wright AJ, Gibson GJ. Effects of pneumothorax or pleural effusion on pulmonary function. Thorax 1985, 40:60-65. 10.1136/thx.40.1.60, 459980, 3969656.
16. Light RW, Stansbury DW, Brown SE. Changes in pulmonary function following therapeutic thoracocentesis. Chest 1981, 80:375.
17. Wang LM, Cherng JM, Wang JS. Improved lung function after thoracocentesis in patients with paradoxical movement of a hemidiaphragm secondary to a large pleural effusion. Respirology 2007, 12:719-723. 10.1111/j.1440-1843.2007.01124.x, 17875061.
18. Peek GJ, Firmin RK. Reducing morbidity from insertion of chest drains. Patients must be disconnected from positive airways pressure before insertion of drains. BMJ 1997, 315:313. 2127186, 9274568.
19. Cohen J. Weighted kappa: nominal scale agreement with provision for scaled disagreement or partial credit. Psychol Bull 1968, 70:213-220. 10.1037/h0026256, 19673146.
20. Wallace BC, Schmid CH, Lau J, Trikalinos TA. Meta-Analyst: software for meta-analysis of binary, continuous and diagnostic data. BMC Med Res Methodol 2009, 9:80. 10.1186/1471-2288-9-80, 19961608.
21. The Newcastle-Ottawa Scale (NOS) for assessing the quality of nonrandomised studies in meta-analyses. , http://www.ohri.ca/programs/clinical_epidemiology/oxford.htm
22. Stroup DF, Berlin JA, Morton SC, Olkin I, Williamson GD, Rennie D, Moher D, Becker BJ, Sipe TA, Thacker SB. Meta-analysis of observational studies in epidemiology: a proposal for reporting. Meta-analysis Of Observational Studies in Epidemiology (MOOSE) group. JAMA 2000, 283:2008-2012. 10.1001/jama.283.15.2008, 10789670.
23. DerSimonian R, Laird N. Meta-analysis in clinical trials. Control Clin Trials 1986, 7:177-188. 10.1016/0197-2456(86)90046-2, 3802833.
24. The R Project for Statistical Computing. , http://www.r-project.org
25. Sweeting MJ, Sutton AJ, Lambert PC. What to add to nothing? Use and avoidance of continuity corrections in meta-analysis of sparse data. Stat Med 2004, 23:1351-1375. 10.1002/sim.1761, 15116347.
26. Cox DR. The Analysis of Binary Data 1970, London: Methuen & Co. Ltd.
27. Wallace BC, Schmid CH, Lau J, Trikalinos TA. Meta-Analyst: software for meta-analysis of binary, continuous and diagnostic data. BMC Med Res Methodol 2009, 9:80. 10.1186/1471-2288-9-80, 2795760, 19961608.
28. Friedrich JO, Adhikari NK, Beyene J. The ratio of means method as an alternative to mean differences for analyzing continuous outcome variables in meta-analysis: a simulation study. BMC Med Res Methodol 2008, 8:32. 10.1186/1471-2288-8-32, 2430201, 18492289.
29. Higgins JP, Thompson SG. Quantifying heterogeneity in a meta-analysis. Stat Med 2002, 21:1539-1558. 10.1002/sim.1186, 12111919.
30. Higgins JP, Thompson SG, Deeks JJ, Altman DG. Measuring inconsistency in meta-analyses. BMJ 2003, 327:557-560. 10.1136/bmj.327.7414.557, 192859, 12958120.
31. De Waele JJ, Hoste E, Benoit D, Vandewoude K, Delaere S, Berrevoet F, Colardyn F. The effect of tube thoracostomy on oxygenation in ICU patients. J Intensive Care Med 2003, 18:100-104. 10.1177/0885066602250358, 15189656.
32. Tu CY, Hsu WH, Hsia TC, Chen HJ, Chiu KL, Hang LW, Shih CM. The changing pathogens of complicated parapneumonic effusions or empyemas in a medical intensive care unit. Intensive Care Med 2006, 32:570-576. 10.1007/s00134-005-0064-7, 16479377.
33. Ahmed SH, Ouzounian SP, Dirusso S, Sullivan T, Savino J, Del Guercio L. Hemodynamic and pulmonary changes after drainage of significant pleural effusions in critically ill, mechanically ventilated surgical patients. J Trauma 2004, 57:1184-1188. 10.1097/01.TA.0000145074.98431.15, 15625448.
34. Doelken P, Abreu R, Sahn SA, Mayo PH. Effect of thoracentesis on respiratory mechanics and gas exchange in the patient receiving mechanical ventilation. Chest 2006, 130:1354-1361. 10.1378/chest.130.5.1354, 17099010.
35. Talmor M, Hydo L, Gershenwald JG, Barie PS. Beneficial effects of chest tube drainage of pleural effusion in acute respiratory failure refractory to positive end-expiratory pressure ventilation. Surgery 1998, 123:137-143. 10.1016/S0039-6060(98)70250-8, 9481398.
36. Gervais DA, Petersein A, Lee MJ, Hahn PF, Saini S, Mueller PR. US-guided thoracentesis: requirement for postprocedure chest radiography in patients who receive mechanical ventilation versus patients who breathe spontaneously. Radiology 1997, 204:503-506.
37. Godwin JE, Sahn SA. Thoracentesis: a safe procedure in mechanically ventilated patients. Ann Intern Med 1990, 113:800-802.
38. Liang SJ, Tu CY, Chen HJ, Chen CH, Chen W, Shih CM, Hsu WH. Application of ultrasound-guided pigtail catheter for drainage of pleural effusions in the ICU. Intensive Care Med 2009, 35:350-354. 10.1007/s00134-008-1314-2, 18850086.
39. Lichtenstein D, Hulot JS, Rabiller A, Tostivint I, Meziere G. Feasibility and safety of ultrasound-aided thoracentesis in mechanically ventilated patients. Intensive Care Med 1999, 25:955-958. 10.1007/s001340050988, 10501751.
40. Mayo PH, Goltz HR, Tafreshi M, Doelken P. Safety of ultrasound-guided thoracentesis in patients receiving mechanical ventilation. Chest 2004, 125:1059-1062. 10.1378/chest.125.3.1059, 15006969.
41. McCartney JP, Adams JW, Hazard PB. Safety of thoracentesis in mechanically ventilated patients. Chest 1993, 103:1920-1921. 10.1378/chest.103.6.1920, 8404137.
42. Singh K, Loo S, Bellomo R. Pleural drainage using central venous catheters. Crit Care 2003, 7:R191-4. 10.1186/cc2393, 374384, 14624695.
43. Balik M, Plasil P, Waldauf P, Pazout J, Fric M, Otahal M, Pachl J. Ultrasound estimation of volume of pleural fluid in mechanically ventilated patients. Intensive Care Med 2006, 32:318-321. 10.1007/s00134-005-0024-2, 16432674.
44. Roch A, Bojan M, Michelet P, Romain F, Bregeon F, Papazian L, Auffray JP. Usefulness of ultrasonography in predicting pleural effusions > 500 mL in patients receiving mechanical ventilation. Chest 2005, 127:224-232. 10.1378/chest.127.1.224, 15653988.
45. Vignon P, Chastagner C, Berkane V, Chardac E, Francois B, Normand S, Bonnivard M, Clavel M, Pichon N, Preux PM, Maubon A, Gastinne H. Quantitative assessment of pleural effusion in critically ill patients by means of ultrasonography. Crit Care Med 2005, 33:1757-1763. 10.1097/01.CCM.0000171532.02639.08, 16096453.
46. Tu CY, Hsu WH, Hsia TC, Chen HJ, Tsai KD, Hung CW, Shih CM. Pleural effusions in febrile medical ICU patients: chest ultrasound study. Chest 2004, 126:1274-1280. 10.1378/chest.126.4.1274, 15486393.
47. Yu CJ, Yang PC, Chang DB, Luh KT. Diagnostic and therapeutic use of chest sonography: value in critically ill patients. AJR Am J Roentgenol 1992, 159:695-701.
48. Guinard N, Beloucif S, Gatecel C, Mateo J, Payen D. Interest of a therapeutic optimization strategy in severe ARDS. Chest 1997, 111:1000-1007. 10.1378/chest.111.4.1000, 9106581.
49. Agusti AG, Cardus J, Roca J, Grau JM, Xaubet A, Rodriguez-Roisin R. Ventilation-perfusion mismatch in patients with pleural effusion: effects of thoracentesis. Am J Respir Crit Care Med 1997, 156:1205-1209.
50. Karetzky MS, Kothari GA, Fourre JA, Khan AU. Effect of thoracentesis on arterial oxygen tension. Respiration 1978, 36:96-103. 10.1159/000193932, 26942.
51. Anthonisen NR, Martin RR. Regional lung function in pleural effusion. Am Rev Respir Dis 1977, 116:201-207.
52. Yoo OH, Ting EY. The Effects of Pleural Effusion on Pulmonary Function. Am Rev Respir Dis 1964, 89:55-63.
53. Greenland S, Morgenstern H. Ecological bias, confounding, and effect modification. Int J Epidemiol 1989, 18:269-274. 10.1093/ije/18.1.269, 2656561.
54. Mulvey RB. The Effect of Pleural Fluid on the Diaphragm. Radiology 1965, 84:1080-1086.
55. Cooper JC, Elliott ST. Pleural effusions, diaphragm inversion, and paradox: new observations using sonography. AJR Am J Roentgenol 1995, 164:510.
56. Altschule MD. Some neglected aspects of respiratory function in pleural effusions. The diaphragmatic arch. Chest 1986, 89:602. 10.1378/chest.89.4.602, 3956285.
57. Gordon CE, Feller-Kopman D, Balk EM, Smetana GW. Pneumothorax following thoracentesis: a systematic review and meta-analysis. Arch Intern Med 2010, 170:332-339. 10.1001/archinternmed.2009.548, 20177035.